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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 combined with Standard(s) of Care (SOC) or with novel agents.
The current subprotocols include the following:
Subprotocol A: RMC-6236 + 5-fluorouracil-based regimens
Subprotocol B: RMC-6236 + cetuximab with or without mFOLFOX6
Subprotocol C: RMC-6236 + gemcitabine + nab-paclitaxel
Subprotocol D: RMC-9805 with or without RMC-6236 + 5-fluorouracil-based regimens
Subprotocol E: RMC-9805 with or without RMC-6236 + cetuximab with or without mFOLFOX6
Subprotocol F: RMC-9805 with or without RMC-6236 + gemcitabine + nab-paclitaxel
The platform study design allows combinations of RAS(ON) inhibitors with other anticancer agents to be evaluated in patients with RAS-mutated solid tumors with a focus on GI cancers.
This is an open-label platform study to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of novel RAS(ON) inhibitors combined with Standard of Care (SOC) or with novel agents, and to define the Recommended Phase 2 Dose and Schedule (RP2DS). Enrollment of patients with RAS mutations will be specified in each subprotocol.
Subprotocol A is an open-label, multicenter study of RMC-6236 in combination with 5-fluorouracil-based regimens in patients with treatment-naïve unresectable or metastatic colorectal cancer or treatment-naïve metastatic pancreatic ductal adenocarcinoma. Subprotocol B is an open-label, multicenter study of RMC-6236 in combination with cetuximab with or without mFOLFOX6 in patients with unresectable or metastatic colorectal cancer or patients with previously treated or treatment-naïve metastatic pancreatic ductal adenocarcinoma. Subprotocol C is an open-label, multicenter study of RMC-6236 in combination with gemcitabine and nab-paclitaxel in patients with treatment-naïve metastatic pancreatic ductal adenocarcinoma. Subprotocol D is an open-label, multicenter study of RMC-9805 with or without RMC-6236 in combination with 5-fluorouracil-based regimens in patients with RAS G12D-mutant unresectable or metastatic colorectal cancer or metastatic pancreatic ductal adenocarcinoma. Subprotocol E is an open-label, multicenter study of RMC-9805 with or without RMC-6236 in combination with cetuximab-based therapies with or without mFOLFOX6 in patients with RAS G12D-mutant unresectable or metastatic colorectal cancer or metastatic pancreatic ductal adenocarcinoma. Subprotocol F is an open-label, multicenter study of RMC-9805 with or without RMC-6236 in combination with gemcitabine and nab-paclitaxel in patients with RAS G12D-mutant metastatic pancreatic ductal adenocarcinoma.
Each subprotocol consists of two parts: Part 1 - Dose Exploration and Part 2 - Dose Expansion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Subprotocol A: RAS-mutated unresectable or metastatic CRC or metastatic PDAC | Experimental | RMC-6236 (QD) and Bevacizumab with 5-fluorouracil-based regimens |
|
| Subprotocol B: RAS-mutated unresectable or metastatic CRC or metastatic PDAC | Experimental | RMC-6236 (QD) and Cetuximab with or without mFOLFOX6 |
|
| Subprotocol C: metastatic PDAC | Experimental | RMC-6236 (QD) and Gemcitabine with Nab-paclitaxel |
|
| Subprotocol D: RAS G12D-mutated unresectable or metastatic CRC or metastatic PDAC | Experimental | RMC-9805 (QD or BID) with or without RMC-6236 (QD), and Bevacizumab with 5-fluorouracil- based regimens |
|
| Subprotocol E: RAS G12D-mutated unresectable or metastatic CRC or metastatic PDAC | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RMC-6236 | Drug | Oral tablet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Evaluate the safety and tolerability in the study population characterized by incidence, abnormal laboratory assessments, severity, and seriousness of adverse events in relation to the study treatment. | Up to 3 years |
| Dose limiting toxicities | Number of participants with dose limiting toxicities | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of RMC-6236 and RMC-9805 | Blood concentration of RMC-6236 and RMC-9805 over time | 21 weeks |
| ORR | Overall Response Rate per RECIST v1.1 |
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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 |
|---|---|---|
| Study Director | Revolution Medicines | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ironwood Cancer and Research Centers | Recruiting | Chandler | Arizona | 85224 | 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-9805 (QD or BID) with or without RMC-6236 (QD), and Cetuximab with or without mFOLFOX6
