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

Last updated: February 6, 2026
Sponsor: Revolution Medicines, Inc.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Neoplasms

Treatment

Pemetrexed

RMC-6291

Pembrolizumab

Clinical Study ID

NCT06162221
RMC-LUNG-101
  • Ages > 18
  • All Genders

Study Summary

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

Eligibility Criteria

Inclusion

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 KRASG12C-mutated solid tumor malignancy (not amenable to curative surgery) (SubprotocolA)

  • Must have pathologically documented, locally advanced or metastatic RAS-mutatedNSCLC (Subprotocol B)

  • Must have pathologically documented, locally advanced or metastatic RAS G12D-mutatedNSCLC (Subprotocol C and Subprotocol D)

Exclusion

Exclusion criteria:

All Patients:

  • Primary central nervous system (CNS) tumors

  • Impaired gastrointestinal (GI) function that may significantly alter the absorptionof RMC drugs

  • Major surgery < 28 days of first dose

  • Active or history of interstitial lung disease (ILD) or pneumonitis requiringsteroids

Other inclusion/exclusion criteria may apply.

Study Design

Total Participants: 616
Treatment Group(s): 7
Primary Treatment: Pemetrexed
Phase: 1/2
Study Start date:
January 18, 2024
Estimated Completion Date:
December 31, 2028

Study Description

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.

