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Recruiting

Study of RAS(ON) Inhibitors in Patients With Advanced RAS-mutated NSCLC

NCT06162221 · Revolution Medicines, Inc.
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Official title
A Platform Study of RAS(ON) Inhibitors in Patients With RAS-Mutated Non-Small Cell Lung Cancer (NSCLC)
About this study
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.
Eligibility criteria
Inclusion criteria: All Patients (unless otherwise noted): * ≥ 18 years of age * ECOG PS is 0 to 1 * Adequate organ function as outlined by the study * Received prior standard therapy appropriate for tumor type and stage * Must have pathologically documented, locally advanced or metastatic KRAS G12C-mutated solid tumor malignancy (not amenable to curative surgery) (Subprotocol A) * Must have pathologically documented, locally advanced or metastatic RAS-mutated NSCLC (Subprotocol B) * Must have pathologically documented, locally advanced or metastatic RAS G12D-mutated NSCLC (Subprotocol C and Subprotocol D) Exclusion criteria: All Patients: * Primary central nervous system (CNS) tumors * Impaired gastrointestinal (GI) function that may significantly alter the absorption of RMC drugs * Major surgery \< 28 days of first dose * Active or history of interstitial lung disease (ILD) or pneumonitis requiring steroids Other inclusion/exclusion criteria may apply.
Study design
Enrollment target: 616 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2024-01-18
Estimated completion: 2028-12
Last updated: 2026-03-09
Interventions
Drug: RMC-6291Drug: RMC-6236Drug: PembrolizumabDrug: CisplatinDrug: CarboplatinDrug: PemetrexedDrug: RMC-9805
Primary outcomes
  • Adverse events (Up to 5 years)
  • Dose limiting toxicities (21 days)
Sponsor
Revolution Medicines, Inc. · industry
Contacts & investigators
ContactRevolution Medicines · contact · medinfo@RevMed.com · 1-844-2-REVMED
InvestigatorRevolution Medicines · study_director, Revolution Medicines
All locations (89)
Banner MD Anderson Cancer CenterRecruiting
Gilbert, Arizona, United States
City of Hope - DuarteRecruiting
Duarte, California, United States
City of Hope - LennarRecruiting
Irvine, California, United States
UC Davis, Davis Comprehensive Cancer CenterRecruiting
Sacramento, California, United States
University of California, San Diego Moores Cancer CenterRecruiting
San Diego, California, United States
UCSF Medical Center - Mission BayRecruiting
San Francisco, California, United States
Stanford University - Stanford Cancer InstituteRecruiting
Stanford, California, United States
Georgetown University Medical CenterRecruiting
Washington D.C., District of Columbia, United States
Boca Raton Clinical Research AssociatesRecruiting
Plantation, Florida, United States
Cancer Specialists of North FloridaRecruiting
Saint Augustine, Florida, United States
H Lee Moffitt Cancer Center and Research InstituteRecruiting
Tampa, Florida, United States
Dana Farber Cancer InstituteRecruiting
Boston, Massachusetts, United States
Henry Ford Cancer - Detroit (Brigitte Harris Cancer Pavilion)Recruiting
Detroit, Michigan, United States
Intermountain Health - St. Vincent Frontier Cancer CenterRecruiting
Billings, Montana, United States
Nebraska Cancer SpecialistRecruiting
Grand Island, Nebraska, United States
New York University Langone HealthRecruiting
New York, New York, United States
Icahn School of Medicine at Mount SinaiRecruiting
New York, New York, United States
Columbia University Medical CenterRecruiting
New York, New York, United States
Clinical Research AllianceRecruiting
Westbury, New York, United States
University Hospitals Cleveland Medical CenterRecruiting
Cleveland, Ohio, United States
UPMC Hillman Cancer CenterRecruiting
Pittsburgh, Pennsylvania, United States
Baptist Medical CenterRecruiting
Memphis, Tennessee, United States
Tennessee OncologyRecruiting
Nashville, Tennessee, United States
The University of Texas MD Anderson Cancer CenterRecruiting
Houston, Texas, United States
NEXT Oncology DallasRecruiting
Irving, Texas, United States
NEXT Oncology VirginiaRecruiting
Fairfax, Virginia, United States
Chris O'Brien Lifehouse HosptialRecruiting
Camperdown, New South Wales, Australia
Liverpool HospitalRecruiting
