A Phase 1/2 Study of MRTX0902 in Solid Tumors With Mutations in the KRAS MAPK Pathway

Last updated: September 29, 2025
Sponsor: Mirati Therapeutics Inc.
Overall Status: Active - Not Recruiting

Phase

1/2

Condition

Neoplasms

Neuroblastoma

Colon Cancer

Treatment

MRTX0902

MRTX849

Clinical Study ID

NCT05578092
CA247-0004
CA247-0004
0902-001
  • Ages > 18
  • All Genders

Study Summary

This is a Phase 1/2, open-label, multicenter, study evaluating the safety, tolerability, PK, PD, and anti-tumor activity of MRTX0902 alone and in combination with MRTX849 (adagrasib) in patients with advanced solid tumor malignancy harboring mutations in the KRAS-MAPK pathways.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Histologically confirmed diagnosis of a solid tumor malignancy with any of thefollowing oncogenic mutations detected in tumor tissue or ctDNA by asponsor-approved test:
  1. MRTX0902 monotherapy: known KRAS mutations, known annotated recurrentactivating SOS1, PTPN11, class III BRAF, or EGFR mutation, or known annotatedrecurrent inactivating NF1 mutation;

  2. MRTX0902 and adagrasib combination therapy: KRAS G12C mutation.

  • Unresectable or metastatic disease

  • No available treatment with curative intent; standard treatment is not available orpatient declines

  • Presence of tumor lesions to be evaluated per RECIST 1.1:

  1. Phase 1 dose escalation, RECIST 1.1 measurable or evaluable disease

  2. Phase 1b and Phase 2 cohorts, RECIST 1.1 measurable disease

  • Presence of a tumor lesion amenable to mandatory biopsy for pharmacodynamicevaluation at baseline and on-study unless Sponsor-confirmed as medically unsafe orinfeasible.

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

  • Adequate organ function

Exclusion

Exclusion Criteria:

  • Active brain metastases or carcinomatous meningitis

  • Prior treatment with a KRAS G12C inhibitor (for Phase 1b expansion for MRTX0902 andadagrasib combination, and Phase 2 cohorts only)

  • History of significant hemoptysis or hemorrhage within 4 weeks of the first dose ofstudy treatment.

  • Major surgery within 4 weeks of first dose of study treatment

  • History of pneumonitis or interstitial lung disease

  • Ongoing need for medication with following characteristics: substrate of CYP3A;strong inducer or inhibitor or CYP3A and/or P-gp; strong inhibitors of BRCP andproton pump inhibitors

  • Cardiac abnormalities

  • History of intestinal disease, inflammatory bowel disease, major gastric surgery, orother gastrointestinal conditions (eg, uncontrolled nausea, vomiting, malabsorptionsyndrome) likely to alter absorption of study treatment or result in inability toswallow oral medications

Study Design

Total Participants: 228
Treatment Group(s): 2
Primary Treatment: MRTX0902
Phase: 1/2
Study Start date:
December 02, 2022
Estimated Completion Date:
July 30, 2026

Study Description

This first-in-human clinical trial will begin with an exploration of MRTX0902 dose and regimen. Once safety experience and PK data are available for the monotherapy regimen, dose escalation of the combination of MRTX0902 and adagrasib will be initiated, and will include a separate preliminary food effect assessments on MRTX0902 PK in combination with adagrasib. As potentially viable regimens are identified, Phase 1b expansion cohorts may be implemented to ensure collection of sufficient safety and PK information, and early evidence of clinical activity are available to recommend Phase 2 regimens. In Phase 2, separate cohorts of patients by histological diagnosis and/or baseline characteristics will be evaluated for the clinical activity and efficacy of MRTX0902 in combination with adagrasib.