Connect with a study center

  • Liverpool Hospital

    Liverpool 2159851, New South Wales 2155400 2170
    Australia

    Active - Recruiting

  • Royal North Shore Hospital

    St Leonards 8029783, New South Wales 2155400 2065
    Australia

    Active - Recruiting

  • Monash Health

    Clayton 2171400, Victoria 2145234 3168
    Australia

    Active - Recruiting

  • Linear Clinical Research

    Nedlands 2064874, Western Australia 2058645 6009
    Australia

    Active - Recruiting

  • Rigshospitalet

    Copenhagen 2618425, 2100
    Denmark

    Active - Recruiting

  • Odense University Hospital, Department of Oncology

    Odense 2615876, 5000
    Denmark

    Active - Recruiting

  • Hospices Civils de Lyon - Hôpital Louis Pradel

    Bron, Auvergne-Rhône-Alpes 69500
    France

    Site Not Available

  • Hospices Civils de Lyon - Hôpital Louis Pradel

    Bron 3029931, Auvergne-Rhône-Alpes 11071625 69500
    France

    Active - Recruiting

  • Centre Georges François Leclerc

    Dijon, Bourgogne-Franche-Comté 21079
    France

    Site Not Available

  • Centre Georges François Leclerc

    Dijon 3021372, Bourgogne-Franche-Comté 11071619 21079
    France

    Active - Recruiting

  • CHU de Lille Institut Cœur Poumon

    Lille, Hauts-de-France 59037
    France

    Site Not Available

  • CHU de Lille Institut Cœur Poumon

    Lille 2998324, Hauts-de-France 11071624 59037
    France

    Active - Recruiting

  • CHU de Nantes

    Nantes, Hauts-de-France 11071624 44093
    France

    Active - Recruiting

  • EDOG - Institut Bergonié

    Bordeaux, Nouvelle-Aquitaine 33000
    France

    Site Not Available

  • EDOG - Institut Bergonié

    Bordeaux 3031582, Nouvelle-Aquitaine 11071620 33000
    France

    Active - Recruiting

  • Institut Curie

    Paris, Île-de-France 75005
    France

    Site Not Available

  • Institut Curie

    Paris 2988507, Île-de-France Region 3012874 75005
    France

    Active - Recruiting

  • Institut de Cancerologie de Ouest (ICO) - Angers

    Angers 3037656, 49055
    France

    Active - Recruiting

  • Ambroise-Paré Hospital

    Boulogne 3031141, 92104
    France

    Active - Recruiting

  • Centre François Baclesse

    Caen, 14076
    France

    Site Not Available

  • Centre François Baclesse

    Caen 3029241, 14076
    France

    Active - Recruiting

  • Hopital Tenon - AP-HP

    Paris 2988507, 75020
    France

    Active - Recruiting

  • Hôpital Cochin

    Paris 2988507, 75014
    France

    Active - Recruiting

  • Hopital Foch

    Suresnes, 92150
    France

    Site Not Available

  • Hopital Foch

    Suresnes 2973675, 92150
    France

    Active - Recruiting

  • Oncopole Claudius Regaud

    Toulouse, 31059
    France

    Site Not Available

  • Oncopole Claudius Regaud

    Toulouse 2972315, 31059
    France

    Active - Recruiting

  • Institut Gustave Roussy

    Villejuif, 94805
    France

    Site Not Available

  • Institut Gustave Roussy

    Villejuif 2968705, 94805
    France

    Active - Recruiting

  • Charite-Universitaetsmedizin Berlin - Campus Charite Mitte

    Berlin, 12203
    Germany

    Site Not Available

  • Charite-Universitaetsmedizin Berlin - Campus Charite Mitte

    Berlin 2950159, 12203
    Germany

    Active - Recruiting

  • Uniklinik Köln

    Cologne 2886242, 50937
    Germany

    Active - Recruiting

  • Universitätsklinikum Carl Gustav Carus an der TU Dresden

    Dresden, 01307
    Germany

    Site Not Available

  • Universitätsklinikum Carl Gustav Carus an der TU Dresden

    Dresden 2935022, 01307
    Germany

    Active - Recruiting

  • Universitätsklinikum Frankfurt

    Frankfurt am Main, 60590
    Germany

    Site Not Available

  • Universitätsklinikum Frankfurt

    Frankfurt am Main 2925533, 60590
    Germany

    Active - Recruiting

  • Thoraxklinik Heidelberg gGmbH - Universitätsklinikum Heidelberg

    Heidelberg, 69126
    Germany

    Site Not Available

  • Thoraxklinik Heidelberg gGmbH - Universitätsklinikum Heidelberg

    Heidelberg 2907911, 69126
    Germany

    Active - Recruiting

  • Lungenfachklinik Immenhausen

    Immenhausen, 34376
    Germany

    Site Not Available

  • Lungenfachklinik Immenhausen

    Immenhausen 2896279, 34376
    Germany

    Active - Recruiting

  • Uniklinik Köln

    Koln, 50937
    Germany

    Site Not Available

  • Krankenhaus Bethanien Moers

    Moers, 47441
    Germany

    Site Not Available

  • Krankenhaus Bethanien Moers

    Moers 2870221, 47441
    Germany

    Active - Recruiting

  • Henry Dunant Hospital Center

    Athens 264371, 115 26
    Greece

    Active - Recruiting

  • Thoracic General Hospital of Athens "I SOTIRIA"

