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The purpose of this platform study is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of novel RAS(ON) inhibitors as a monotherapy or combined with Standard(s) of Care (SOC) or with each other.
The first four subprotocols include the following:
Subprotocol A: RMC-6291 +/- RMC-6236 + SOC Subprotocol B: RMC-6236 + SOC Subprotocol C: RMC-9805 +/- RMC-6236 + SOC Subprotocol D: RMC-9805
The platform study design allows combinations of RAS(ON) inhibitors with other anticancer agents or as a monotherapy to be evaluated in patients with RAS-mutated solid tumors with a focus on NSCLC.
This is an open-label platform Phase 1b/2 study to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of novel RAS(ON) inhibitors combined with Standard of Care (SOC), or as a monotherapy and to define the Recommended Phase 2 Dose and Schedule (RP2DS). Enrollment of patients with KRAS or RAS mutations will be specified in each subprotocol.
Subprotocol A is an open-label, multicenter, Phase 1b/2 study of RMC-6291, with or without RMC-6236, in combination with pembrolizumab, with or without chemotherapy, in patients with KRAS G12C-mutated advanced solid tumors.
Subprotocol B is an open-label, multicenter, Phase1b/2 study of RMC-6236 in combination with pembrolizumab, with or without chemotherapy, in patients with RAS-mutated non-small cell lung cancer (NSCLC)
Subprotocol C is an open-label, multicenter, Phase1b/2 study of RMC-9805 with or without RMC-6236, in combination with other anticancer agents, in patients with RAS G12D-mutated non-small cell lung cancer (NSCLC)
Subprotocol D is a Phase 2, Open-label, Multicenter Study of Zoldonrasib (RMC-9805) in Previously Treated Patients with RAS G12D-Mutant Non-Small Cell Lung Cancer (NSCLC)
Subprotocols A, B, and C consist of two parts: Part 1 - Dose Exploration and Part 2 - Dose Expansion. Subprotocol D consists of only one part.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Subprotocol A: KRAS G12C-Mutated Solid Tumors | Experimental | RMC-6291 (BID), RMC-6236 (QD), and Pembrolizumab (Q3W) with or without Chemotherapy (Q3W) |
|
| Subprotocol B: RAS-mutated NSCLC | Experimental | RMC-6236 (QD) and Pembrolizumab (Q3W) with or without Chemotherapy (Q3W) |
|
| Subprotocol C: RAS G12D-mutated NSCLC | Experimental | RMC-9805 (QD or BID), RMC-6236 (QD), and Pembrolizumab (Q3W) with or without Chemotherapy (Q3W). |
|
| Subprotocol D: RAS G12D-mutated NSCLC | Experimental | RMC-9805 (QD) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RMC-6291 | Drug | Oral tablet |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Incidence and severity of treatment-emergent Adverse Events (AEs) and serious AEs and clinically significant changes in laboratory values, ECGs and vital signs | Up to 5 years |
| Dose limiting toxicities | Number of participants with dose limiting toxicities | 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Drug concentrations over time | Observed blood concentration of each drug as applicable per subprotocol | Up to 21 weeks |
| Cmax | Maximum observed blood concentration of each drug as applicable per subprotocol |
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Inclusion criteria:
All Patients (unless otherwise noted):
Exclusion criteria:
All Patients:
Other inclusion/exclusion criteria may apply.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Revolution Medicines | Contact | 1-844-2-REVMED | medinfo@RevMed.com |
| Name | Affiliation | Role |
|---|---|---|
| Revolution Medicines | Revolution Medicines | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Banner MD Anderson Cancer Center | Recruiting | Gilbert | Arizona | 85234 | United States | |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40056080 | Derived | Cregg J, Edwards AV, Chang S, Lee BJ, Knox JE, Tomlinson ACA, Marquez A, Liu Y, Freilich R, Aay N, Wang Y, Jiang L, Jiang J, Wang Z, Flagella M, Wildes D, Smith JAM, Singh M, Wang Z, Gill AL, Koltun ES. Discovery of Daraxonrasib (RMC-6236), a Potent and Orally Bioavailable RAS(ON) Multi-selective, Noncovalent Tri-complex Inhibitor for the Treatment of Patients with Multiple RAS-Addicted Cancers. J Med Chem. 2025 Mar 27;68(6):6064-6083. doi: 10.1021/acs.jmedchem.4c02314. Epub 2025 Mar 8. |
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| RMC-6236 |
| Drug |
Oral tablet |
|
| Pembrolizumab | Drug | IV Infusion |
|
| Cisplatin | Drug | IV Infusion |
|
| Carboplatin | Drug | IV Infusion |
|
| Pemetrexed | Drug | IV infusion |
|
| RMC-9805 | Drug | Oral Tablet |
|
| Up to 21 weeks |
