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Small Molecule Drug

MRTX849 for Cancer

Verified Trial
Phase 1 & 2
Recruiting
Research Sponsored by Mirati Therapeutics Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Histologically confirmed diagnosis of a solid tumor malignancy with KRAS G12C mutation
Unresectable or metastatic disease
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 20 months
Awards & highlights

Study Summary

This trial will study the effects of MRTX849 on patients with advanced solid tumors that have a KRAS G12C mutation.

Who is the study for?
This trial is for adults with advanced solid tumors that have a specific mutation called KRAS G12C. They should have tried all standard treatments without success or declined them, and their cancer must be inoperable or spread to other parts of the body. People can't join if they have another active cancer, serious gut diseases, major stomach surgery history, trouble swallowing pills, or HER2 positive breast cancer.Check my eligibility
What is being tested?
The study tests MRTX849 (adagrasib) to see how safe it is and how well patients tolerate it. It also looks at what the drug does inside the body and whether it works against cancers with the KRAS G12C mutation. Patients may also receive other drugs like Pembrolizumab, Afatinib, or Cetuximab as part of their treatment.See study design
What are the potential side effects?
Possible side effects from these medications include fatigue, skin reactions, diarrhea and other digestive issues; liver problems; allergic reactions; lung inflammation; changes in blood cell counts leading to increased infection risk or bleeding problems.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My cancer has a KRAS G12C mutation.
Select...
My cancer cannot be removed by surgery or has spread to other parts of my body.
Select...
I have NSCLC and either there's no standard treatment available or I've declined it.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~20 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 20 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Characterize the safety of MRTX849 in patients having advanced solid tumor malignancies with KRAS G12C mutation
Evaluate clinical activity/efficacy of MRTX849
Evaluate the pharmacokinetics of MRTX849
Secondary outcome measures
Characterize safety and tolerability of MRTX849 in combination with selected therapeutic agents
Establish maximum tolerated dose
Evaluate the pharmacokinetics of MRTX849 administered with food
+1 more

Trial Design

9Treatment groups
Experimental Treatment
Group I: Pilot Phase 1b Combination with PembrolizumabExperimental Treatment2 Interventions
Phase 1 evaluation of the safety, tolerability, PK and clinical activity of MRTX849 in combination with pembrolizumab in patients with NSCLC
Group II: Pilot Phase 1b Combination with Cetuximab in PDACExperimental Treatment2 Interventions
Phase 1 evaluation of the safety, tolerability, PK and clinical activity of MRTX849 in combination with cetuximab in patients with pancreatic adenocarcinoma (PDAC)
Group III: Pilot Phase 1b Combination with Cetuximab in NSCLCExperimental Treatment2 Interventions
Phase 1 evaluation of the safety, tolerability, PK and clinical activity of MRTX849 in combination with cetuximab in patients with NSCLC
Group IV: Pilot Phase 1b Combination with CetuximabExperimental Treatment2 Interventions
Phase 1 evaluation of the safety, tolerability, PK and clinical activity of MRTX849 in combination with cetuximab in patients with CRC
Group V: Pilot Phase 1b Combination with AfatinibExperimental Treatment2 Interventions
Phase 1 evaluation of the safety, tolerability, PK and clinical activity of MRTX849 in combination with afatinib in patients with NSCLC
Group VI: Phase 2 Combination with CetuximabExperimental Treatment2 Interventions
Phase 2 evaluation of the clinical activity of MRTX849 in combination with cetuximab in patients with CRC
Group VII: Phase 2Experimental Treatment1 Intervention
Separate cohorts of patients stratified by histological diagnosis, prior treatment history or co-mutation status (e.g., STK11) for evaluation of clinical activity of MRTX849
Group VIII: Phase 1b ExpansionExperimental Treatment1 Intervention
Expansion cohort to ensure sufficient safety experience, pharmacokinetic information, and early evidence of clinical activity of MRTX849 to recommend Phase 2 regimens
Group IX: Phase 1 Dose ExplorationExperimental Treatment1 Intervention
Dose escalation of MRTX849 to determine maximum tolerated dose
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pembrolizumab
2017
Completed Phase 2
~2010
Afatinib
2016
Completed Phase 4
~2340
MRTX849
2021
Completed Phase 1
~10
Cetuximab
2011
Completed Phase 3
~2480

Find a Location

Who is running the clinical trial?