    Athens 264371, 11527
    Greece

    Active - Recruiting

  • Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.l

    Meldola, Emilia-Romagna 47014
    Italy

    Site Not Available

  • Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.l

    Meldola 3173635, Emilia-Romagna 3177401 47014
    Italy

    Active - Recruiting

  • ASST Grande Ospedale Metropolitano Niguarda

    Milan, 20162
    Italy

    Active - Recruiting

  • Fondazione IRCCS Istituto Nazionale dei tumori

    Milan, 20133
    Italy

    Site Not Available

  • ASST Grande Ospedale Metropolitano Niguarda

    Milan 3173435, 20162
    Italy

    Active - Recruiting

  • Fondazione IRCCS Istituto Nazionale dei tumori

    Milan 3173435, 20133
    Italy

    Active - Recruiting

  • A.O.U. San Luigi Gonzaga-Orbassano

    Orbassano, 10043
    Italy

    Active - Recruiting

  • A.O.U. San Luigi Gonzaga-Orbassano - SCDU Oncologia Medica

    Orbassano, 10043
    Italy

    Site Not Available

  • A.O.U. San Luigi Gonzaga-Orbassano - SCDU Oncologia Medica

    Orbassano 3171986, 10043
    Italy

    Active - Recruiting

  • Ospedale Santa Maria Delle Croci

    Ravenna, 48121
    Italy

    Site Not Available

  • Ospedale Santa Maria Delle Croci

    Ravenna 3169561, 48121
    Italy

    Active - Recruiting

  • Fondazione Policlinico Universitario A Gemelli-Rome

    Rome, 00168
    Italy

    Active - Recruiting

  • IRCCS Instituto Nazionale tumori Ragina Elena

    Rome, 00144
    Italy

    Site Not Available

  • Fondazione Policlinico Universitario A Gemelli-Rome

    Rome 3169070, 00168
    Italy

    Active - Recruiting

  • IRCCS Instituto Nazionale tumori Ragina Elena

    Rome 3169070, 00144
    Italy

    Active - Recruiting

  • The Netherlands Cancer Institute (NKI)

    Amsterdam, 1066
    Netherlands

    Site Not Available

  • The Netherlands Cancer Institute (NKI)

