CClinicalTrials.gg
RecruitingNCT05920356Updated Sep 22, 2026

A Study Evaluating Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Participants With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers (CodeBreaK 202)

A Phase 3 interventional study of Sotorasib and Pembrolizumab in Non-Small Cell Lung Cancer (NSCLC), sponsored by Amgen. Recruiting at 418 sites in 38 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by Amgen · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
750
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Study summary

The primary objectives are to compare progression-free survival (PFS) and overall survival (OS) in participants who receive sotorasib with platinum doublet chemotherapy versus participants who receive pembrolizumab with platinum doublet chemotherapy.

02

Conditions studied

  • Non-Small Cell Lung Cancer (NSCLC)

Keywords

  • Oncology
  • Lung Cancer
  • PD-L1
  • KRAS p.G12C
  • Sotorasib
  • Pembrolizumab
  • Carboplatin
  • Pemetrexed
  • CodeBreaK 202
  • NSCLC
  • PD-L1 Negative
  • AMG 510
  • LUMAKRAS ®
  • LUMYKRAS ®
03

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically or cytologically confirmed diagnosis of nonsquamous stage IV or advanced Stage IIIB or IIIC NSCLC with KRAS p. G12C mutation and negative for PD-L1 expression by central testing or local laboratory testing confirmed through central testing
  • No history of systemic anticancer therapy in metastatic/non-curable settings
  • Eastern Cooperative Oncology Group (ECOG) ≤ 1

Exclusion criteria

Exclusion Criteria:

  • Mixed histology NSCLC with either small-cell or large-cell neuroendocrine cell component or predominant squamous cell histology
  • Participants with tumors known to harbor molecular alterations for which targeted therapy is locally approved as a front-line therapy
  • Symptomatic (treated or untreated) brain metastases
  • Gastrointestinal (GI) tract disease causing the inability to take oral medication
  • Myocardial infarction within 6 months of randomization, unstable arrhythmias, or unstable angina
  • Prior therapy with a KRAS G12C inhibitor
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
750 participants (estimated)

Study arms

  • Experimental
    Sotorasib combined with carboplatin and pemetrexed

    Sotorasib administered in combination with carboplatin and pemetrexed.

    Drug: Sotorasib

  • Active comparator
    Pembrolizumab combined with carboplatin and pemetrexed

    Pembrolizumab administered in combination with carboplatin and pemetrexed.

    Drug: Pembrolizumab

Interventions

  • DrugSotorasib

    Oral administration

    Also known as: AMG 510, LUMYKRAS ®, LUMAKRAS ®

  • DrugPembrolizumab

    Intravenous administration

05

What researchers measure

Primary outcomes

  1. Progression-free Survival (PFS)

    PFS is defined as the time from randomization until the first documentation of radiologic disease progression or death due to any cause, whichever occurs first. Progression will be based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, per Blinded Independent Central Review (BICR).

    Time frame: Approximately 2.5 years

  2. Overall Survival (OS)

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

    Time frame: Approximately 2.5 years

Secondary outcomes

  1. Objective Response Rate (ORR)

    Objective response is defined as the best overall response of complete response (CR) or partial response (PR), based on RECIST v1.1, per BICR.

    Time frame: From Baseline up to end of study (EOS) (approximately 5.5 years)

  2. Change in Quality-of-Life Questionnaire Core 30 (QLQ-C30) Dyspnea Domain Score

    Time frame: From Baseline to Week 12

  3. Change in Quality-of-Life Questionnaire Lung Cancer 13 (QLQ-LC13) Symptoms of Dyspnea Subscale

    Time frame: From Baseline to Week 12

  4. Change in QLQ-LC13 Symptoms of Cough Subscale

    Time frame: From Baseline to Week 12

  5. Change in QLQ-LC13 Symptoms of Chest Pain Subscale

    Time frame: From Baseline to Week 12

  6. Change in Physical Function as Measured by QLQ-C30

    Time frame: From Baseline to Week 12

  7. Change in Global Health Status as Measured by QLQ-C30

    Time frame: From Baseline to Week 12

  8. Progression-free Survival 2 (PFS2)

    PFS2 is defined as the time from randomization to progression per investigator after initiation of new anticancer therapy or death from any cause, whichever occurs first.

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  9. Change in QLQ-LC13 Subscale Scores

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  10. Change in QLQ-C30 Subscale Scores

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  11. Time to Deterioration in QLC-LC13 Subscale Scores

    Time frame: From Baseline to Week 12

  12. Time to Deterioration in QLC-C30 Subscale Scores

    Time frame: From Baseline to Week 12

  13. Change in Summary Scores and Visual Analogue Scale (VAS) Scores

    Measured by EuroQol-5 Dimension (EQ-5D-5L).

