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Evaluate the safety and tolerability of RMC-6236 in adults with specific RAS mutant advanced solid tumors.
This is a Phase 1/2, multicenter open-label study to evaluate the safety, tolerability, pharmacokinetics (PK), and clinical activity of escalating doses of RMC-6236 in adult patients with advanced solid tumors harboring specific RAS mutations, and to determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose [RP2D] within investigated patient population groups. RMC-6236 is a potent, orally bioavailable RAS-MULTI(ON) inhibitor, selective for the active RAS(ON) form of both wild type and mutant variants of the canonical RAS isoforms (HRAS, NRAS, and KRAS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental: RMC-6236 | Experimental | Enrollment into dose exploration may be from any advanced solid tumor type with KRAS p.G12 mutations. Enrollment into dose expansion/optimization may be from groups consisting of patients with a single histotype/genotype (for example, KRAS G12-mutated NSCLC, PDAC, CRC, RAS mutant NSCLC, Melanoma, gynecological cancer or other solid tumors not previously specified). RAS mutant is defined as any nonsynonymous mutation of KRAS, NRAS, or HRAS at codons 12, 13, or 61 (G12, G13, or Q61) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RMC-6236 | Drug | Oral Tablets |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and severity of treatment-emergent Adverse Events (AEs) and serious AEs, including incidence and severity of findings in laboratory values and vital signs | up to 2.5 years | |
| Number of Participants with Dose-Limiting Toxicity (DLT) | 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Blood Concentration (Cmax) of RMC-6236 | up to 15 weeks | |
| Time to Reach Maximum Blood Concentration (Tmax) of RMC-6236 | up to 15 weeks | |
| Area Under Blood Concentration Time Curve (AUC) of RMC-6236 |
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Inclusion Criteria:
Exclusion Criteria:
Other inclusion/exclusion criteria may apply.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Revolution Medicines, Inc. | Contact | 1-844-273-8633 | medinfo@revmed.com |
| Name | Affiliation | Role |
|---|---|---|
| Revolution Medicines, Inc. | Revolution Medicines, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UC Irvine/Chao Family Comprehensive Cancer Center | Recruiting | Orange | California | 92868 | United States | |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42090791 | Derived | Wolpin BM, Park W, Garrido-Laguna I, Spira A, Starodub A, Sommerhalder D, Punekar SR, Barve M, Pelster M, Herzberg B, Azad NS, Hecht JR, Ou SHI, Lin T, Kar S, Tao L, Vora R, Hegde A, Aung K, Hong DS; RMC-6236-001 Investigators. Daraxonrasib in Previously Treated Advanced RAS-Mutated Pancreatic Cancer. N Engl J Med. 2026 May 7;394(18):1790-1802. doi: 10.1056/NEJMoa2505783. | |
| 38593348 |
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| up to 15 weeks |
| Elimination Half-Life of RMC-6236 (t1/2) | up to 15 weeks |
| Ratio of accumulation of RMC-6236 from a single dose to steady state with repeated dosing | up to 15 weeks |
| Overall Response Rate (ORR) | Overall response rate per RECIST v1.1 | up to 2.5 years |
| Duration of Response (DOR) | Duration of response per RECIST v1.1 | up to 2.5 years |
| Disease Control Rate (DCR) | Disease control rate per RECIST v1.1 | up to 2.5 years |
| Time to Response (TTR) | Time to response per RECIST v1.1 | up to 2.5 years |
| Progression-Free Survival (PFS) | Progression-free survival per RECIST v1.1 | up to 2.5 years |
| UCLA |
| Recruiting |
| Santa Monica |
| California |
| 90404 |
| United States |
| Moffitt Cancer Center | Recruiting | Tampa | Florida | 33612 | United States |
| Piedmont Healthcare | Recruiting | Atlanta | Georgia | 30318 | United States |
| Mary Bird Perkins Cancer Center | Recruiting | Baton Rouge | Louisiana | 70809 | United States |
| Johns Hopkins University | Recruiting | Baltimore | Maryland | 21287 | United States |