    Amsterdam 2759794, 1066
    Netherlands

    Active - Recruiting

  • University Medical Centre Groningen

    Groningen, 9713
    Netherlands

    Site Not Available

  • University Medical Centre Groningen

    Groningen 2755251, 9713
    Netherlands

    Active - Recruiting

  • Leiden University Medical Center

    Leiden, 2333 ZA
    Netherlands

    Site Not Available

  • Leiden University Medical Center

    Leiden 2751773, 2333 ZA
    Netherlands

    Active - Recruiting

  • University Medical Center Utrecht

    Utrecht, 3584
    Netherlands

    Site Not Available

  • University Medical Center Utrecht

    Utrecht 2745912, 3584
    Netherlands

    Active - Recruiting

  • Samsung Medical Center

    Seoul 1835848, Gangnam-gu 06351
    South Korea

    Active - Recruiting

  • National Cancer Center

    Goyang-si 1842485, Gyeonggi-do 1841610 10408
    South Korea

    Active - Recruiting

  • Seoul National University Bundang Hospital

    Seongnam-si 1897000, Gyeonggido 13620
    South Korea

    Active - Recruiting

  • Seoul St. Mary's Hospital, The Catholic University of Korea

    Seoul 1835848, Seocho-gu 06591
    South Korea

    Active - Recruiting

  • Severance Hospital

    Seoul 1835848, Seodaemun-Gu 03722
    South Korea

    Active - Recruiting

  • Hospital Universitario 12 de Octubre

    Madrid, Comunidad de Madrid 28041
    Spain

    Active - Recruiting

  • Hospital Clinico San Carlos

    Madrid 3117735, Madrid 3117732 28040
    Spain

    Active - Recruiting

  • Hospital Universitario 12 de Octubre

    Madrid 3117735, Madrid 3117732 28041
    Spain

    Active - Recruiting

  • Clinica Universidad de Navarra

    Pamplona, Navarre 31008
    Spain

    Site Not Available

  • Clinica Universidad de Navarra

    Pamplona 3114472, Navarre 3115609 31008
    Spain

    Active - Recruiting

  • Hospital Universitari i Politecnic La Fe de Valencia

    Valencia 2509954, Valencia 2593113 46026
    Spain

    Active - Recruiting

  • Complejo Hospitalario Universitario A Coruña

    A Coruña 3119841, 15006
    Spain

    Active - Recruiting

  • Hospital Universitari Vall D' Hebron

    Barcelona, 08035
    Spain

    Active - Recruiting

  • ICO Badalona - H.U. Germans Trias i Pujol

    Barcelona, 08916
    Spain

    Site Not Available

  • Hospital Universitari Vall D' Hebron

    Barcelona 3128760, 08035
    Spain

    Active - Recruiting

  • ICO Badalona - H.U. Germans Trias i Pujol

    Barcelona 3128760, 08916
    Spain

    Active - Recruiting

  • Complejo Hospitalario Universitario A Coruña

    Coruña, 15006
    Spain

    Site Not Available

  • Hospital Clinico San Carlos

    Madrid, 28040
    Spain

    Active - Recruiting

  • Hospital Universitario Fundacion Jimenez Diaz

    Madrid, 28040
    Spain

    Active - Recruiting

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034
    Spain

    Site Not Available

  • Hospital Universitario Fundacion Jimenez Diaz

    Madrid 3117735, 28040
    Spain

    Active - Recruiting

  • Hospital Universitario Ramon y Cajal

    Madrid 3117735, 28034
    Spain

    Active - Recruiting

  • Hospital Regional Universitario de Malaga - Hospital Civil

    Malaga, 29011
    Spain

    Site Not Available

  • Hospital Regional Universitario de Malaga - Hospital Civil

    Málaga 2514256, 29011
    Spain

    Active - Recruiting

  • Hospital Universitario Virgen del Rocio - PPDS

    Sevilla, 41014
    Spain

    Site Not Available

  • Hospital Universitario Virgen del Rocio - PPDS

    Seville 2510911, 41014
    Spain

    Active - Recruiting

  • Fundacion Instituto Valenciano de Oncologia

    Valencia, 46009
    Spain

    Site Not Available

  • Hospital Universitari i Politecnic La Fe de Valencia

    Valencia, 46026
    Spain

    Active - Recruiting

  • Fundacion Instituto Valenciano de Oncologia

    Valencia 2509954, 46009
    Spain

    Active - Recruiting

  • Taipei Municipal Wanfang Hospital

    Taipei 1668341, Wenshan Dist 116
    Taiwan

    Active - Recruiting

  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City 1673820, 807
    Taiwan