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  14. Duration of Response

    Duration of response is defined as the time from the first documentation of objective response until the first documentation of disease progression per BICR or death due to any cause, whichever occurs first.

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  15. Time to Response

    Defined as the time from randomization to first evidence of PR or CR per BICR.

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  16. Disease Control

    Defined as CR plus PR plus stable disease based on RECIST v1.1 per BICR.

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  17. PFS

    Based on investigator tumor assessments per RECIST v1.1.

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  18. Objective Response

    Based on investigator tumor assessments per RECIST v1.1.

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  19. Number of Participants With Treatment-Emergent Adverse Events

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  20. Number of Participants With Clinically Significant Changes in Vital Signs

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  21. Number of Participants With Clinically Significant Changes in Clinical Laboratory Tests

    Time frame: From Baseline up to EOS (approximately 5.5 years)

  22. Maximum Plasma Concentration (Cmax) of Sotorasib

    Time frame: Pre-dose Day 1 up to Day 64

  23. Minimum Plasma Concentration (Cmin) of Sotorasib

    Time frame: Pre-dose Day 1 up to Day 64

  24. Area Under The Curve (AUC) of Sotorasib

    Time frame: Pre-dose Day 1 up to Day 64

06

Study locations

323 of 418 sites recruiting
  • Sansum Clinic
    Santa Barbara, California 93105, United States
    Recruiting
  • Medical Oncology Hematology Consultants Helen F Graham Cancer Center
    Newark, Delaware 19713, United States
    Recruiting
  • Boca Raton Clinical Research Coral Springs
    Coral Springs, Florida 33065, United States
    Recruiting
  • Florida Clinical Trials Group Plantation
    Plantation, Florida 33322, United States
    Recruiting
  • Florida Clinical Trials Group Tamarac
    Tamarac, Florida 33321, United States
    Recruiting
  • University of Illinois Chicago
    Chicago, Illinois 60612, United States
    Recruiting
  • Illinois Cancer Specialists
    Niles, Illinois 60714, United States
    Recruiting
  • Norton Cancer Institute - Brownsboro
    Louisville, Kentucky 40241, United States
    Completed
  • Reliant Medical Group Inc
    Worcester, Massachusetts 01606, United States
    Recruiting
  • University of New Mexico Cancer Center
    Albuquerque, New Mexico 87131, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
    Terminated
  • Messino Cancer Centers Asheville
    Asheville, North Carolina 28806, United States
    Recruiting
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
    Recruiting
  • FirstHealth Cancer Center
    Pinehurst, North Carolina 28374, United States
    Recruiting
  • Dayton Physician's Network
    Dayton, Ohio 45415, United States
    Recruiting
  • Alliance Cancer Specialists - Media
    Media, Pennsylvania 19063, United States
    Recruiting
  • University of Pittsburgh Medical Center Hillman Cancer Center
    Pittsburgh, Pennsylvania 15232, United States
    Terminated
  • Guthrie Medical Group
    Sayre, Pennsylvania 18840, United States
    Recruiting
  • University of Tennessee Medical Center Knoxville
    Knoxville, Tennessee 37920, United States
    Terminated
  • Regional One Health
    Memphis, Tennessee 38103, United States
    Recruiting
  • Sarah Cannon Research Institute
    Nashville, Tennessee 37203, United States
    Recruiting
  • United States Oncology Regulatory Affairs Corporate Office
    Nashville, Tennessee 37203, United States
    Recruiting
  • Oncology Consultants PA
    Houston, Texas 77030, United States
    Recruiting
  • University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
  • US Oncology Research Investigational Products Center