| Tmax | Time to reach maximum blood concentration of each drug as applicable per subprotocol | Up to 21 weeks |
| AUC | Area under the concentration-time curve of each drug as applicable per subprotocol | Up to 21 weeks |
| ORR | Objective Response Rate per RECIST v1.1 | Up to 5 years |
| DOR | Duration of Response per RECIST v1.1 | Up to 5 years |
| City of Hope - Duarte |
| Recruiting |
| Duarte |
| California |
| 91010 |
| United States |
|
| City of Hope - Lennar | Recruiting | Irvine | California | 92618 | United States |
|
| UC Davis, Davis Comprehensive Cancer Center | Recruiting | Sacramento | California | 95817 | United States |
|
| University of California, San Diego Moores Cancer Center | Recruiting | San Diego | California | 92037 | United States |
|
| UCSF Medical Center - Mission Bay | Recruiting | San Francisco | California | 94158 | United States |
|
| Stanford University - Stanford Cancer Institute | Recruiting | Stanford | California | 94305 | United States |
|
| Colorado Health Medical Group - Medical Oncology & Hematology | Recruiting | Colorado Springs | Colorado | 80909 | United States |
| Georgetown University Medical Center | Recruiting | Washington D.C. | District of Columbia | 20007 | United States |
|
| Boca Raton Clinical Research Associates | Recruiting | Plantation | Florida | 33322 | United States |
|
| Cancer Specialists of North Florida | Recruiting | Saint Augustine | Florida | 32086 | United States |
|
| H Lee Moffitt Cancer Center and Research Institute | Recruiting | Tampa | Florida | 33612 | United States |
|
| Dana Farber Cancer Institute | Recruiting | Boston | Massachusetts | 02215 | United States |
|
| Henry Ford Cancer - Detroit (Brigitte Harris Cancer Pavilion) | Recruiting | Detroit | Michigan | 48202 | United States |
|
| Intermountain Health - St. Vincent Frontier Cancer Center | Recruiting | Billings | Montana | 59102 | United States |
|
| Nebraska Cancer Specialist | Recruiting | Grand Island | Nebraska | 68803 | United States |
| New York University Langone Health | Recruiting | New York | New York | 10016 | United States |
|
| Icahn School of Medicine at Mount Sinai | Recruiting | New York | New York | 10029 | United States |
|
| Columbia University Medical Center | Recruiting | New York | New York | 10032 | United States |
|
| Clinical Research Alliance | Recruiting | Westbury | New York | 11590 | United States |
|
| University Hospitals Cleveland Medical Center | Recruiting | Cleveland | Ohio | 44106 | United States |
|
| UPMC Hillman Cancer Center | Recruiting | Pittsburgh | Pennsylvania | 15232 | United States |
|
| Baptist Medical Center | Recruiting | Memphis | Tennessee | 38120 | United States |
| Tennessee Oncology | Recruiting | Nashville | Tennessee | 37203 | United States |
| The University of Texas MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
|
| NEXT Oncology Dallas | Recruiting | Irving | Texas | 75039 | United States |
|
| NEXT Oncology Virginia | Recruiting | Fairfax | Virginia | 22031 | United States |
|
| Fred Hutchinson Cancer Research Center | Recruiting | Seattle | Washington | 98109 | United States |
| Chris O'Brien Lifehouse Hosptial | Recruiting | Camperdown | New South Wales | 2050 | Australia |
| Liverpool Hospital | Recruiting | Liverpool | New South Wales | 2170 | Australia |
| Royal North Shore Hospital | Recruiting | St Leonards | New South Wales | 2065 | Australia |
| Monash Health | Recruiting | Clayton | Victoria | 3168 | Australia |
| Linear Clinical Research | Recruiting | Nedlands | Western Australia | 6009 | Australia |
| Universitätsklinikum St. Pölten | Recruiting | Sankt Pölten | Austria | 3100 | Austria |
| Nemocnice AGEL Novy Jicin a.s | Recruiting | Nový Jičín | Czech Republic | 741 01 | Czechia |
| Rigshospitalet | Recruiting | Copenhagen | 2100 | Denmark |
| Odense University Hospital, Department of Oncology | Recruiting | Odense | 5000 | Denmark |
| Hospices Civils de Lyon - Hôpital Louis Pradel | Recruiting | Bron | Auvergne-Rhône-Alpes | 69500 | France |
|
| Centre Georges François Leclerc | Recruiting | Dijon | Bourgogne-Franche-Comté | 21079 | France |
|
| CHU de Lille Institut Cœur Poumon | Recruiting | Lille | Hauts-de-France | 59037 | France |
|
| CHU de Nantes | Recruiting | Nantes | Hauts-de-France | 44093 | France |
|
| EDOG - Institut Bergonié | Recruiting | Bordeaux | New Aquitaine | 33000 | France |
|
| Institut de Cancerologie de Ouest (ICO) - Angers | Recruiting | Angers | 49055 | France |
| Ambroise-Paré Hospital | Recruiting | Boulogne | 92104 | France |
