NCT06625320

Brief Summary

The purpose of this study is to evaluate the safety and efficacy of a novel RAS(ON) inhibitor compared to standard(s) of care (SOC) treatment.

Trial Health

82
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
500

participants targeted

Target at P50-P75 for phase_3 pancreatic-cancer

Timeline
19mo left

Started Oct 2024

Geographic Reach
7 countries

60 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress50%
Oct 2024Dec 2027

First Submitted

Initial submission to the registry

September 20, 2024

Completed
13 days until next milestone

First Posted

Study publicly available on registry

October 3, 2024

Completed
13 days until next milestone

Study Start

First participant enrolled

October 16, 2024

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Expected
1.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Last Updated

April 27, 2026

Status Verified

November 1, 2025

Enrollment Period

1.6 years

First QC Date

September 20, 2024

Last Update Submit

April 22, 2026

Conditions

Keywords

Pancreatic CancerPDACPancreatic Ductal AdenocarcinomaRASKRASNRASHRASRAS Wild-TypeRAS Q61 MutationRAS G12 MutationRAS G13 Mutation

Outcome Measures

Primary Outcomes (2)

  • Progression free survival (PFS) in the RAS G12-mutant population

    PFS is defined as the time from randomization until disease progression or death from any cause, whichever occurs first. Progression is per response evaluation criteria in solid tumors (RECIST) v1.1 and as assessed by blinded independent central review (BICR)

    Up to approximately 3 years

  • Overall survival (OS) in the RAS G12-mutant population

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

    Up to approximately 3 years

Secondary Outcomes (10)

  • PFS in the all-patient population

    Up to approximately 3 years

  • OS in the all-patient population

    Up to approximately 3 years

  • Objective response in the RAS G12 and all-patient populations

    Up to approximately 3 years

  • Time to deterioration (TTD) in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Pancreatic Cancer Module (EORTC QLQ-PAN26) in the RAS G12 and all-patient populations

    Up to approximately 3 years

  • Time to deterioration (TTD) in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) in the RAS G12 and all-patient populations

    Up to approximately 3 years

  • +5 more secondary outcomes

Study Arms (2)

RMC-6236

EXPERIMENTAL

Study drug

Drug: RMC-6236

Investigator's choice of standard of care therapy

ACTIVE COMPARATOR

Patients randomized to Investigator's choice of standard of care chemotherapy will receive one of the following four treatments: * Gemcitabine and nab-paclitaxel (GnP) * Oxaliplatin, leucovorin, irinotecan, and 5-FU (Modified FOLFIRINOX: mFOLFIRINOX) * Liposomal irinotecan (Nal-IRI + 5-FU/LV) * Oxaliplatin, leucovorin and 5-FU IV (FOLFOX)

Drug: GemcitabineDrug: nab-paclitaxelDrug: IrinotecanDrug: Liposomal irinotecanDrug: 5-fluorouracilDrug: leucovorinDrug: Oxaliplatin

Interventions

Oral Tablets

RMC-6236

intravenous (IV) infusion

Investigator's choice of standard of care therapy

IV infusion

Investigator's choice of standard of care therapy

IV infusion

Investigator's choice of standard of care therapy

IV infusion

Investigator's choice of standard of care therapy

IV infusion

Investigator's choice of standard of care therapy

IV infusion

Investigator's choice of standard of care therapy

IV infusion

Investigator's choice of standard of care therapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • At least 18 years old and has provided informed consent.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Histologically or cytologically confirmed PDAC with metastatic disease.
  • Measurable disease per RECIST 1.1.
  • Adequate organ function (bone marrow, liver, kidney, coagulation)
  • Documented RAS mutation status, either mutant or wild-type. RAS mutations defined as nonsynonymous mutations in KRAS, NRAS, or HRAS at codons 12, 13, or 61 (G12, G13, or Q61).
  • Able to take oral medications.

You may not qualify if:

  • Prior therapy with direct RAS-targeted therapy (eg. degraders and/or inhibitors).
  • History of or known central nervous system metastatic disease.
  • Any conditions that may affect the ability to take or absorb study treatment
  • Major surgery within 4 weeks prior to randomization.
  • Patient is unable or unwilling to comply with protocol-required study visits or procedures

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (60)

