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Calderasib

Phase 3

Non-small Cell Lung Cancer | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: Jun 8, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment2,013
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07554339A Clinical Trial of Calderasib (MK-1084) and Durvalumab in People With Non-Small Cell Lung Cancer (MK-1084-015/KANDLELIT-015)PHASE3 RECRUITING 310Jun 5, 2026Aug 17, 2037Jun 3, 20265 United States, South Korea +2
NCT07431827MK-3475A±Calderasib (MK-1084) in Completely Resected Stage IIA-IIIB (N2) KRAS G12Cm NSCLC (MK-1084-013)PHASE3 RECRUITING 400Mar 18, 2026Oct 26, 2039Jun 3, 202636 Argentina, China +6
NCT07190248A Clinical Study of Calderasib (MK-1084) and Other Treatments for Participants With Non-Small Cell Lung Cancer (MK-1084-007/KANDLELIT-007)PHASE3 RECRUITING 675Oct 8, 2025Aug 6, 2032Jun 8, 2026175 United States, Argentina +26
NCT06345729A Study of Calderasib (MK-1084) Plus Pembrolizumab (MK-3475) in Participants With KRAS G12C Mutant Non-small Cell Lung Cancer (NSCLC) With Programmed Cell Death Ligand 1 (PD-L1) Tumor Proportion Score (TPS) ≥50% (MK-1084-004/KANDLELIT-004)PHASE3 RECRUITING 600May 24, 2024Feb 18, 2031Jun 8, 2026225 United States, Argentina +25
NCT06575933A Study of Calderasib (MK-1084) With Midazolam and Digoxin in Healthy Participants (MK-1084-009)PHASE1 COMPLETED 28Sep 3, 2024Oct 28, 2024Feb 11, 20261 United States
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Study Endpoints
Primary Endpoints
Progression-Free Survival (PFS)
Up to approximately 6 years

PFS is defined as the time from randomization to the first documented disease progression or death due to any cause, whichever occurs first.

Disease-free Survival (DFS)
Up to ~11 years

DFS is the time from randomization to any recurrence (local, locoregional, regional, or distant), occurrence of new primary NSCLC, or death due to any cause, whichever occurs first.

Progression Free Survival (PFS) in Participants with Programmed Death-Ligand 1 (PD-L1) Tumor Proportion Score (TPS) ≥1%
Up to approximately 48 months

PFS is defined as the time from randomization until either documented disease progression per Response Criteria in Solid Tumors Version 1.1 (RECIST 1.1) or death due to any cause, whichever occurs first. PFS as determined by blinded independent central review (BICR) will be presented.

Overall Survival (OS)
Up to approximately 56 months

OS is defined as the time from randomization to death due to any cause.

Area Under the Concentration-Time Curve from Time 0 to Infinity (AUC0-Inf) of Midazolam
Predose and at designated timepoints up to 24 hours postdose

Blood samples will be collected to determine the AUC0-inf of midazolam.

Area Under the Concentration-Time Curve from Time 0 to Last (AUC0-Last) of Midazolam
Predose and at designated timepoints up to 24 hours postdose

Blood samples will be collected to determine the AUC0-last of midazolam.

Area Under the Concentration-Time Curve from Time 0 to 24 hours (AUC0-24hr) of Midazolam
Predose and at designated timepoints up to 24 hours postdose

Blood samples will be collected to determine the AUC0-24hr of midazolam.

Maximum Plasma Concentration (Cmax) of Midazolam
Predose and at designated timepoints up to 24 hours postdose

Blood samples will be collected to determine the Cmax of midazolam.

Time to Maximum Plasma Concentration (Tmax) of Midazolam
Predose and at designated timepoints up to 24 hours postdose

Blood samples will be collected to determine the Tmax of midazolam.

Apparent Terminal Half-life (t1/2) of Midazolam
Predose and at designated timepoints up to 24 hours postdose

Blood samples will be collected to determine the t1/2 of midazolam.

Apparent Clearance (CL/F) of Midazolam
Predose and at designated timepoints up to 24 hours postdose

Blood samples will be collected to determine the CL/F of midazolam.

Apparent Volume of Distribution During Terminal Phase (Vz/F) of Midazolam
Predose and at designated timepoints up to 24 hours postdose

Blood samples will be collected to determine the Vz/F of midazolam.

AUC0-Inf of Digoxin
Predose and at designated timepoints up to 120 hours postdose

Blood samples will be collected to determine the AUC0-inf of digoxin.

AUC0-Last of Digoxin
Predose and at designated timepoints up to 120 hours postdose

Blood samples will be collected to determine the AUC0-last of digoxin.

AUC0-24hr of Digoxin
Predose and at designated timepoints up to 24 hours postdose

Blood samples will be collected to determine the AUC0-24hr of digoxin.

Cmax of Digoxin
Predose and at designated timepoints up to 120 hours postdose

Blood samples will be collected to determine the Cmax of digoxin.

