NCT07491445

Brief Summary

The purpose of this study is to evaluate the safety and efficacy of an investigational RAS(ON) inhibitor administered as monotherapy or in combination with chemotherapy, compared with standard of care (SOC) chemotherapy alone.

Trial Health

80
On Track

Trial Health Score

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

Enrollment
900

participants targeted

Target at P75+ for phase_3 pancreatic-cancer

Timeline
31mo left

Started Mar 2026

Shorter than P25 for phase_3 pancreatic-cancer

Geographic Reach
3 countries

20 active sites

Status
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 Progress14%
Mar 2026Mar 2029

Study Start

First participant enrolled

March 9, 2026

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

March 10, 2026

Completed
14 days until next milestone

First Posted

Study publicly available on registry

March 24, 2026

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2028

Expected
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2029

Last Updated

July 21, 2026

Status Verified

July 1, 2026

Enrollment Period

2.2 years

First QC Date

March 10, 2026

Last Update Submit

July 17, 2026

Conditions

Keywords

Pancreatic CancerPDACPancreatic Ductal AdenocarcinomaRASKRASNRASHRASRAS Wild-TypeRAS MutationPancreatic Cancer MetastaticPancreatic Adenocarcinoma MetastaticPancreatic Adenosquamous CarcinomaPancreatic Adenocarcinoma

Outcome Measures

Primary Outcomes (2)

  • Progression free survival (PFS)

    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 Investigator.

    Up to approximately 2 years

  • Overall survival (OS)

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

    Up to approximately 2 years

Secondary Outcomes (8)

  • Objective response rate (ORR)

    Up to approximately 2 years

  • Duration of response (DOR)

    Up to approximately 2 years

  • Concentration of daraxonrasib in Arm A and B

    Up to Cycle 5 Day 1 (each cycle is 28 days)

  • Health-related outcome assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Pancreatic Cancer Module (EORTC QLQ-PAN26)

    Up to approximately 2 years

  • Quality of life as assessed with European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)

    Up to approximately 2 years

  • +3 more secondary outcomes

Study Arms (3)

Arm A: daraxonrasib

EXPERIMENTAL

study drug

Drug: daraxonrasib

Arm B: daraxonrasib + gemcitabine and nab-paclitaxel

EXPERIMENTAL

study drug in combination with chemotherapy

Drug: daraxonrasibDrug: gemcitabineDrug: nab-paclitaxel

Arm C: gemcitabine and nab-paclitaxel

ACTIVE COMPARATOR

SOC chemotherapy

Drug: gemcitabineDrug: nab-paclitaxel

Interventions

oral tablets

Arm A: daraxonrasibArm B: daraxonrasib + gemcitabine and nab-paclitaxel

intravenous (IV) infusion

Arm B: daraxonrasib + gemcitabine and nab-paclitaxelArm C: gemcitabine and nab-paclitaxel

IV infusion

Arm B: daraxonrasib + gemcitabine and nab-paclitaxelArm C: gemcitabine and nab-paclitaxel

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 pancreatic adenocarcinoma.
  • Diagnosis of metastatic disease ≤ 6 weeks prior to informed consent.
  • Documented RAS mutation status, either mutant or wild-type.
  • Measurable disease per RECIST v1.1.
  • Adequate organ function (bone marrow, liver, kidney, coagulation).
  • Able to take oral medications.

You may not qualify if:

  • Prior treatment with systemic anticancer therapy in metastatic setting or prior RAS-targeted therapy in any treatment setting.
  • Active or known history of untreated central nervous system metastatic disease.
  • Any conditions that may affect the ability to take or absorb study drug.
  • Major surgery within 28 days 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 (20)

Honor Health Research Institute

Scottsdale, Arizona, 85258, United States

RECRUITING

H Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, 33612, United States

RECRUITING

Johns Hopkins Sidney Kimmel Comprehensive Cancer Center

Baltimore, Maryland, 21287, United States

RECRUITING

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215, United States

RECRUITING

Comprehensive Cancer Centers of Nevada

Henderson, Nevada, 89052, United States

RECRUITING

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

RECRUITING

University of Cincinnati Cancer Center

Cincinnati, Ohio, 45219, United States

RECRUITING

Taylor Cancer Research Center

Maumee, Ohio, 43537, United States

RECRUITING

SCRI Oncology Partners

Nashville, Tennessee, 37203, United States

RECRUITING

SCRI - Texas Oncology Dallas

Dallas, Texas, 95246, United States

RECRUITING

MD Anderson Cancer Center

Houston, Texas, 77030, United States

RECRUITING

Virginia Cancer Specialists

Fairfax, Virginia, 22031, United States

RECRUITING

Virginia Mason Medical Center

Seattle, Washington, 98101, United States

RECRUITING

Calvary Mater Newcastle

Waratah, New South Wales, 2298, Australia

RECRUITING

National Cancer Center - East

Kashiwa, Chiba, 277-8577, Japan

RECRUITING

Cancer Institute Hospital - Japan Foundation for Cancer Research

Koto-Ku, Tokyo, 135-8550, Japan

RECRUITING

NHO Kyushu Cancer Center

Fukuoka, 811-1395, Japan

RECRUITING

Kanagawa Cancer Canter

Kanagawa, 241-0815, Japan

RECRUITING

Wakayama Medical University Hospital

Wakayama, 641-8510, Japan

RECRUITING

Yamaguchi University Hospital

Yamaguchi, 755-8505, Japan

RECRUITING

MeSH Terms

Conditions

Pancreatic Neoplasms

Interventions

Gemcitabine130-nm albumin-bound paclitaxel

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-Ring

Central Study Contacts

Revolution Medicines Study Director

CONTACT

Study Design

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

Study Record Dates

First Submitted

March 10, 2026

First Posted

March 24, 2026

Study Start

March 9, 2026

Primary Completion (Estimated)

June 1, 2028

Study Completion (Estimated)

March 1, 2029

Last Updated

July 21, 2026

Record last verified: 2026-07

Locations