    Irving, Texas 75063, United States
    Recruiting
  • Vista Oncology Inc PS
    Olympia, Washington 98506, United States
    Recruiting
  • Mercyhealth
    Janesville, Wisconsin 53548, United States
    Recruiting
  • Hospital Britanico de Buenos Aires
    CABA, Buenos Aires C1280AEB, Argentina
    Terminated
  • Instituto Alexander Fleming
    Capital Federal, Buenos Aires C1426ANZ, Argentina
    Recruiting
  • Instituto Argentino de Diagnostico y Tratamiento IADT
    Ciudad Autónoma de Buenos Aires, Buenos Aires C1012AAR, Argentina
    Recruiting
  • Hospital Italiano de La Plata
    La Plata, Buenos Aires B1900AUR, Argentina
    Recruiting
  • Fundacion Ars Medica
    San Salvador de Jujuy, Jujuy Province 4600, Argentina
    Terminated
  • Clinica Viedma
    Viedma, Río Negro Province 8500, Argentina
    Recruiting
  • Fundacion Estudios Clinicos
    Rosario, Santa Fe Province 2000, Argentina
    Recruiting
  • Sanatorio Parque SA
    Rosario, Santa Fe Province 2000, Argentina
    Recruiting
  • Centro Oncologico Korben
    Buenos Aires, 1426, Argentina
    Recruiting
  • Fundacion Centro Oncológico Riojano Integral para la Investigación y Prevención del Cáncer
    La Rioja, F5300COE, Argentina
    Terminated
  • Centro de Diagnostico Investigacion y Tratamiento
    Salta, 4400, Argentina
    Recruiting
  • Campbelltown Hospital
    Campbelltown, New South Wales 2560, Australia
    Recruiting
  • Concord Repatriation General Hospital
    Concord, New South Wales 2139, Australia
    Recruiting
  • Nepean Cancer Centre
    Kingswood, New South Wales 2747, Australia
    Recruiting
  • Port Macquarie Base Hospital
    Port Macquarie, New South Wales 2444, Australia
    Recruiting
  • GenesisCare -North Shore Oncology
    St Leonards, New South Wales 2065, Australia
    Completed
  • Calvary Mater Newcastle Hospital
    Waratah, New South Wales 2298, Australia
    Terminated
  • Toowoomba Hospital
    Toowoomba, Queensland 4350, Australia
    Recruiting
  • Princess Alexandra Hospital
    Woolloongabba, Queensland 4102, Australia
    Completed
  • Cancer Research South Australia
    Adelaide, South Australia 5000, Australia
    Recruiting
  • Peter MacCallum Cancer Centre
    Melbourne, Victoria 3000, Australia
    Recruiting
  • The Alfred Hospital
    Melbourne, Victoria 3004, Australia
    Completed
  • Medizinische Universitaet Graz
    Graz, 8036, Austria
    Recruiting
  • Klinikum Klagenfurt am Woerthersee
    Klagenfurt, 9020, Austria
    Recruiting
  • Universitaetsklinikum Krems
    Krems, 3500, Austria
    Recruiting
  • Klinik Oberwart
    Oberwart, 7400, Austria
    Recruiting
  • Landeskrankenhaus Salzburg
    Salzburg, 5020, Austria
    Completed
  • Klinikum Wels - Grieskirchen GmbH
    Wels, 4600, Austria
    Recruiting
  • Chirec - Delta Ziekenhuis
    Auderghem, 1160, Belgium
    Completed
  • Algemeen Ziekenhuis Maria Middelares
    Ghent, 9000, Belgium
    Recruiting
  • Universitair Ziekenhuis Gent
    Ghent, 9000, Belgium
    Recruiting
  • Universitair Ziekenhuis Leuven - Campus Gasthuisberg
    Leuven, 3000, Belgium
    Recruiting
  • Centre Hospitalier Regional de la Citadelle
    Liège, 4000, Belgium
    Recruiting
  • Algemeen Ziekenhuis Sint Maarten-Emmaus vzw
    Mechelen, 2800, Belgium
    Completed
  • Hospital Evangelico de Cachoeiro de Itapemirim
    Cachoeiro de Itapemirim, Espírito Santo 29308-014, Brazil
    Terminated
  • Núcleo de Oncologia da Bahia
    Salvador, Estado de Bahia 40170-110, Brazil
    Terminated
  • Hospital Sirio Libanes Brasilia
    Brasília, Federal District 70200-730, Brazil
    Terminated
  • Oncoclinicas Onco Vida Distrito Federal
    Brasília, Federal District 70390-150, Brazil
    Terminated
  • Cenantron Centro Avançado de Tratamento Oncologico Ltda
    Belo Horizonte, Minas Gerais 30130-090, Brazil
    Recruiting
  • Nucleo de Ensino Pesquisa e Inovacao Mario Penna
    Belo Horizonte, Minas Gerais 30380-472, Brazil
    Terminated
  • Centro de Tratamento Oncologico - Cto
    Belém, Pará 66073-005, Brazil
    Terminated