Connect with a study center

  • Pan America center for Oncology Trials LLC

    Rio Piedras, 00935
    Puerto Rico

    Active - Recruiting

  • Pan American Center for Oncology Trials, LLC

    Rio Piedras, 00935
    Puerto Rico

    Site Not Available

  • Local Institution - 001-114

    Rio Piedras 4829037, 00935
    Puerto Rico

    Site Not Available

  • Local Institution - 001-120

    Colorado Springs, Colorado 80909-4533
    United States

    Site Not Available

  • Denver Drug Development Unit - HealthONE

    Denver, Colorado 80218
    United States

    Site Not Available

  • Yale Cancer Center

    New Haven, Connecticut 06520
    United States

    Site Not Available

  • Yale University, Yale Cancer Center

    New Haven, Connecticut 06520
    United States

    Active - Recruiting

  • Local Institution - 001-108

    New Haven 4839366, Connecticut 4831725 06520
    United States

    Site Not Available

  • Local Institution - 1-13NVX8W8

    Newark, Delaware 19713-2055
    United States

    Site Not Available

  • Medical Oncology Hematology Consultants

    Newark, Delaware 19713-2055
    United States

    Site Not Available

  • Local Institution - 001-119

    Newark 4143861, Delaware 4142224 19713-2055
    United States

    Site Not Available

  • Local Institution - 001-113

    Washington, District of Columbia 20016-2633
    United States

    Site Not Available

  • Local Institution - 001-111

    Orlando, Florida 32827-7400
    United States

    Site Not Available

  • Sarah Cannon Research Institute at Florida Cancer Specialists

    Orlando, Florida 32827-7400
    United States

    Site Not Available

  • Local Institution - 001-111

    Orlando 4167147, Florida 4155751 32827-7400
    United States

    Site Not Available

  • Johns Hopkins University

    Baltimore, Maryland 21287
    United States

    Active - Recruiting

  • Local Institution - 001-118

    Baltimore, Maryland 21201
    United States

    Site Not Available

  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

    Baltimore, Maryland 21287
    United States

    Active - Recruiting

  • Local Institution - 001-103

    Baltimore 4347778, Maryland 4361885 21287
    United States

    Site Not Available

  • Local Institution - 001-125

    Minneapolis, Minnesota 55404
    United States

    Site Not Available

  • Local Institution - 001-110

    Rochester, Minnesota 55905-0001
    United States

    Site Not Available

  • Mayo Clinic - Cancer Center - Rochester - PPDS

    Rochester, Minnesota 55905-0001
    United States

    Site Not Available

  • Local Institution - 001-110

    Rochester 5043473, Minnesota 5037779 55905-0001
    United States

    Site Not Available

  • John Theurer Cancer Center

    Hackensack, New Jersey 07601-2191
    United States

    Site Not Available

  • Local Institution - 001-115

    Hackensack, New Jersey 07601-2191
    United States

    Site Not Available

  • Local Institution - 001-115

    Hackensack 5098706, New Jersey 5101760 07601-2191
    United States

    Site Not Available

  • Local Institution - 001-117

    Bronx, New York 10461-2374
    United States

    Site Not Available

  • University of Cincinnati Cancer Institute

    Cincinnati, Ohio 45219-2364
    United States

    Site Not Available

  • University of Cincinnati Medical Center

    Cincinnati, Ohio 45219
    United States

    Active - Recruiting

  • Local Institution - 001-106

    Cincinnati 4508722, Ohio 5165418 45219-2364
    United States

    Site Not Available

  • Local Institution - 001-109

    Portland, Oregon 97239-3011
    United States

    Site Not Available

  • Oregon Health and Science University

    Portland, Oregon 97239-3011
    United States

    Active - Recruiting

  • Local Institution - 001-109

    Portland 5746545, Oregon 5744337 97239-3011
    United States

    Site Not Available

  • Local Institution - 001-116

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • UPMC Hillman Cancer Center

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • Local Institution - 001-116

    Pittsburgh 5206379, Pennsylvania 6254927 15232
    United States

    Site Not Available

  • Local Institution - 001-102

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • SCRI - TN Oncology Nashville Drug Development Unit Clinic

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • Sarah Cannon Research Institute Central Office

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • Tennessee Oncology NASH

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • Local Institution - 001-101

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Site Not Available

  • Local Institution - 001-102

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Site Not Available

  • Local Institution - 001-121

    Austin, Texas 78745-3325
    United States

    Site Not Available

  • (USOR) Texas Oncology

    Dallas, Texas 75246-2003
    United States

    Site Not Available

  • Local Institution - 001-112

    Dallas, Texas 75246-2003
    United States

    Site Not Available

  • Local Institution - 001-122

    Fort Worth, Texas 76104-2154
    United States

    Site Not Available

  • Texas Oncology-Fort Worth Cancer Center

    Fort Worth, Texas 76104-2154
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Local Institution - 001-123

    Tyler, Texas 75708-3154
    United States

    Site Not Available

  • University of Texas Health Science Center at Tyler

    Tyler, Texas 75708-3154
    United States

    Site Not Available

  • Local Institution - 001-112

    Dallas 4684888, Texas 4736286 75246-2003
    United States

    Site Not Available

  • Local Institution - 001-122

    Fort Worth 4691930, Texas 4736286 76104-2154
    United States

    Site Not Available

  • Local Institution - 001-107

    Houston 4699066, Texas 4736286 77030
    United States

    Site Not Available

  • Local Institution - 001-123

    Tyler 4738214, Texas 4736286 75708-3154
    United States

    Site Not Available

  • NEXT Oncology Virginia

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

  • NEXT Virginia

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • NEXT Virginia - NEXT Oncology - PPDS

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

  • Local Institution - 001-104

    Fairfax 4758023, Virginia 6254928 22031
    United States

    Site Not Available

  • Fred Hutchinson Cancer Center

    Seattle, Washington 98109-4405
    United States

    Site Not Available

  • Seattle Cancer Care Alliance

    Seattle, Washington 98109
    United States

    Active - Recruiting

  • Local Institution - 001-105

    Seattle 5809844, Washington 5815135 98109
    United States

    Site Not Available

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