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Adagrasib

Phase 3

Carcinoma, Non-Small-Cell Lung | Small molecule | Oncology |Bristol-Myers Squibb Company|Last Updated: Sep 1, 2026

Target and mechanism

Molecular targetKRAS
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment630

FDA Designations

No designations recorded

Clinical trial landscape

Adagrasib · 7 trials · 10 indications

Phase 3 1Phase 2 3Phase 1 3
NCT06875310A Study of Adagrasib Plus Pembrolizumab Plus Chemotherapy vs. Placebo Plus Pembrolizumab Plus Chemotherapy in Participants With Previously Untreated Non-squamous Non-small Cell Lung Cancer With KRAS G12C Mutation (KRYSTAL-4)Carcinoma, Non-Small-Cell Lung
RECRUITING630 Analytics
PHASE3RECRUITING
A Study of Adagrasib Plus Pembrolizumab Plus Chemotherapy vs. Placebo Plus Pembrolizumab Plus Chemotherapy in Participants With Previously Untreated Non-squamous Non-small Cell Lung Cancer With KRAS G12C Mutation (KRYSTAL-4)
Carcinoma, Non-Small-Cell LungUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS) as Assessed per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by Blinded Independent Central Review (BICR)
Up to 7 years
Overall Survival (OS)
Up to 7 years
Number of Participants With Adverse Events (AEs)
Up to 90 days from last dose or study discontinuation
Number of Participants With AEs Leading to Treatment Discontinuation
Up to 90 days from last dose or study discontinuation
Number of Participants With Serious Adverse Events (SAEs)
Up to 90 days from last dose or study discontinuation
Number of Participants With AEs Leading to Death
Up to 90 days from last dose or study discontinuation
Objective Response Rate (ORR) using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).
30 months

ORR evaluation of subjects treated with adagrasib 600 mg BID without regard to food versus 400 mg BID with food having NSCLC with KRAS G12C mutation (Study Population) will be completed per blinded independent central radiology (BICR) review. Objective response is the proportion of subjects that experience confirmed complete response (CR) or partial response (PR) based on RECIST v1.1 during the time period from 1st dose of adagrasib until last dose of adagrasib.

Phase 2: To evaluate the efficacy of Adagrasib monotherapy and in combination with pembrolizumab administered to patients having advanced/metastatic NSCLC.
22 months

Objective Response Rate (ORR) as defined by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)

Phase 3: To compare efficacy of Adagrasib in combination with pembrolizumab versus pembrolizumab
36 months

Progression Free Survival per RECIST 1.1 by Blinded Independent Central Review (BICR) and Overall Survival

Maximum Observed Plasma Concentration (Cmax)
Up to Day 7
Time of Maximum Observed Plasma Concentration
Up to Day 7
Area Under the Plasma Concentration-time Curve from Time Zero Extrapolated to Infinite Time [AUC(INF)]
Up to Day 7
Area Under the Plasma Concentration-time Curve from Time Zero to Time of Last Quantifiable Concentration [AUC(0-T)]
Up to Day 7
Apparent Terminal Phase Half-life (T-HALF)
Up to Day 7
Apparent Total Body Clearance (CLT/F)
Up to Day 7
Volume of Distribution of Terminal Phase (Vz/F)
Up to Day 7
Pharmacokinetics - AUC (adagrasib)
Days 1 and 8

Area under the plasma concentration-time curve (AUC) from time zero to infinity (AUC∞)

Pharmacokinetics - Cmax (adagrasib)
Days 1 and 8

Maximum observed plasma concentration (Cmax)

Pharmacokinetics - Tmax (adagrasib)
Days 1 and 8

Time to reach Cmax (tmax)

Pharmacokinetics - t1/2 (adagrasib)
Days 1 and 8

Elimination half-life (t1/2)

Pharmacokinetics - CL/F (adagrasib)
Days 1 and 8

Apparent total plasma clearance (CL/F)

Pharmacokinetics - Vz/F (adagrasib)
Days 1 and 8

Apparent volume of distribution (Vz/F)

Secondary Endpoints

Overall Response (OR) as Assessed per RECIST v1.1 by BICR
Up to 7 years
Duration of Response (DOR) as Assessed per RECIST 1.1 by BICR
Up to 7 years
PFS as Assessed per RECIST v1.1 by Investigator
Up to 7 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AdagrasibEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Arm A1EXPERIMENTAL -
Arm A2EXPERIMENTAL -
Arm B1EXPERIMENTAL -
Arm B2EXPERIMENTAL -
Arm B3EXPERIMENTAL -
Arm B4EXPERIMENTAL -
Arm C1EXPERIMENTAL -
Arm C2EXPERIMENTAL -
Arm C3EXPERIMENTAL -
Arm C4EXPERIMENTAL -
Adagrasib 600mg BIDEXPERIMENTALAdagrasib 600mg BID without regard to food
Adagrasib 400mg BIDEXPERIMENTALAdagrasib 400mg BID with food
Phase 2 Cohort 1a: PD-L1 TPS <1%EXPERIMENTALCohort 1a: Adagrasib twice daily (BID) in combination with pembrolizumab
Phase 2 Cohort 1b: PD-L1 TPS <1%EXPERIMENTALCohort 1b: Adagrasib BID monotherapy
Phase 2 Cohort 2: PD-L1 TPS ≥1%EXPERIMENTALCohort 2: Adagrasib BID in combination with pembrolizumab
Phase 3 Cohort 3 Investigational ArmEXPERIMENTALAdagrasib BID in combination with pembrolizumab
Phase 3 Cohort 4 Comparator ArmACTIVE_COMPARATORPembrolizumab
Adagrasib sequence AEXPERIMENTAL -
Adagrasib sequence BEXPERIMENTAL -
Treatment AACTIVE_COMPARATORTreatment A: A single oral dose of adagrasib 400 mg (2 × 200-mg tablets) on Day 1;
Treatment BACTIVE_COMPARATORTreatment B: A single oral dose of eltrombopag 75 mg (1 × 75-mg tablet) plus adagrasib 400 mg (2 × 200-mg tablets) on Day 8.