  • Instituto Medicina Integral Imip
    Recife, Pernambuco 50070-550, Brazil
    Recruiting
  • Liga Norte-Riograndense Contra O Cancer
    Natal, Rio Grande do Norte 59062-000, Brazil
    Recruiting
  • Associação Beneficente de Canoas
    Canoas, Rio Grande do Sul 92030-000, Brazil
    Terminated
  • Irmandade da Santa Casa de Misericordia de Porto Alegre
    Porto Alegre, Rio Grande do Sul 90050-170, Brazil
    Recruiting
  • Hospital Sao Lucas da Pontificia Universidade Catolica do Rio Grande do Sul
    Porto Alegre, Rio Grande do Sul 90610-000, Brazil
    Recruiting
  • Hospital Nossa Senhora da Conceicao
    Porto Alegre, Rio Grande do Sul 91350-200, Brazil
    Recruiting
  • Centro de pesquisa em oncologia Hospital Ana Nery
    Santa Cruz do Sul, Rio Grande do Sul 96835-090, Brazil
    Recruiting
  • Clinica de Neoplasias Litoral
    Itajaí, Santa Catarina 88301-220, Brazil
    Terminated
  • Fundacao pio xII Barretos
    Barretos, São Paulo 14784-400, Brazil
    Recruiting
  • Santa Casa de Misericordia de Santos - Iscms
    Santos, São Paulo 11075-900, Brazil
    Terminated
  • Hospital de Base de Sao Jose do Rio Preto
    São José do Rio Preto, São Paulo 15090-000, Brazil
    Terminated
  • Beneficencia Portuguesa de Sao Paulo - Bp
    São Paulo, São Paulo 01323-030, Brazil
    Terminated
  • Fundacao Antonio Prudente
    São Paulo, São Paulo 01509-900, Brazil
    Recruiting
  • Oncoclinicas Rio de Janeiro S A
    Rio de Janeiro, 22250-905, Brazil
    Recruiting
  • Instituto de Ensino e Pesquisa Sao Lucas Iep Sao Lucas
    São Paulo, 01236-030, Brazil
    Terminated
  • Instituto Cancer Sao Paulo Icesp
    São Paulo, 01246-000, Brazil
    Recruiting
  • Multiprofile Hospital for Active Treatment - Uni Hospital OOD
    Panagyurishte, 4500, Bulgaria
    Recruiting
  • University Multiprofile Hospital for Active Treatment Sveta Marina - Pleven OOD
    Pleven, 5800, Bulgaria
    Terminated
  • Multiprofile Hospital for Active Treatment for Womens Health - Nadezhda OOD
    Sofia, 1330, Bulgaria
    Terminated
  • Acibadem City Clinic University Multiprofile Hospital for Active Treatment Tokuda EAD
    Sofia, 1407, Bulgaria
    Terminated
  • University Multiprofile Hospital for Active Treatment Tsaritsa Yoanna - ISUL EAD
    Sofia, 1527, Bulgaria
    Terminated
  • Queen Elizabeth II, Health Sciences Centre
    Halifax, Nova Scotia B3H 1V7, Canada
    Recruiting
  • Sunnybrook Research Institute Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
    Recruiting
  • McGill University Health Centre Glen Site
    Montreal, Quebec H4A 3J1, Canada
    Recruiting
  • CIUSSS - du Nord-de-lIle-de-Montreal / Hopital Sacre-Coeur de Montreal
    Montreal, Quebec H4J 1C5, Canada
    Recruiting
  • Institut Universitaire de cardiologie et de pneumologie de Quebec
    Québec, Quebec G1V 4G5, Canada
    Terminated
  • Allan Blair Cancer Centre
    Regina, Saskatchewan S4T 7T1, Canada
    Recruiting
  • Saskatoon Cancer Centre
    Saskatoon, Saskatchewan S7N 4H4, Canada
    Terminated
  • James Lind Centro de Investigacion del Cancer
    Temuco, Cautín 4800827, Chile
    Terminated
  • Clinica CIDO
    Temuco, Cautín 4810218, Chile
    Terminated
  • Orlandi Oncologia
    Santiago, 7500713, Chile
    Terminated
  • Fundacion Arturo Lopez Perez
    Santiago, 7500836, Chile
    Recruiting

Showing the first 100 of 418 sites across 38 countries.

07

References and documents

Individual participant data

Plan to share: Yes — De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request

Supporting information: Study protocol, Sap, Icf, Csr

08

Registry details

Key details

Study ID
NCT05920356
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Jun 27, 2023
Start date
Nov 16, 2023
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 29, 2032 (estimated)
Last update
Sep 22, 2026

Study contacts

Amgen Call Center
Contact
medinfo@amgen.com
866-572-6436
MD
study director · Amgen

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
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