Mirati Therapeutics Inc.Lead Sponsor
70 Previous Clinical Trials
7,383 Total Patients Enrolled
Hirak Der-TorossianStudy DirectorMirati Therapeutics
Richard ChaoStudy DirectorMirati Therapeutics

Media Library

MRTX849 (Small Molecule Drug) Clinical Trial Eligibility Overview. Trial Name: NCT03785249 — Phase 1 & 2
Cancer Research Study Groups: Pilot Phase 1b Combination with Cetuximab in NSCLC, Phase 1 Dose Exploration, Phase 1b Expansion, Phase 2, Pilot Phase 1b Combination with Afatinib, Pilot Phase 1b Combination with Pembrolizumab, Phase 2 Combination with Cetuximab, Pilot Phase 1b Combination with Cetuximab in PDAC, Pilot Phase 1b Combination with Cetuximab
Cancer Clinical Trial 2023: MRTX849 Highlights & Side Effects. Trial Name: NCT03785249 — Phase 1 & 2
MRTX849 (Small Molecule Drug) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03785249 — Phase 1 & 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are the goals that researchers hope to accomplish with this clinical trial?

"The purpose of this 20-month study is to monitor MRTX849's clinical activity/efficacy. Additionally, researchers will aim to understand the safety and tolerability of MRTX849 when used in combination with other drugs. They will also take blood plasma concentration measurements to assess MRTX849's pharmacokinetics under different conditions."

Answered by AI

Are volunteers being accepted for this experiment at this moment?

"According to clinicaltrials.gov, this study is still looking for volunteers and was last updated on February 4th, 2022. It was originally posted on January 15th, 2019."

Answered by AI

How many patients will be given the chance to participate in this clinical trial?

"This study, which is being conducted by Mirati Therapeutics Inc., needs a total of 740 patients that meet the inclusion criteria. The trial will take place at different sites including USOR - Compass Oncology - Vancouver in Vancouver, Washington and Charleston Oncology P.A. in Charleston, South carolina."

Answered by AI

What are the conditions that MRTX849 is used to treat?

"MRTX849 is most frequently used to target malignant neoplasms, however it can also be an effective tool in treating microsatellite instability high, high risk of recurrence, and intolerance to irinotecan."

Answered by AI

Does MRTX849 have a long and well-documented history of use?

"First studied in 2005 at the Mamie McFaddin Ward Cancer Center, MRTX849 has had 703 completed trials as of now. There are presently 1155 active trials, a majority of which are being performed in Vancouver, Washington."

Answered by AI

What is the global reach of this clinical trial?

"There are 79 sites running this clinical trial, a few of which include Vancouver, Charleston and Newport News. It may be helpful to choose the location nearest you in order to limit travel if you decide to participate."

Answered by AI

Have similar tests been conducted previously with other patients?

"First researched in 2005, MRTX849 was initially trialed by Bristol-Myers Squibb with 154 participants. The success of the first study led to the drug's Phase 2 approval. As of now, there are 1,155 ongoing trials for MRTX849 in 3,258 cities and 65 different countries."

Answered by AI

Who else is applying?

How old are they?
65+
18 - 65
What site did they apply to?
Mayo Clinic in Arizona
Comprehensive Cancer Centers of Nevada
Perlmutter Cancer Center
Other
What portion of applicants met pre-screening criteria?
Met criteria
Did not meet criteria
What state do they live in?
Texas
New York
California
How many prior treatments have patients received?
0
2

How responsive is this trial?

Average response time
  • < 1 Day
Typically responds via
Phone Call
Most responsive sites:
  1. Texas Oncology: < 24 hours
  2. Kaiser Permanente: < 24 hours
Recent research and studies
~132 spots leftby Apr 2025