Interventions

NameTypeDescription
AdagrasibDRUGSpecified dose on specified days
PembrolizumabDRUGSpecified dose on specified days
CarboplatinDRUGSpecified dose on specified days
PemetrexedDRUGSpecified dose on specified days
PlaceboDRUGSpecified dose on specified days
CisplatinDRUGSpecified dose on specified days
CetuximabDRUGSpecified dose on specified days
DocetaxelDRUGSpecified dose on specified days
IrinotecanDRUGSpecified dose on specified days
LeucovorinDRUGSpecified dose on specified days
OxaliplatinDRUGSpecified dose on specified days
FluorouracilDRUGSpecified dose on specified days
Eltrombopag + adagrasibDRUGEltrombopag + adagrasib
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites351

Inclusion Criteria: * Histologically or cytologically confirmed diagnosis of non-squamous NSCLC with evidence of KRAS G12C mutation via tumor sample and/or circulating tumor deoxyribonucleic acid (ctDNA). * Locally advanced or metastatic disease. * Measurable disease via computed tomography (CT) or...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChileChinaColombiaCroatiaFranceGermanyGreeceHong KongHungaryIndiaIrelandIsraelItalyJapanMexicoNetherlandsPolandPortugalRomaniaSaudi ArabiaSouth KoreaSpainSwitzerlandTaiwanThailandTurkey (Türkiye)United KingdomSingaporeSerbiaCzechiaDenmarkFinlandGeorgiaMalaysiaNew ZealandNorwayPeruPhilippinesSouth AfricaSweden
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Recent Changes (Last 90 Days)

LOWSep 1, 2026NCT06875310lastUpdatePostDate: changed
LOWSep 1, 2026NCT06875310lastUpdatePostDate: changed
LOWAug 25, 2026NCT04613596lastUpdatePostDate: changed
LOWAug 25, 2026NCT04613596lastUpdatePostDate: changed
LOWAug 24, 2026NCT07723118Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 24, 2026NCT07723118Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 19, 2026NCT07415031lastUpdatePostDate: changed
LOWAug 19, 2026NCT07415031lastUpdatePostDate: changed
LOWAug 19, 2026NCT07415031lastUpdatePostDate: changed
LOWAug 14, 2026NCT06875310lastUpdatePostDate: changed
LOWAug 14, 2026NCT05853575primaryCompletionDate: changed
LOWAug 14, 2026NCT06875310lastUpdatePostDate: changed
LOWAug 14, 2026NCT05853575primaryCompletionDate: changed
LOWAug 5, 2026NCT04613596lastUpdatePostDate: changed
MEDIUMAug 4, 2026NCT05853575primaryCompletionDate: changed
MEDIUMAug 4, 2026NCT05853575primaryCompletionDate: changed
LOWJul 27, 2026NCT07415031lastUpdatePostDate: changed
LOWJul 27, 2026NCT07415031lastUpdatePostDate: changed
LOWJul 27, 2026NCT07415031lastUpdatePostDate: changed
LOWJul 24, 2026NCT07723118NEW_TRIAL: changed

Frequently asked questions about Adagrasib

What is Adagrasib used for?

Adagrasib is an investigational small molecule being studied for the treatment of advanced cancer, solid tumors, and advanced non-small cell lung cancer. It is being evaluated in patients with KRAS G12C mutations. The drug is currently in Phase 2 clinical development and is not yet approved by the FDA.

What does Adagrasib target?

Adagrasib targets the KRAS G12C mutation, a specific genetic alteration found in certain cancers. It is designed to inhibit the mutant KRAS protein, which plays a role in tumor growth. The drug is being studied in non-small cell lung cancer and other solid tumors with this mutation.

Who makes Adagrasib?

Adagrasib is being developed by Bristol-Myers Squibb Company, traded on the New York Stock Exchange under the ticker BMY. The company is conducting clinical trials to evaluate the drug's safety and efficacy in various cancer indications.

What phase is Adagrasib in?

Adagrasib is in Phase 2 clinical development. It is an investigational drug, meaning it has not received FDA approval and is still being studied in clinical trials. There are active Phase 2 trials recruiting patients with solid tumors and advanced non-small cell lung cancer.

What clinical trials is Adagrasib in?

Adagrasib is being studied in several clinical trials, including NCT05853575, a Phase 2 trial of two dosing regimens in NSCLC with KRAS G12C mutation, and NCT07415031, a long-term treatment study for solid tumor patients. Additional Phase 1 trials assess drug interactions and pharmacokinetics in healthy volunteers.

Is Adagrasib the same as BMS-986503?

Yes, Adagrasib is also known as BMS-986503. This alternative name appears in clinical trial documentation, such as the pharmacokinetic study NCT07723118, which evaluates single-dose Adagrasib (BMS-986503) in healthy participants of Japanese descent.