Tmax of Digoxin
Predose and at designated timepoints up to 120 hours postdose

Blood samples will be collected to determine the Tmax of digoxin.

t1/2 of Digoxin
Predose and at designated timepoints up to 120 hours postdose

Blood samples will be collected to determine the t1/2 of digoxin.

CL/F of Digoxin
Predose and at designated timepoints up to 120 hours postdose

Blood samples will be collected to determine the CL/F of digoxin.

Vz/F of Digoxin
Predose and at designated timepoints up to 120 hours postdose

Blood samples will be collected to determine the Vz/F of digoxin.

Secondary Endpoints
Overall Survival (OS)
Up to approximately 9 years
Number of Participants Who Experience an Adverse Events (AEs)
Up to approximately 9 years
Number of Participants Who Discontinue Study Treatment Due to an AE
Up to approximately 9 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Calderasib + DurvalumabEXPERIMENTALParticipants will receive calderasib and durvalumab.
Placebo + DurvalumabACTIVE_COMPARATORParticipants will receive placebo to calderasib and durvalumab.
Calderasib + MK-3475AEXPERIMENTALParticipants receive calderasib daily (qd) and MK-3475A every 6 weeks (q6w) for up to 9 doses.
Placebo + MK-3475AACTIVE_COMPARATORParticipants receive placebo qd and MK-3475A q6w for up to 9 doses.
Calderasib + Pembrolizumab (+) Berahyaluronidase alfaEXPERIMENTALParticipants will receive pembrolizumab (+) berahyaluronidase alfa at a fixed dose subcutaneously on Day 1 of each 6-week cycle for up to 18 cycles (approximately 2 years) plus calderasib until discontinuation criterion is met.
Pembrolizumab (+) Berahyaluronidase alfa + ChemotherapyACTIVE_COMPARATORParticipants will receive pembrolizumab (+) berahyaluronidase alfa at a fixed dose subcutaneously on Day 1 of each 6-week cycle for up to 18 cycles (approximately 2 years) and pemetrexed via intravenous (IV) infusion at a dose of 500 mg/m\^2 on days 1 and 22 of cycles 1 and 3 until discontinuation criterion is met PLUS investigator's choice of carboplatin via IV infusion at area under curve (AUC) 5 mg/mL/minute on days 1 and 22 of cycles 1 and 3 (up to 4 doses, approximately 6 weeks) OR cisplatin via IV infusion at a dose of 75 mg/m\^2 on days 1 and 22 of cycles 1 and 3 (up to 4 doses, approximately 6 weeks).
Calderasib with PembrolizumabEXPERIMENTALParticipants receive pembrolizumab 200 mg via intravenous (IV) infusion on Day 1 of each 21-day cycle (Q3W) for up to 35 cycles and calderasib by oral tablets until discontinuation criterion is met.
Placebo with PembrolizumabACTIVE_COMPARATORParticipants receive pembrolizumab 200 mg via intravenous (IV) infusion on Day 1 of each 21-day cycle (Q3W) for up to 35 cycles and placebo by oral tablets once daily until discontinuation criterion is met.
Period 1: Midazolam and DigoxinEXPERIMENTALParticipants will receive a single oral dose of midazolam and a single oral dose of digoxin on Day 1.
Period 2: Calderasib, Midazolam, and DigoxinEXPERIMENTALA washout period of at least 10 days will occur following midazolam and digoxin dosing in Period 1 and the first calderasib dosing in Period 2. Participants will receive calderasib once daily on Days 1 through Day 15 with a single oral dose of midazolam on Days 1, 6, and 14 and a single oral dose of digoxin on Days 1 and 11.
Interventions
NameTypeDescription
CalderasibDRUGTablet for oral administration.
DurvalumabBIOLOGICALSolution for intravenous (IV) infusion.
Placebo to MK-1084OTHERPlacebo to MK-1084.
MK-3475ABIOLOGICALFixed dose coformulated product of hyaluronidase/pembrolizumab administered via SC injection.
PlaceboDRUGPlacebo oral tablet
Pembrolizumab (+) Berahyaluronidase alfaBIOLOGICALAdministered as a SC injection
PemetrexedDRUGAdministered as an IV Infusion
CisplatinDRUGAdministered as an IV Infusion
CarboplatinDRUGAdministered as an IV Infusion
PembrolizumabBIOLOGICALIV infusion
MidazolamDRUGOral administration
DigoxinDRUGOral administration
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: The main inclusion criteria include but are not limited to the following: * Has a histological or cytological diagnosis of locally advanced, unresected Stage II (node-positive) to III non-small cell lung cancer (NSCLC) with predominantly nonsquamous histology. * Has completed d...

