Clinical trial Recruiting at 221 sites Phase 3 Interventional Ages 18 and up

Calderasib plus subcutaneous pembrolizumab for KRAS G12C non-small cell lung cancer

Official title: A Phase 3, Randomized, Open-label, Multicenter Clinical Study to Evaluate the Safety and Efficacy of MK-1084 in Combination With Subcutaneous Pembrolizumab and Berahyaluronidase Alfa (MK-3475A) Versus MK-3475A in Combination With Pemetrexed/Platinum (Carboplatin or Cisplatin) Chemotherapy as First-line Treatment of Participants With KRAS G12C-Mutant, Advanced or Metastatic Nonsquamous NSCLC (KANDLELIT-007)

Run by Merck Sharp & Dohme LLC · NCT07190248 · Data updated 2026-11-12

This trial will test whether adding the KRAS G12C drug calderasib to subcutaneous pembrolizumab helps people with advanced nonsquamous non‑small cell lung cancer live longer without the cancer growing compared with pembrolizumab plus chemotherapy.

More Non-Small Cell Lung Cancer trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment675 (estimated)
SponsorMerck Sharp & Dohme LLC
Industry-sponsored
Drugs / interventionspembrolizumab, chemotherapy
Locations225 sites (Birmingham, Alabama and 224 other locations)
StatusRecruiting
StartedOctober 8, 2025
Main results expectedDecember 7, 2029
Study endsAugust 6, 2032
Registry record updatedNovember 10, 2026
Trial IDNCT07190248 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with unresectable nonsquamous NSCLC (Stage IIIB/IIIC or Stage IV) whose tumors harbor a KRAS G12C mutation and who meet other health and treatment‑history criteria are the intended participants.

Probably not a fit

Patients with small cell lung cancer or mixed tumors containing small cell elements, active inflammatory bowel disease requiring immunosuppression, uncontrolled cardiovascular or gastrointestinal conditions, or other disqualifying prior treatments are unlikely to be eligible or to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a phase 3, randomized study comparing calderasib combined with subcutaneous pembrolizumab versus subcutaneous pembrolizumab with standard platinum‑based chemotherapy (pemetrexed plus cisplatin or carboplatin) in patients with advanced nonsquamous NSCLC. Calderasib is a targeted therapy directed at the KRAS G12C mutation, and the pembrolizumab is given in a subcutaneous formulation with hyaluronidase. The main goal is to determine whether the calderasib combination prolongs the time patients live without disease progression compared with the chemotherapy arm. The trial is conducted at multiple U.S. centers and is sponsored by Merck Sharp & Dohme LLC.

Why it matters

Potential benefit: If successful, the combination could extend progression‑free survival for patients with KRAS G12C NSCLC and might reduce or delay the need for conventional chemotherapy.

How similar studies have gone: Earlier-phase studies of KRAS G12C inhibitors and of PD‑1 immunotherapy have shown clinical activity, and combinations are promising but not yet proven in large randomized trials, so this phase 3 trial addresses that open question.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

The main inclusion criteria include but are not limited to the following:

* Has nonsquamous NSCLC (Stage IIIB, Stage IIIC) not eligible for curative resection or chemoradiation or Stage IV: M1a, M1b, or M1c
* If human immunodeficiency virus (HIV) positive, must have well controlled HIV on antiretroviral therapy (ART)

Exclusion Criteria:

The main exclusion criteria include but are not limited to the following:

* Has diagnosis of small cell lung cancer or, for mixed tumors, presence of small cell elements
* Has active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis, or chronic diarrhea)
* Has uncontrolled, significant cardiovascular disease or cerebrovascular disease
* Has a gastrointestinal disorder affecting absorption
* Is HIV positive and has a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
* Has received prior systemic anticancer therapy for their advanced or metastatic NSCLC
* Has known additional malignancy that is progressing or has required active treatment within the past 3 years
* Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
* Has active autoimmune disease that has required systemic treatment in the past 2 years
* History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
* Has active infection requiring systemic therapy except those specified by protocol
* Has history of stem cell/solid organ transplant
* Has not adequately recovered from major surgery or has ongoing surgical complications