| Dana Farber Cancer Institute | Recruiting | Boston | Massachusetts | 02215 | United States |
| Perlmutter Cancer Center at NYU Langone Health | Recruiting | New York | New York | 10016 | United States |
| Memorial Sloan-Kettering Cancer Center | Recruiting | New York | New York | 10021 | United States |
| Columbia University | Recruiting | New York | New York | 10032 | United States |
| Christ Hospital Cancer Center | Recruiting | Cincinnati | Ohio | 45219 | United States |
| Taylor Cancer Research Center | Recruiting | Maumee | Ohio | 43537 | United States |
| Tennessee Oncology | Recruiting | Chattanooga | Tennessee | 37404 | United States |
| Sarah Cannon Research Institute | Recruiting | Nashville | Tennessee | 37203 | United States |
| University of Texas at Austin | Recruiting | Austin | Texas | 78712 | United States |
| Mary Crowley Cancer Research | Recruiting | Dallas | Texas | 75230 | United States |
| The University of Texas MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
| Next Oncology | Recruiting | San Antonio | Texas | 78229 | United States |
| Huntsman Cancer Institute | Recruiting | Salt Lake City | Utah | 84112 | United States |
| Next Oncology Virginia | Recruiting | Fairfax | Virginia | 22031 | United States |
| Virginia Mason Medical Center | Recruiting | Seattle | Washington | 98101 | United States |
| Derived |
| Jiang J, Jiang L, Maldonato BJ, Wang Y, Holderfield M, Aronchik I, Winters IP, Salman Z, Blaj C, Menard M, Brodbeck J, Chen Z, Wei X, Rosen MJ, Gindin Y, Lee BJ, Evans JW, Chang S, Wang Z, Seamon KJ, Parsons D, Cregg J, Marquez A, Tomlinson ACA, Yano JK, Knox JE, Quintana E, Aguirre AJ, Arbour KC, Reed A, Gustafson WC, Gill AL, Koltun ES, Wildes D, Smith JAM, Wang Z, Singh M. Translational and Therapeutic Evaluation of RAS-GTP Inhibition by RMC-6236 in RAS-Driven Cancers. Cancer Discov. 2024 Jun 3;14(6):994-1017. doi: 10.1158/2159-8290.CD-24-0027. |
| 38589574 | Derived | Holderfield M, Lee BJ, Jiang J, Tomlinson A, Seamon KJ, Mira A, Patrucco E, Goodhart G, Dilly J, Gindin Y, Dinglasan N, Wang Y, Lai LP, Cai S, Jiang L, Nasholm N, Shifrin N, Blaj C, Shah H, Evans JW, Montazer N, Lai O, Shi J, Ahler E, Quintana E, Chang S, Salvador A, Marquez A, Cregg J, Liu Y, Milin A, Chen A, Ziv TB, Parsons D, Knox JE, Klomp JE, Roth J, Rees M, Ronan M, Cuevas-Navarro A, Hu F, Lito P, Santamaria D, Aguirre AJ, Waters AM, Der CJ, Ambrogio C, Wang Z, Gill AL, Koltun ES, Smith JAM, Wildes D, Singh M. Concurrent inhibition of oncogenic and wild-type RAS-GTP for cancer therapy. Nature. 2024 May;629(8013):919-926. doi: 10.1038/s41586-024-07205-6. Epub 2024 Apr 8. |
| 37590355 | Derived | Schulze CJ, Seamon KJ, Zhao Y, Yang YC, Cregg J, Kim D, Tomlinson A, Choy TJ, Wang Z, Sang B, Pourfarjam Y, Lucas J, Cuevas-Navarro A, Ayala-Santos C, Vides A, Li C, Marquez A, Zhong M, Vemulapalli V, Weller C, Gould A, Whalen DM, Salvador A, Milin A, Saldajeno-Concar M, Dinglasan N, Chen A, Evans J, Knox JE, Koltun ES, Singh M, Nichols R, Wildes D, Gill AL, Smith JAM, Lito P. Chemical remodeling of a cellular chaperone to target the active state of mutant KRAS. Science. 2023 Aug 18;381(6659):794-799. doi: 10.1126/science.adg9652. Epub 2023 Aug 17. |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D015179 | Colorectal Neoplasms |
| D008175 | Lung Neoplasms |
| D003110 | Colonic Neoplasms |
| D009362 | Neoplasm Metastasis |
| D010190 | Pancreatic Neoplasms |
| D021441 | Carcinoma, Pancreatic Ductal |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D009385 | Neoplastic Processes |
| D013899 | Thoracic Neoplasms |
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D004701 | Endocrine Gland Neoplasms |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
| D044584 | Carcinoma, Ductal |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D018299 | Neoplasms, Ductal, Lobular, and Medullary |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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