    Active - Recruiting

  • Taichung Veterans General Hospital

    Taichung 1668399, 40705
    Taiwan

    Active - Recruiting

  • Chi Mei Hospital, Liouying

    Tainan 1668355, 73657
    Taiwan

    Active - Recruiting

  • Taipei Veterans General Hospital

    Taipei 1668341, 11217
    Taiwan

    Active - Recruiting

  • Banner MD Anderson Cancer Center

    Gilbert 5295903, Arizona 5551752 85234
    United States

    Active - Recruiting

  • City of Hope - Duarte

    Duarte, California 91010
    United States

    Site Not Available

  • City of Hope - Lennar

    Irvine, California 92618
    United States

    Site Not Available

  • UC Davis, Davis Comprehensive Cancer Center

    Sacramento, California 95817
    United States

    Site Not Available

  • University of California, San Diego Moores Cancer Center

    San Diego, California 92037
    United States

    Site Not Available

  • UCSF Medical Center - Mission Bay

    San Francisco, California 94158
    United States

    Site Not Available

  • Stanford University

    Stanford, California 94305
    United States

    Active - Recruiting

  • Stanford University - Stanford Cancer Institute

    Stanford, California 94305
    United States

    Site Not Available

  • City of Hope - Duarte

    Duarte 5344147, California 5332921 91010
    United States

    Active - Recruiting

  • City of Hope - Lennar

    Irvine 5359777, California 5332921 92618
    United States

    Active - Recruiting

  • UC Davis, Davis Comprehensive Cancer Center

    Sacramento 5389489, California 5332921 95817
    United States

    Active - Recruiting

  • University of California, San Diego Moores Cancer Center

    San Diego 5391811, California 5332921 92037
    United States

    Active - Recruiting

  • UCSF Medical Center - Mission Bay

    San Francisco 5391959, California 5332921 94158
    United States

    Active - Recruiting

  • Stanford University - Stanford Cancer Institute

    Stanford 5398563, California 5332921 94305
    United States

    Active - Recruiting

  • Georgetown University Medical Center

    Washington, District of Columbia 20007
    United States

    Site Not Available

  • Georgetown University Medical Center

    Washington D.C. 4140963, District of Columbia 4138106 20007
    United States

    Active - Recruiting

  • Boca Raton Clinical Research Associates

    Plantation, Florida 33322
    United States

    Site Not Available

  • Cancer Specialists of North Florida

    Saint Augustine, Florida 32086
    United States

    Site Not Available

  • Cancer Specialists of North Florida

    St Augustine, Florida 32086
    United States

    Site Not Available

  • H Lee Moffitt Cancer Center and Research Institute

    Tampa, Florida 33612
    United States

    Site Not Available

  • Boca Raton Clinical Research Associates

    Plantation 4168782, Florida 4155751 33322
    United States

    Active - Recruiting

  • Cancer Specialists of North Florida

    Saint Augustine 4170894, Florida 4155751 32086
    United States

    Active - Recruiting

  • H Lee Moffitt Cancer Center and Research Institute

    Tampa 4174757, Florida 4155751 33612
    United States

    Active - Recruiting

  • Dana Farber Cancer Institute

    Boston 4930956, Massachusetts 6254926 02215
    United States

    Active - Recruiting

  • Henry Ford Cancer - Detroit (Brigitte Harris Cancer Pavilion)

    Detroit, Michigan 48202
    United States

    Site Not Available

  • Henry Ford Cancer - Detroit (Brigitte Harris Cancer Pavilion)

    Detroit 4990729, Michigan 5001836 48202
    United States

    Active - Recruiting

  • Intermountain Health - St. Vincent Frontier Cancer Center

    Billings, Montana 59102
    United States

    Site Not Available

  • Intermountain Health - St. Vincent Frontier Cancer Center

    Billings 5640350, Montana 5667009 59102
    United States

    Active - Recruiting

  • Nebraska Cancer Specialist

    Grand Island 5069297, Nebraska 5073708 68803
    United States

    Active - Recruiting

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Active - Recruiting

  • Icahn School of Medicine at Mount Sinai

    New York, New York 10029
    United States

    Site Not Available

  • New York University Langone Health

    New York, New York 10016
    United States

    Active - Recruiting

  • Clinical Research Alliance

    Westbury, New York 11590
    United States

    Site Not Available

  • Columbia University Medical Center

    New York 5128581, New York 5128638 10032
    United States

    Active - Recruiting

  • Icahn School of Medicine at Mount Sinai

    New York 5128581, New York 5128638 10029
    United States

    Active - Recruiting

  • New York University Langone Health

    New York 5128581, New York 5128638 10016
    United States

    Active - Recruiting

  • Clinical Research Alliance

    Westbury 5144040, New York 5128638 11590
    United States

    Active - Recruiting

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio 44106
    United States

    Site Not Available

  • University Hospitals Cleveland Medical Center

    Cleveland 5150529, Ohio 5165418 44106
    United States

    Active - Recruiting

  • Hillman Cancer Center

    Pittsburgh, Pennsylvania 15232
    United States

    Active - Recruiting

  • UPMC Hillman Cancer Center

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • UPMC Hillman Cancer Center

    Pittsburgh 5206379, Pennsylvania 6254927 15232
    United States

    Active - Recruiting

  • Baptist Medical Center

    Memphis, Tennessee 38120
    United States

    Site Not Available

  • Baptist Medical Center

    Memphis 4641239, Tennessee 4662168 38120
    United States

    Active - Recruiting

  • Tennessee Oncology

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Active - Recruiting

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • NEXT Oncology Dallas

    Irving, Texas 75039
    United States

    Site Not Available

  • The University of Texas MD Anderson Cancer Center

    Houston 4699066, Texas 4736286 77030
    United States

    Active - Recruiting

  • NEXT Oncology Dallas

    Irving 4700168, Texas 4736286 75039
    United States

    Active - Recruiting

  • NEXT Oncology Virginia

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • NEXT Oncology Virginia

    Fairfax 4758023, Virginia 6254928 22031
    United States

    Active - Recruiting

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