Liverpool, New South Wales, Australia
Royal North Shore HospitalRecruiting
St Leonards, New South Wales, Australia
Monash HealthRecruiting
Clayton, Victoria, Australia
Linear Clinical ResearchRecruiting
Nedlands, Western Australia, Australia
RigshospitaletRecruiting
Copenhagen, Denmark
Odense University Hospital, Department of OncologyRecruiting
Odense, Denmark
Hospices Civils de Lyon - Hôpital Louis PradelRecruiting
Bron, Auvergne-Rhône-Alpes, France
Centre Georges François LeclercRecruiting
Dijon, Bourgogne-Franche-Comté, France
CHU de Lille Institut Cœur PoumonRecruiting
Lille, Hauts-de-France, France
CHU de NantesRecruiting
Nantes, Hauts-de-France, France
EDOG - Institut BergoniéRecruiting
Bordeaux, New Aquitaine, France
Institut de Cancerologie de Ouest (ICO) - AngersRecruiting
Angers, France
Ambroise-Paré HospitalRecruiting
Boulogne, France
Centre François BaclesseRecruiting
Caen, France
Hôpital CochinRecruiting
Paris, France
Hopital Tenon - AP-HPRecruiting
Paris, France
Hopital FochRecruiting
Suresnes, France
Oncopole Claudius RegaudRecruiting
Toulouse, France
Institut Gustave RoussyRecruiting
Villejuif, France
Institut CurieRecruiting
Paris, Île-de-France Region, France
Charite-Universitaetsmedizin Berlin - Campus Charite MitteRecruiting
Berlin, Germany
Uniklinik KölnRecruiting
Cologne, Germany
Universitätsklinikum Carl Gustav Carus an der TU DresdenRecruiting
Dresden, Germany
Universitätsklinikum FrankfurtRecruiting
Frankfurt am Main, Germany
Thoraxklinik Heidelberg gGmbH - Universitätsklinikum HeidelbergRecruiting
Heidelberg, Germany
Lungenfachklinik ImmenhausenRecruiting
Immenhausen, Germany
Krankenhaus Bethanien MoersRecruiting
Moers, Germany
Henry Dunant Hospital CenterRecruiting
Athens, Greece
Thoracic General Hospital of Athens "I SOTIRIA"Recruiting
Athens, Greece
Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.lRecruiting
Meldola, Emilia-Romagna, Italy
Fondazione IRCCS Istituto Nazionale dei tumoriRecruiting
Milan, Italy
ASST Grande Ospedale Metropolitano NiguardaRecruiting
Milan, Italy
A.O.U. San Luigi Gonzaga-Orbassano - SCDU Oncologia MedicaRecruiting
Orbassano, Italy
Ospedale Santa Maria Delle CrociRecruiting
Ravenna, Italy
IRCCS Instituto Nazionale tumori Ragina ElenaRecruiting
Rome, Italy
Fondazione Policlinico Universitario A Gemelli-RomeRecruiting
Rome, Italy
The Netherlands Cancer Institute (NKI)Recruiting
Amsterdam, Netherlands
University Medical Centre GroningenRecruiting
Groningen, Netherlands
Leiden University Medical CenterRecruiting
Leiden, Netherlands
University Medical Center UtrechtRecruiting
Utrecht, Netherlands
Samsung Medical CenterRecruiting
Seoul, Gangnam-gu, South Korea
National Cancer CenterRecruiting
Goyang-si, Gyeonggi-do, South Korea
Seoul National University Bundang HospitalRecruiting
Seongnam-si, Gyeonggido, South Korea
Seoul St. Mary's Hospital, The Catholic University of KoreaRecruiting
Seoul, Seocho-gu, South Korea
Severance HospitalRecruiting
Seoul, Seodaemun-Gu, South Korea
Hospital Clinico San CarlosRecruiting
Madrid, Madrid, Spain
Hospital Universitario 12 de OctubreRecruiting
Madrid, Madrid, Spain
Clinica Universidad de NavarraRecruiting
Pamplona, Navarre, Spain
Hospital Universitari i Politecnic La Fe de ValenciaRecruiting
Valencia, Valencia, Spain
Complejo Hospitalario Universitario A CoruñaRecruiting
A Coruña, Spain
Hospital Universitari Vall D' HebronRecruiting
Barcelona, Spain
ICO Badalona - H.U. Germans Trias i PujolRecruiting
Barcelona, Spain
Hospital Universitario Ramon y CajalRecruiting
Madrid, Spain
Hospital Universitario Fundacion Jimenez DiazRecruiting
Madrid, Spain
Hospital Regional Universitario de Malaga - Hospital CivilRecruiting
Málaga, Spain
Hospital Universitario Virgen del Rocio - PPDSRecruiting
Seville, Spain
Fundacion Instituto Valenciano de OncologiaRecruiting
Valencia, Spain
Taipei Municipal Wanfang HospitalRecruiting
Taipei, Wenshan Dist, Taiwan
Kaohsiung Medical University Chung-Ho Memorial HospitalRecruiting
Kaohsiung City, Taiwan
Taichung Veterans General HospitalRecruiting
Taichung, Taiwan
Chi Mei Hospital, LiouyingRecruiting
Tainan, Taiwan
Taipei Veterans General HospitalRecruiting
Taipei, Taiwan
Study of RAS(ON) Inhibitors in Patients With Advanced RAS-mutated NSCLC · TrialPath