|
| Subprotocol F: RAS G12D-mutated metastatic PDAC | Experimental | RMC-9805 (QD or BID) with or without RMC-6236 (QD), and Gemcitabine with Nab-paclitaxel |
|
| mFOLFOX6 regimen | Drug | IV infusion |
|
| bevacizumab | Drug | IV infusion |
|
| mFOLFIRINOX regimen | Drug | IV infusion |
|
| cetuximab | Drug | IV infusion |
|
| gemcitabine | Drug | IV infusion |
|
| nab-paclitaxel | Drug | IV infusion |
|
| RMC-9805 | Drug | Oral Tablet |
|
| Up to 3 years |
| DOR | Duration of Response per RECIST v1.1 | Up to 3 years |
| DCR | Incidence of Response per RECIST v1.1 | Up to 3 years |
| TTR | Time to Response per RECIST v1.1 | Up to 3 years |
| PFS | Progression Free Survival per RECIST v1.1 | Up to 3 years |
| OS | Overall Survival | Up to 3 years |
| Mayo Clinic Hospital | Recruiting | Phoenix | Arizona | 85054 | United States |
|
| HonorHealth Research Institute | Recruiting | Scottsdale | Arizona | 85258 | United States |
|
| UC San Diego Moores Cancer Center | Recruiting | La Jolla | California | 92093 | United States |
|
| Cedars-Sinai Cancer at Cedars-Sinai Medical Center | Recruiting | Los Angeles | California | 90048 | United States |
|
| UCLA Hematology/Oncology- Santa Monica | Recruiting | Los Angeles | California | 90404 | United States |
|
| University of Colorado Hospital-Anschutz Cancer Pavilion | Recruiting | Aurora | Colorado | 88045 | United States |
|
| Yale-New Haven Hospital-Yale Cancer Center | Recruiting | New Haven | Connecticut | 06520 | United States |
|
| Mayo Clinic Cancer Center | Recruiting | Jacksonville | Florida | 32224 | United States |
|
| Moffitt Cancer Center | Recruiting | Tampa | Florida | 33612 | United States |
|
| The University of Kansas Clinical Research Center | Recruiting | Westwood | Kansas | 66205 | United States |
|
| The Sidney Kimmel Comprehensive Cancer Center at John Hopkins | Recruiting | Baltimore | Maryland | 21287 | United States |
|
| Massachusetts General Hospital | Recruiting | Boston | Massachusetts | 02114 | United States |
|
| Dana Farber Cancer Institute | Recruiting | Boston | Massachusetts | 02215 | United States |
|
| Mayo Clinic | Recruiting | Rochester | Minnesota | 55905 | United States |
|
| Nebraska Cancer Specialists | Recruiting | Omaha | Nebraska | 68130 | United States |
|
| University of Nebraska Medical Center | Recruiting | Omaha | Nebraska | 68198 | United States |
|
| Atlantic Health System | Recruiting | Morristown | New Jersey | 07960 | United States |
|
| Northwell Health / RJ Zuckerberg Cancer Center | Recruiting | Lake Success | New York | 11042 | United States |
|
| Columbia University Medical Center | Recruiting | New York | New York | 10032 | United States |
|
| Memorial Sloan Kettering Cancer Center Main Campus | Recruiting | New York | New York | 10065 | United States |
| Duke University Medical Center | Recruiting | Durham | North Carolina | 27710 | United States |
|
| University of Cincinnati Medical Center | Recruiting | Cincinnati | Ohio | 45267 | United States |
|
| Stephenson Cancer Center | Recruiting | Oklahoma City | Oklahoma | 73104 | United States |
|
| Hospital of the University of Pennsylvania | Recruiting | Philadelphia | Pennsylvania | 19104 | United States |
|
| SCRI Oncology Partners | Recruiting | Nashville | Tennessee | 37203 | United States |
| Baylor College of Medicine | Recruiting | Houston | Texas | 77030 | 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 |
|
| Huntsman Cancer Institute, University of Utah | Recruiting | Salt Lake City | Utah | 84112 | United States |
|
| Virginia Cancer Specialists | Recruiting | Fairfax | Virginia | 22314 | United States |
|
| Fred Hutchinson Cancer Center | Recruiting | Seattle | Washington | 98109 | United States |
|
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D010190 | Pancreatic Neoplasms |
| D021441 | Carcinoma, Pancreatic Ductal |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| 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 |
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| ID | Term |
|---|---|
| D000068258 | Bevacizumab |
| D000068818 | Cetuximab |
| D000093542 | Gemcitabine |
| C520255 | 130-nm albumin-bound paclitaxel |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D006571 | Heterocyclic Compounds |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
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