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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: Sep 4, 2026

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment40

FDA Designations

No designations recorded

Clinical trial landscape

Opnurasib · 1 trial · 2 indications

Phase 1 1
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 TreatmentsLocally Advanced or Metastatic KRAS G12C-mutated Non-small Cell Lung Cancer
RECRUITING40 Analytics
PHASE1RECRUITING
Rollover 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 Treatments
Locally Advanced or Metastatic KRAS G12C-mutated Non-small Cell Lung CancerUnlock trial analytics

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 to 100 Years
SexALL
Healthy VolunteersNo
Study Sites17

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...

Countries:BelgiumCanadaChinaDenmarkFranceItalyJapanMalaysiaSouth KoreaSpain
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Recent Changes (Last 90 Days)

LOWSep 1, 2026NCT07468071lastUpdatePostDate: changed
LOWSep 1, 2026NCT07468071lastUpdatePostDate: changed
LOWAug 31, 2026NCT07468071lastUpdatePostDate: changed
LOWAug 31, 2026NCT07468071lastUpdatePostDate: changed
LOWAug 27, 2026NCT07468071lastUpdatePostDate: changed
LOWAug 27, 2026NCT07468071lastUpdatePostDate: changed
LOWAug 19, 2026NCT07468071primaryCompletionDate: changed
LOWAug 19, 2026NCT07468071primaryCompletionDate: changed
LOWAug 19, 2026NCT07468071primaryCompletionDate: changed
LOWJul 14, 2026NCT07468071lastUpdatePostDate: changed
LOWJul 14, 2026NCT07468071lastUpdatePostDate: changed
LOWJul 13, 2026NCT07468071lastUpdatePostDate: changed
LOWJul 13, 2026NCT07468071lastUpdatePostDate: changed
LOWJun 10, 2026NCT07468071startDate: changed
LOWJun 10, 2026NCT07468071startDate: changed
LOWJun 9, 2026NCT07468071Status: NOT_YET_RECRUITING → RECRUITING
LOWJun 9, 2026NCT07468071Status: NOT_YET_RECRUITING → RECRUITING
LOWJun 9, 2026NCT07468071Status: NOT_YET_RECRUITING → RECRUITING
LOWJun 9, 2026NCT07468071Status: NOT_YET_RECRUITING → RECRUITING

Frequently asked questions about Opnurasib

What is Opnurasib used for?

Opnurasib is an investigational small molecule being developed for locally advanced or metastatic KRAS G12C-mutated non-small cell lung cancer. It is also being studied in advanced solid tumors harboring the KRAS G12C mutation. The drug is currently in Phase 1 clinical development and is not yet approved.

Who makes Opnurasib?

Opnurasib is being developed by Novartis AG, a multinational pharmaceutical company traded on the New York Stock Exchange under the ticker symbol NVS. Novartis is conducting clinical trials to evaluate the safety and efficacy of Opnurasib in patients with KRAS G12C-mutated cancers.

What phase is Opnurasib in?

Opnurasib is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. The ongoing Phase 1 trial is a rollover 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 treatments.

What clinical trials is Opnurasib in?

Opnurasib is being evaluated in one active clinical trial with the identifier NCT07468071. This Phase 1 rollover study is recruiting 40 participants with locally advanced or metastatic KRAS G12C-mutated non-small cell lung cancer or advanced solid tumors harboring the KRAS G12C mutation. The trial is enrolling adults aged 18 years and older.

How does Opnurasib work?

Opnurasib targets the KRAS G12C mutation, a specific genetic alteration found in certain cancers. By targeting this mutation, the drug aims to inhibit the activity of the mutated KRAS protein, which plays a role in tumor growth. This mechanism is being studied in patients with KRAS G12C-mutated non-small cell lung cancer and other solid tumors.

Is Opnurasib the same as other KRAS G12C inhibitors?

Opnurasib is a distinct investigational drug developed by Novartis. While it targets the same KRAS G12C mutation as other drugs in this class, it is a separate compound with its own chemical structure and clinical development program. No alternative names for Opnurasib have been disclosed in the available information.