Purpose

Researchers want to learn if MK-1084, the study medicine, can treat advanced or metastatic non-squamous NSCLC. MK-1084 is a targeted therapy, which is a treatment that works to control how specific types of cancer cells grow and spread. The goals of this study are to learn: - About the safety of MK-1084 and if people tolerate it when taken with other treatments - How many people have the cancer respond (get smaller or go away) to the treatments

Condition

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

The main inclusion criteria include but are not limited to the following: - Has histologically or cytologically confirmed diagnosis of advanced or metastatic non-squamous non-small cell lung cancer (NSCLC) - Has tumor tissue or circulating tumor deoxyribonucleic acid (ctDNA) that demonstrates the presence of Kirsten rat sarcoma viral oncogene (KRAS) mutation of glycine to cysteine at codon 12 (G12C) mutations - Has documented disease progression after receiving 1-2 prior lines of programmed cell death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) therapy and platinum-based chemotherapy - Provides archival tumor tissue sample of a tumor lesion not previously irradiated - Has provided tissue prior to treatment allocation/randomization from a newly obtained biopsy of a tumor lesion not previously irradiated - Participants with human immunodeficiency virus (HIV) infection must have well-controlled HIV on antiretroviral therapy (ART) per protocol

Exclusion Criteria

The main exclusion criteria include but are not limited to the following: - Has a diagnosis of small cell lung cancer or, for mixed tumors, presence of small cell elements - Has clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses - Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis - Has active inflammatory bowel disease requiring immunosuppressive medication or previous history of inflammatory bowel disease - Has evidence of any leptomeningeal disease - Has uncontrolled or significant cardiovascular disorder or cerebrovascular disease prior to allocation/randomization - Has one or more of the following ophthalmological conditions: a) Clinically significant corneal disease b) history of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis - HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease - Has received previous treatment with an agent targeting KRAS - Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention - Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study intervention - Has known additional malignancy that is progressing or has required active treatment within the past 3 years - Has history of (noninfectious) pneumonitis/ interstitial lung disease (ILD) that required steroids or has current pneumonitis/ILD - Has an active infection requiring systemic therapy - Have not adequately recovered from major surgery or have ongoing surgical complications

Study Design

Phase
Phase 1/Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Sequential Assignment
Intervention Model Description
Participants will be enrolled and treated sequentially during dose escalation followed by parallel assignment in the expansion phase.
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
MK-1084 + Patritumab deruxtecan (HER3-DXd)
Participants will receive MK-1084 and HER3-DXd until discontinuation due to toxicity, adverse event (AE) or at the discretion of an investigator.
  • Drug: MK-1084
    Oral administration
  • Biological: Patritumab deruxtecan
    IV infusion
    Other names:
    • HER3-DXd
    • MK-1022
    • U3-1402
Experimental
MK-1084 + Sacituzumab tirumotecan (Sac-TMT)
Participants will receive MK-1084 and sac-TMT until discontinuation due to toxicity, AE or at the discretion of an investigator.
  • Drug: MK-1084
    Oral administration
  • Biological: Sacituzumab tirumotecan
    IV Infusion
    Other names:
    • Sac-TMT
    • MK-2870
    • SKB264
  • Drug: Rescue Medications
    Participants receive rescue medication at the investigator's discretion, per approved product label. Recommended rescue medications are histamine -1 (H1) receptor agonist, histamine-2 (H2) receptor antagonist, acetaminophen or equivalent, dexamethasone or equivalent infusion, or steroid mouthwash (dexamethasone or equivalent) for prevention of chemotherapy induced nausea and vomiting.
Experimental
MK-1084 + Cetuximab
Participants will receive MK-1084 and cetuximab until discontinuation due to toxicity, AE or at the discretion of an investigator.
  • Drug: MK-1084
    Oral administration
  • Biological: Cetuximab
    IV Infusion
    Other names:
    • C225
    • Erbitux

Recruiting Locations

Clermont Oncology Center ( Site 0041)
Clermont, Florida 34711
Contact:
Study Coordinator
386-538-3169

University of Illinois Hospital & Health Sciences System ( Site 0044)
Chicago, Illinois 60612
Contact:
Study Coordinator
312-996-9272

Providence Portland Medical Center ( Site 0043)
Portland, Oregon 97213
Contact:
Study Coordinator
503-215-1979

Providence Oncology and Hematology Care Clinic - Westside ( Site 0059)
Portland, Oregon 97225
Contact:
Study Coordinator
503-215-1979

More Details

Status
Recruiting
Sponsor
Merck Sharp & Dohme LLC

Study Contact

Toll Free Toll Free Number
1-888-577-8839
Trialsites@msd.com

Detailed Description

This is a substudy of the master protocol MK-3475-U01 (KEYMAKER-U01) - NCT04165798.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.