| Centre François Baclesse | Recruiting | Caen | 14076 | France |
|
| Hôpital Cochin | Recruiting | Paris | 75014 | France |
| Hopital Tenon - AP-HP | Recruiting | Paris | 75020 | France |
| Hopital Foch | Recruiting | Suresnes | 92150 | France |
|
| Oncopole Claudius Regaud | Recruiting | Toulouse | 31059 | France |
|
| Institut Gustave Roussy | Recruiting | Villejuif | 94805 | France |
|
| Institut Curie | Recruiting | Paris | Île-de-France Region | 75005 | France |
|
| Charite-Universitaetsmedizin Berlin - Campus Charite Mitte | Recruiting | Berlin | 12203 | Germany |
|
| Uniklinik Köln | Recruiting | Cologne | 50937 | Germany |
|
| Universitätsklinikum Carl Gustav Carus an der TU Dresden | Recruiting | Dresden | 01307 | Germany |
|
| Universitätsklinikum Frankfurt | Recruiting | Frankfurt am Main | 60590 | Germany |
|
| Thoraxklinik Heidelberg gGmbH - Universitätsklinikum Heidelberg | Recruiting | Heidelberg | 69126 | Germany |
|
| Lungenfachklinik Immenhausen | Recruiting | Immenhausen | 34376 | Germany |
|
| Krankenhaus Bethanien Moers | Recruiting | Moers | 47441 | Germany |
|
| Henry Dunant Hospital Center | Recruiting | Athens | 115 26 | Greece |
| Thoracic General Hospital of Athens "I SOTIRIA" | Recruiting | Athens | 11527 | Greece |
| Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.l | Recruiting | Meldola | Emilia-Romagna | 47014 | Italy |
|
| Fondazione IRCCS Istituto Nazionale dei tumori | Recruiting | Milan | 20133 | Italy |
| ASST Grande Ospedale Metropolitano Niguarda | Recruiting | Milan | 20162 | Italy |
|
| A.O.U. San Luigi Gonzaga-Orbassano - SCDU Oncologia Medica | Recruiting | Orbassano | 10043 | Italy |
| Ospedale Santa Maria Delle Croci | Recruiting | Ravenna | 48121 | Italy |
|
| IRCCS Instituto Nazionale tumori Ragina Elena | Recruiting | Rome | 00144 | Italy |
|
| Fondazione Policlinico Universitario A Gemelli-Rome | Recruiting | Rome | 00168 | Italy |
|
| The Netherlands Cancer Institute (NKI) | Recruiting | Amsterdam | 1066 | Netherlands |
|
| University Medical Centre Groningen | Recruiting | Groningen | 9713 | Netherlands |
| Leiden University Medical Center | Recruiting | Leiden | 2333 ZA | Netherlands |
| University Medical Center Utrecht | Recruiting | Utrecht | 3584 | Netherlands |
|
| Samsung Medical Center | Recruiting | Seoul | Gangnam-gu | 06351 | South Korea |
| National Cancer Center | Recruiting | Goyang-si | Gyeonggi-do | 10408 | South Korea |
| Seoul National University Bundang Hospital | Recruiting | Seongnam-si | Gyeonggido | 13620 | South Korea |
| Seoul St. Mary's Hospital, The Catholic University of Korea | Recruiting | Seoul | Seocho-gu | 06591 | South Korea |
| Severance Hospital | Recruiting | Seoul | Seodaemun-Gu | 03722 | South Korea |
| Hospital Clinico San Carlos | Recruiting | Madrid | Madrid | 28040 | Spain |
|
| Hospital Universitario 12 de Octubre | Recruiting | Madrid | Madrid | 28041 | Spain |
|
| Clinica Universidad de Navarra | Recruiting | Pamplona | Navarre | 31008 | Spain |
|
| Hospital Universitari i Politecnic La Fe de Valencia | Recruiting | Valencia | Valencia | 46026 | Spain |
| Complejo Hospitalario Universitario A Coruña | Recruiting | A Coruña | 15006 | Spain |
|
| Hospital Universitari Vall D' Hebron | Recruiting | Barcelona | 08035 | Spain |
| ICO Badalona - H.U. Germans Trias i Pujol | Recruiting | Barcelona | 08916 | Spain |
| Hospital Universitario Ramon y Cajal | Recruiting | Madrid | 28034 | Spain |
|
| Hospital Universitario Fundacion Jimenez Diaz | Recruiting | Madrid | 28040 | Spain |
|
| Hospital Regional Universitario de Malaga - Hospital Civil | Recruiting | Málaga | 29011 | Spain |
|
| Hospital Universitario Virgen del Rocio - PPDS | Recruiting | Seville | 41014 | Spain |
|
| Fundacion Instituto Valenciano de Oncologia | Recruiting | Valencia | 46009 | Spain |
|
| Taipei Municipal Wanfang Hospital | Recruiting | Taipei | Wenshan Dist | 116 | Taiwan |
| Kaohsiung Medical University Chung-Ho Memorial Hospital | Recruiting | Kaohsiung City | 807 | Taiwan |
| Taichung Veterans General Hospital | Recruiting | Taichung | 40705 | Taiwan |
| Chi Mei Hospital, Liouying | Recruiting | Tainan | 73657 | Taiwan |
| Taipei Veterans General Hospital | Recruiting | Taipei | 11217 | Taiwan |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D008175 | Lung Neoplasms |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
| D002945 | Cisplatin |
| D016190 | Carboplatin |
| D000068437 | Pemetrexed |
| ID | Term |
|---|---|
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000600 | Amino Acids, Dicarboxylic |
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