Phase 3 Study of Daraxonrasib (RMC-6236) in Patients With Previously Treated Metastatic Pancreatic Ductal Adenocarcinoma (PDAC)

Last updated: April 17, 2025
Sponsor: Revolution Medicines, Inc.
Overall Status: Active - Recruiting

Phase

3

Condition

Digestive System Neoplasms

Adenocarcinoma

Cancer

Treatment

Irinotecan

RMC-6236

Liposomal irinotecan

Clinical Study ID

NCT06625320
RMC-6236-302
  • Ages > 18
  • All Genders

Study 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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • 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. Eligible RAS mutationsdefined as nonsynonymous mutations in KRAS, NRAS, or HRAS at codons 12, 13, or 61 (G12, G13, or Q61).

  • Able to take oral medications.

Exclusion

Exclusion Criteria:

  • 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 orprocedures

Study Design

Total Participants: 460
Treatment Group(s): 8
Primary Treatment: Irinotecan
Phase: 3
Study Start date:
October 16, 2024
Estimated Completion Date:
December 31, 2027

Study Description

This is a global, randomized, open-label, Phase 3 study designed to evaluate whether treatment with RMC-6236 will improve progression free survival (PFS) or overall survival (OS) compared to Investigator's choice of standard of care chemotherapy in patients with metastatic PDAC who were previously treated with one prior line of therapy with 5-fluorouracil (5-FU) based or gemcitabine-based regimen.

Patients will be randomized in a 1:1 ratio to receive RMC-6236 (Arm A) or Investigator's choice of standard of care chemotherapy (Arm B).

Connect with a study center

  • Institut Paoli Calmettes

    Marseille, 13009
    France

    Active - Recruiting

  • Centre Eugene Marquis

    Rennes, 35042
    France

    Active - Recruiting

  • Hopital Paul Brousse

    Val de Marne, 94804
    France

    Active - Recruiting

  • Gustave Roussy

    Villejuif, 94805
    France

    Active - Recruiting

  • Fondazione IRCCS Istituto Nazionale dei Tumori

    Milan,
    Italy

    Active - Recruiting

  • IEO-Istituto Europeo di Oncologia

    Milan,
    Italy

    Active - Recruiting

  • Azienda Ospedaliera

    Pisa, 56126
    Italy

    Active - Recruiting

  • Cancer Institute Hospital of JFCR

    Tokyo, 135-8550
    Japan

    Active - Recruiting

  • National Cancer Center Hospital

    Tokyo, 104-0045
    Japan

    Active - Recruiting

  • Kanagawa Cancer Center

    Yokohama, 241-8515
    Japan

    Active - Recruiting

  • Pan-American Center for Oncology Trials

    San Juan, 00907
    Puerto Rico

    Active - Recruiting

  • Hospital 12 de Octubre

    Madrid, 28041
    Spain

    Active - Recruiting

  • Clinica Universidad de Navarra

    Pamplona, 31008
    Spain

    Active - Recruiting

  • Banner MD Anderson Cancer Center

    Gilbert, Arizona 85234
    United States

    Active - Recruiting

  • Mayo Clinic

    Phoenix, Arizona 85054
    United States

    Active - Recruiting

  • Cedars-Sinai Medical Center

    Los Angeles, California 90048
    United States

    Active - Recruiting

  • UCLA

    Los Angeles, California 90095
    United States

    Active - Recruiting

  • UC San Diego Health Moores Cancer Center

    San Diego, California 92037
    United States

    Active - Recruiting

  • Mission Hall UCSF

    San Francisco, California 94158
    United States

    Active - Recruiting

  • Rocky Mountain Cancer

    Aurora, Colorado 80012
    United States

    Active - Recruiting

  • Mayo Clinic Cancer Center

    Jacksonville, Florida 32224
    United States

    Active - Recruiting

  • Cancer Care Centers of Brevard Inc

    Palm Bay, Florida 32909
    United States

    Active - Recruiting

  • Johns Hopkins

    Baltimore, Maryland 21287
    United States

    Active - Recruiting

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Active - Recruiting

  • Karmanos Cancer Institute

    Detroit, Michigan 48201
    United States

    Active - Recruiting

  • Mayo Clinic Rochester

    Rochester, Minnesota 55905
    United States

    Active - Recruiting

  • Washington University

    Saint Louis, Missouri 63110
    United States

    Active - Recruiting

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Active - Recruiting

  • Memorial Sloan Kettering Cancer Center

    New York, New York 10022
    United States

    Active - Recruiting

  • NYU Lagone Health

    New York, New York 10016
    United States

    Active - Recruiting

  • Duke University Medical Center

    Durham, North Carolina 27710
    United States

    Active - Recruiting

  • University of Cincinnati Medical Center

    Cincinnati, Ohio 45219
    United States

    Active - Recruiting

  • Abramson Cancer Center Clinical Research Unit

    Philadelphia, Pennsylvania 19104
    United States

    Active - Recruiting

  • Sarah Cannon Research Institute (Tennessee)

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • Texas Oncology Sammons

    Dallas, Texas 75246
    United States

    Active - Recruiting

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Texas Oncology - Central South

    Irving, Texas 75063
    United States

    Active - Recruiting

  • Huntsman Cancer Institute

    Salt Lake City, Utah 84112
    United States

    Active - Recruiting

  • Virginia Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.