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Opnurasib

Phase 1

Locally Advanced or Metastatic KRAS G12C-mutated Non-small Cell Lung Cancer | Small molecule | Oncology |Novartis AG|Last Updated: Apr 2, 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
CONTROLLEDBiomarker
Total Trials1
Total Enrollment40
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07468071Rollover Study for Participants Who Have Been Treated With and Are Continuing to Benefit From Opnurasib as a Single Agent or in Combination With Other Study TreatmentsPHASE1 NOT YET_RECRUITING 40Jun 15, 2026Sep 17, 2029Apr 2, 2026 -
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Study Endpoints
Primary Endpoints
Number of participants receiving opnurasib as single agent or in combination with other study treatments
Assessed up to approximately 3 years

The number of participants enrolled and receiving opnurasib as single agent or in combination with other study treatments under the rollover study, will be summarized by treatment arm.

Duration of exposure to study treatment
Assessed up to approximately 3 years

The duration of exposure in months to opnurasib and the combination partner will be summarized by means of descriptive statistics using the SAS.

Secondary Endpoints
Incidence rate of Adverse Events (AEs)
Assessed up to approximately 3 years
Number of participants with dose adjustments
Assessed up to approximately 3 years
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Group 1: opnurasib single agentEXPERIMENTALEligible participants will receive the same starting dose and regimen of opnurasib as the last dose and regimen administered before completing the parent protocol at the time of transition to the rollover study.
Group 2: opnurasib + TNO155EXPERIMENTALEligible participants will receive the same starting dose and regimen of opnurasib and any applicable combination drug as the last dose and regimen administered before completing the parent protocol at the time of transition to the rollover study.
Group 3: opnurasib + trametinibEXPERIMENTALEligible participants will receive the same starting dose and regimen of opnurasib and any applicable combination drug as the last dose and regimen administered before completing the parent protocol at the time of transition to the rollover study.
Group 4: opnurasib + cetuximabEXPERIMENTALEligible participants will receive the same starting dose and regimen of opnurasib and any applicable combination drug as the last dose and regimen administered before completing the parent protocol at the time of transition to the rollover study.
Group 5: opnurasib + tislelizumabEXPERIMENTALEligible participants will receive the same starting dose and regimen of opnurasib and any applicable combination drug as the last dose and regimen administered before completing the parent protocol at the time of transition to the rollover study.
Interventions
NameTypeDescription
OpnurasibDRUGEligible participants will receive the same starting dose and regimen of opnurasib as the last dose and regimen administered before completing the parent protocol at the time of transition to the rollover study.
TNO155DRUGEligible participants will receive the same starting dose and regimen of any applicable combination drug as the last dose and regimen administered before completing the parent protocol at the time of transition to the rollover study.
trametinibDRUGEligible participants will receive the same starting dose and regimen of any applicable combination drug as the last dose and regimen administered before completing the parent protocol at the time of transition to the rollover study.
cetuximabBIOLOGICALEligible participants will receive the same starting dose and regimen of any applicable combination drug as the last dose and regimen administered before completing the parent protocol at the time of transition to the rollover study.
tislelizumabBIOLOGICALEligible participants will receive the same starting dose and regimen of any applicable combination drug as the last dose and regimen administered before completing the parent protocol at the time of transition to the rollover study.
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Eligibility Criteria
Age Range18 Years — 100 Years
SexALL
Healthy VolunteersNo

Key Inclusion Criteria: * Participant is currently enrolled in a pre-defined Novartis-sponsored study and is receiving opnurasib as single agent or in combination with other study treatment. * Participant has received at least 6 cycles of opnurasib in a parent study. * Participant is currently deri...

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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07468071primaryCompletionDate: changed
LOWMay 24, 2026NCT07468071studyFirstPostDate: changed