Where it's running

  • Central Alabama Research ( Site 0108)
    Birmingham, Alabama, United States
    Recruiting
  • Beverly Hills Cancer Center ( Site 0142)
    Beverly Hills, California, United States
    Recruiting
  • University of Connecticut Health Center ( Site 0130)
    Farmington, Connecticut, United States
    Recruiting
  • Stamford Hospital ( Site 0126)
    Stamford, Connecticut, United States
    Recruiting
  • The Oncology Institute of Hope and Innovation ( Site 0161)
    Fort Lauderdale, Florida, United States
    Recruiting
  • Low Country Cancer Care ( Site 0156)
    Savannah, Georgia, United States
    Recruiting
Show 44 more locations
  • Indiana University Health Arnett Cancer Center ( Site 0116)
    Lafayette, Indiana, United States
    Recruiting
  • New England Cancer Specialists ( Site 0139)
    Westbrook, Maine, United States
    Recruiting
  • Minneapolis VA Medical Center ( Site 0145)
    Minneapolis, Minnesota, United States
    Recruiting
  • John Theurer Cancer Center at Hackensack University Medical Center ( Site 0152)
    Hackensack, New Jersey, United States
    Recruiting
  • New York Oncology Hematology, P.C. ( Site 0119)
    Albany, New York, United States
    Recruiting
  • Wilmot Cancer Institute ( Site 0141)
    Rochester, New York, United States
    Recruiting
  • St. Charles Health System, Inc ( Site 0146)
    Bend, Oregon, United States
    Recruiting
  • Lancaster General Hospital - Ann B Barshinger Cancer Institute ( Site 0111)
    Lancaster, Pennsylvania, United States
    Recruiting
  • Hematology Oncology Associates of Fredericksburg ( Site 9550)
    Fredericksburg, Virginia, United States
    Recruiting
  • Bon Secours Cancer Institute at St. Francis ( Site 0148)
    Midlothian, Virginia, United States
    Recruiting
  • Blue Ridge Cancer Care ( Site 0144)
    Roanoke, Virginia, United States
    Recruiting
  • WVU Cancer Institute ( Site 0153)
    Morgantown, West Virginia, United States
    Recruiting
  • Instituto Alexander Fleming ( Site 0311)
    Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
    Recruiting
  • Instituto de Investigaciones Clinicas Mar del Plata ( Site 0300)
    Mar del Plata, Buenos Aires, Argentina
    Recruiting
  • Hospital Italiano de Cordoba ( Site 0308)
    Córdoba, Argentina
    Recruiting
  • CEMAIC ( Site 0309)
    Córdoba, Argentina
    Recruiting
  • Genesis Care- Campbelltown ( Site 2907)
    Campbelltown, New South Wales, Australia
    Recruiting
  • Northern Beaches Hospital ( Site 2905)
    Frenchs Forest, New South Wales, Australia
    Recruiting
  • The Prince Charles Hospital ( Site 2903)
    Brisbane, Queensland, Australia
    Recruiting
  • Mater Hospital Brisbane ( Site 2906)
    South Brisbane, Queensland, Australia
    Recruiting
  • Peninsula & South Eastern Haematology and Oncology Group ( Site 2908)
    Frankston, Victoria, Australia
    Recruiting
  • Klinikum Klagenfurt am Wörthersee ( Site 1002)
    Klagenfurt, Carinthia, Austria
    Recruiting
  • Medizinische Universität Graz-Klinische Abteilung für Pulmonologie ( Site 1005)
    Graz, Styria, Austria
    Recruiting
  • Klinik Floridsdorf-Abteilung für Innere Medizin und Pneumologie ( Site 1001)
    Vienna, Austria
    Recruiting
  • Algemeen Ziekenhuis Klina ( Site 3904)
    Brasschaat, Antwerpen, Belgium
    Recruiting
  • Ziekenhuis Oost-Limburg, Campus St.-Jan ( Site 3903)
    Genk, Limburg, Belgium
    Recruiting
  • VITAZ ( Site 3902)
    Sint-Niklaas, Oost-Vlaanderen, Belgium
    Recruiting
  • Clinical Chc Montlégia ( Site 3901)
    Liège, Belgium
    Recruiting
  • CRIO - CENTRO REGIONAL INTEGRADO DE ONCOLOGIA ( Site 0412)
    Fortaleza, Ceará, Brazil
    Recruiting
  • Hospital Santa Rita de Cassia ( Site 0403)
    Vitória, Espírito Santo, Brazil
    Recruiting
  • Real Hospital Portugues ( Site 0418)
    Recife, Pernambuco, Brazil
    Recruiting
  • Centro Gaucho Integrado De Oncologia, Hematologia, Ensino E Pesquisa ( Site 0400)
    Porto Alegre, Rio Grande do Sul, Brazil
    Recruiting
  • CEPEN - Centro de Pesquisa e Ensino em Oncologia de Santa Catarina ( Site 0410)
    Florianópolis, Santa Catarina, Brazil
    Recruiting
  • Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto USP ( Site 0419)
    Ribeirão Preto, São Paulo, Brazil
    Recruiting
  • Faculdade de Medicina do ABC ( Site 0411)
    Santo André, São Paulo, Brazil
    Recruiting
  • Hospital Alemao Oswaldo Cruz ( Site 0413)
    São Paulo, São Paulo, Brazil
    Recruiting
  • IBCC - Núcleo de Pesquisa e Ensino ( Site 0417)
    São Paulo, Brazil
    Recruiting
  • Cross Cancer Institute ( Site 0203)
    Edmonton, Alberta, Canada
    Recruiting
  • Sunnybrook Research Institute ( Site 0209)
    Toronto, Ontario, Canada
    Recruiting
  • Centro de Estudios Clínicos SAGA ( Site 0503)
    Santiago, Region M. de Santiago, Chile
    Recruiting
  • Fundación Arturo López Pérez ( Site 0500)
    Santiago, Region M. de Santiago, Chile
    Recruiting
  • Bradfordhill ( Site 0501)
    Santiago, Region M. de Santiago, Chile
    Recruiting
  • Anhui Provincial Cancer Hospital ( Site 2708)
    Hefei, Anhui, China
    Recruiting
  • Beijing Cancer hospital-Thoracic Cancer Department A ( Site 2700)
    Beijing, Beijing Municipality, China
    Recruiting

+175 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.