Countries:United StatesSouth KoreaTaiwanUkraineArgentinaChinaHong KongSpainTurkey (Türkiye)AustraliaAustriaBelgiumBrazilChileColombiaFranceGreeceGuatemalaHungaryIsraelItalyJapanMalaysiaMexicoNetherlandsPeruPolandRomaniaUnited KingdomBulgariaCanadaGeorgiaGermanyIndiaNew ZealandPhilippines
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Competitive Landscape -Non-Small Cell Lung Cancer 406 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK25PHASE3Pembrolizumab, Olaparib, Etoposide, Carboplatin, Cisplatin
Amgen Inc.AMGN5PHASE3AMG 510, Docetaxel, ABP 234, Pembrolizumab, Sotorasib
AstraZeneca PLCAZN63PHASE3Datopotamab deruxtecan, Durvalumab, Carboplatin, Pembrolizumab, Cisplatin
Revolution Medicines, Inc.RVMD8PHASE3daraxonrasib, docetaxel, RMC-6291, Elironrasib, Daraxonrasib
Eli Lilly and CompanyLLY19PHASE3Selpercatinib, Carboplatin, Cisplatin, Pemetrexed, Pembrolizumab
AbbVie, Inc.ABBV10PHASE3Telisotuzumab Vedotin, Docetaxel, Telisotuzumab vedotin, Telisotuzumab Adizutecan, Livmoniplimab
Bristol-Myers Squibb CompanyBMY20PHASE3Repotrectinib, Crizotinib, Nivolumab, Carboplatin, Cisplatin
BioNTech SE Sponsored ADRBNTX7PHASE3Gotistobart, Docetaxel, PM8002, Carboplatin, Pemetrexed
Gilead Sciences, Inc.GILD4PHASE3Sacituzumab Govitecan-hziy, Docetaxel, Zimberelimab, Domvanalimab, Pembrolizumab
GSK plc Sponsored ADRGSK4PHASE3Cobolimab, Dostarlimab, Docetaxel, Belrestotug, Pembrolizumab
Johnson & JohnsonJNJ18PHASE3Lazertinib, Amivantamab, Pemetrexed, Carboplatin, Osimertinib
Pfizer Inc.PFE21PHASE3Lorlatinib, Crizotinib, Avelumab, Lorlatanib, Talazoparib
ArriVent BioPharma, Inc.AVBP9PHASE3Firmonertinib, Drug: Furmonertinib, Furmonertinib, JAB-21822, JAB 21822
Novartis AG Sponsored ADRNVS9PHASE3JDQ443, docetaxel, TNO155, tislelizumab, DKY709
Summit Therapeutics IncSMMT2PHASE3Ivonescimab, Pembrolizumab
Nuvation Bio, Inc. Class ANUVB4PHASE3Taletrectinib, Crizotinib, AB-106
Genmab A/S Sponsored ADRGMAB4PHASE3Acasunlimab, Pembrolizumab, Docetaxel, Rina-S, GEN1042
Incyte CorporationINCY1PHASE3Retifanlimab, Pemetrexed, Cisplatin, Carboplatin, Paclitaxel
Regeneron Pharmaceuticals, Inc.REGN6PHASE2cemiplimab, Platinum Doublet, fianlimab, Pemetrexed, Paclitaxel
BeOne Medicines Ltd. Sponsored ADRONC6PHASE3Tislelizumab, Cisplatin, Paclitaxel, Pemetrexed Disodium, Carboplatin
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Recent Changes (Last 90 Days)
LOWJun 8, 2026NCT06345729lastUpdatePostDate: changed
LOWJun 8, 2026NCT07190248lastUpdatePostDate: changed
LOWJun 8, 2026NCT06345729lastUpdatePostDate: changed
LOWJun 8, 2026NCT07190248lastUpdatePostDate: changed
LOWJun 8, 2026NCT06345729lastUpdatePostDate: changed
LOWJun 8, 2026NCT07190248lastUpdatePostDate: changed
LOWJun 4, 2026NCT07554339Status: NOT_YET_RECRUITING → RECRUITING
LOWJun 4, 2026NCT07431827lastUpdatePostDate: changed
LOWJun 4, 2026NCT07554339Status: NOT_YET_RECRUITING → RECRUITING
LOWJun 4, 2026NCT07431827lastUpdatePostDate: changed
LOWJun 4, 2026NCT07554339Status: NOT_YET_RECRUITING → RECRUITING
LOWJun 4, 2026NCT07431827lastUpdatePostDate: changed
LOWJun 4, 2026NCT07554339Status: NOT_YET_RECRUITING → RECRUITING
LOWJun 4, 2026NCT07431827lastUpdatePostDate: changed
LOWJun 4, 2026NCT07554339Status: NOT_YET_RECRUITING → RECRUITING
LOWJun 4, 2026NCT07431827lastUpdatePostDate: changed
LOWMay 29, 2026NCT07190248lastUpdatePostDate: changed
LOWMay 29, 2026NCT06345729lastUpdatePostDate: changed
LOWMay 29, 2026NCT07190248lastUpdatePostDate: changed
LOWMay 29, 2026NCT06345729lastUpdatePostDate: changed