Banner MD Anderson Cancer Center

Gilbert, Arizona, 85234, United States

Location

Mayo Clinic Cancer Center - Phoenix

Phoenix, Arizona, 85054, United States

Location

City of Hope-Duarte

Duarte, California, 91010, United States

Location

Cedars-Sinai Medical Center

Los Angeles, California, 90048, United States

Location

UCLA

Los Angeles, California, 90095, United States

Location

UC San Diego Health Moores Cancer Center

San Diego, California, 92037, United States

Location

Mission Hall UCSF

San Francisco, California, 94158, United States

Location

Rocky Mountain Cancer

Aurora, Colorado, 80012, United States

Location

Mayo Clinic Cancer Center - Florida

Jacksonville, Florida, 32224, United States

Location

University of Miami Sylvester Comprehensive Cancer Center

Miami, Florida, 33136, United States

Location

Cancer Care Centers of Brevard Inc

Palm Bay, Florida, 32909, United States

Location

Moffitt Cancer Center

Tampa, Florida, 33612, United States

Location

The Queen's Medical Center

Honolulu, Hawaii, 96813, United States

Location

The University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

Johns Hopkins

Baltimore, Maryland, 21287, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Karmanos Cancer Institute

Detroit, Michigan, 48201, United States

Location

Mayo Clinic Cancer Center - Rochester

Rochester, Minnesota, 55905, United States

Location

Washington University

St Louis, Missouri, 63110, United States

Location

Roswell Park Cancer Institute

Buffalo, New York, 14263, United States

Location

NYU Lagone Health

New York, New York, 10016, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10022, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

Duke University Medical Center

Durham, North Carolina, 27710, United States

Location

University of Cincinnati Medical Center

Cincinnati, Ohio, 45219, United States

Location

Stephenson Cancer Center

Oklahoma City, Oklahoma, 73104, United States

Location

Oregon Health and Science University

Portland, Oregon, 97239, United States

Location

Abramson Cancer Center Clinical Research Unit

Philadelphia, Pennsylvania, 19104, United States

Location

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Sarah Cannon Research Institute (Tennessee)

Nashville, Tennessee, 37203, United States

Location

Texas Oncology Sammons

Dallas, Texas, 75246, United States

Location

MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Texas Oncology - Central South

Irving, Texas, 75063, United States

Location

Huntsman Cancer Institute

Salt Lake City, Utah, 84112, United States

Location

Virginia Cancer Specialists

Fairfax, Virginia, 22031, United States

Location

Fred Hutchinson Cancer Center

Seattle, Washington, 98109, United States

Location

Institut Paoli Calmettes

Marseille, 13009, France

Location

Centre Eugene Marquis

Rennes, 35042, France

Location

Hopital Paul Brousse

Villejuif, 94804, France

Location

Gustave Roussy

Villejuif, 94805, France

Location

Charité Universitätsmedizin, Campus Berlin Mitte

Berlin, 13353, Germany

Location

Nationales Centrum fur

Heidelberg, 69120, Germany

Location

Universitatsklinikum Ulm, Zentru

München, 81377, Germany

Location

Universitatsklinikum Ulm

Ulm, 89081, Germany

Location

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Italy

Location

IEO-Istituto Europeo di Oncologia

Milan, Italy

Location

IOV-Istituto Oncologico

Padova, 35128, Italy

Location

Azienda Ospedaliera

Pisa, 56126, Italy

Location

National Cancer Center

Chiba, 277-8577, Japan

Location

Aichi Cancer Center

Nagoya, 4648681, Japan

Location

Osaka International Cancer

Osaka, 541-8567, Japan

Location

National Cancer Center Hospital

Tokyo, 104-0045, Japan

Location

Cancer Institute Hospital of JFCR

Tokyo, 135-8550, Japan

Location

Kanagawa Cancer Center

Yokohama, 241-8515, Japan

Location

Pan-American Center for Oncology Trials

San Juan, 00907, Puerto Rico

Location

Hospital Unversitari

Barcelona, 08035, Spain

Location

Hospital 12 de Octubre

Madrid, 28041, Spain

Location

Clinica Universidad de Navarra

Pamplona, 31008, Spain

Location

Hospital Clinico de Valencia

Valencia, 46010, Spain

Location

MeSH Terms

Conditions

Pancreatic Neoplasms

Interventions

Gemcitabine130-nm albumin-bound paclitaxelIrinotecanirinotecan sucrosofateFluorouracilLeucovorinOxaliplatin

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsEndocrine Gland NeoplasmsDigestive System DiseasesPancreatic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingCamptothecinAlkaloidsUracilPyrimidinonesFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and CoenzymesCoordination ComplexesOrganic Chemicals

Study Officials

  • Study Director

    Revolution Medicines

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 20, 2024

First Posted

October 3, 2024

Study Start

October 16, 2024

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

December 1, 2027

Last Updated

April 27, 2026

Record last verified: 2025-11

Locations