Study of RMC-9805 in Participants With KRAS G12D-Mutant Solid Tumors
Phase 1/1b, Multicenter, Open-Label, Study of RMC 9805 in Participants With Advanced KRASG 12D-Mutant Solid Tumors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Revolution Medicines, Inc.
- Phone Number: 1-844-2-REVMED
- Email: medinfo@revmed.com
Study Locations
-
-
California
-
Sacramento, California, United States, 95817
- Recruiting
- University of California, Davis Comprehensive Cancer Center
-
-
Connecticut
-
New Haven, Connecticut, United States, 06511
- Recruiting
- Smilow Cancer Hospital (Yale University)
-
-
Florida
-
Sarasota, Florida, United States, 34232
- Recruiting
- Florida Cancer Specialists
-
Tampa, Florida, United States, 33612
- Recruiting
- Lee Moffitt Cancer Center
-
-
Maryland
-
Baltimore, Maryland, United States, 21287
- Recruiting
- Johns Hopkins University
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02114
- Recruiting
- Massachusetts General Hospital
-
Boston, Massachusetts, United States, 02215
- Recruiting
- Dana-Farber Cancer Institute
-
-
New York
-
New York, New York, United States, 10065
- Recruiting
- Memorial Sloan Kettering Cancer Center
-
New York, New York, United States, 10016
- Recruiting
- NYU Langone
-
-
North Carolina
-
Durham, North Carolina, United States, 27710
- Recruiting
- Duke Cancer Center
-
Huntersville, North Carolina, United States, 28078
- Recruiting
- Carolina Biooncology Institute
-
-
Ohio
-
Cincinnati, Ohio, United States, 45219
- Recruiting
- The Christ Hospital
-
-
Tennessee
-
Nashville, Tennessee, United States, 37203
- Recruiting
- Sarah Cannon Research Institute
-
-
Texas
-
Dallas, Texas, United States, 75230
- Recruiting
- Sarah Cannon Research Institute at Mary Crowley
-
Houston, Texas, United States, 77030
- Recruiting
- University of Texas, MD Anderson Cancer Center
-
San Antonio, Texas, United States, 78229
- Recruiting
- START
-
-
Virginia
-
Fairfax, Virginia, United States, 22031
- Recruiting
- NEXT Oncology Virginia
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Pathologically documented, locally advanced or metastatic solid tumor with a KRAS G12D-mutation
- Received and progressed or been intolerant to prior standard therapy (including targeted therapy) appropriate for tumor type and stage
- ECOG performance status 0 or 1
- Adequate organ function
Exclusion Criteria:
- Primary central nervous system (CNS) tumors
- Known or suspected leptomeningeal or active brain metastases or spinal cord compression
- Known or suspected impairment of gastrointestinal function that may prohibit ability to swallow or absorb an oral medication
- Participant was previously treated with an investigational KRAS G12D inhibitor, pan- or multi-RAS inhibitor, or had prior therapy with any direct RAS-targeted therapy (eg, degraders and inhibitors)
Other inclusion/exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: RMC-9805 monotherapy arm
Dose exploration and dose expansion
|
Oral Tablets
|
|
Experimental: RMC-9805 plus RMC-6236 combination arm
Dose exploration and dose expansion
|
Oral Tablets
Oral Tablets
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adverse events
Time Frame: Up to 3 years
|
Incidence and severity of treatment-emergent Adverse Events (AEs) and serious AEs and clinically significant changes in laboratory values, ECGs, and vital signs
|
Up to 3 years
|
|
Dose Limiting Toxicities
Time Frame: 21 days
|
Number of participants with Dose Limiting Toxicities (DLTs)
|
21 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Response Rate (ORR)
Time Frame: up to 3 years
|
Assess per RECIST v1.1
|
up to 3 years
|
|
Duration of Response (DOR)
Time Frame: up to 3 years
|
Assess per RECIST v1.1
|
up to 3 years
|
|
Disease Control Rate (DCR)
Time Frame: up to 3 years
|
Assess per RECIST v1.1
|
up to 3 years
|
|
Time to Response (TTR)
Time Frame: up to 3 years
|
Assess per RECIST v1.1
|
up to 3 years
|
|
Progression-Free Survival (PFS)
Time Frame: up to 3 years
|
Assess per RECIST v1.1
|
up to 3 years
|
|
Maximum Observed Blood Concentration (Cmax) of RMC-9805 as monotherapy and in combination with RMC-6236, and Cmax of RMC-6236 in combination with RMC-9805
Time Frame: up to 21 weeks
|
Cmax
|
up to 21 weeks
|
|
Time to Reach Maximum Blood Concentration (Tmax) of RMC-9805 as monotherapy and in combination with RMC-6236, and Tmax of RMC-6236 in combination with RMC-9805
Time Frame: up to 21 weeks
|
Tmax
|
up to 21 weeks
|
|
Area Under Blood Concentration Time Curve (AUC) of RMC-9805 as monotherapy and in combination with RMC-6236, and AUC of RMC-6236 in combination with RMC-9805
Time Frame: up to 21 weeks
|
AUC
|
up to 21 weeks
|
|
Ratio of accumulation of RMC-9805 from a single dose to steady state with repeated dosing as monotherapy and in combination with RMC-6236, and ratio of accumulation of RMC-6236 in combination with RMC-9805
Time Frame: up to 21 weeks
|
accumulation ratio
|
up to 21 weeks
|
|
Elimination Half-Life (t1/2) of RMC-9805 as monotherapy and in combination with RMC-6236, and t1/2 of RMC-6236 in combination with RMC-9805
Time Frame: up to 21 weeks
|
t1/2
|
up to 21 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Revolution Medicines, Inc., Revolution Medicines, Inc.
Publications and helpful links
General Publications
- Cregg J, Edwards AV, Chang S, Lee BJ, Knox JE, Tomlinson ACA, Marquez A, Liu Y, Freilich R, Aay N, Wang Y, Jiang L, Jiang J, Wang Z, Flagella M, Wildes D, Smith JAM, Singh M, Wang Z, Gill AL, Koltun ES. Discovery of Daraxonrasib (RMC-6236), a Potent and Orally Bioavailable RAS(ON) Multi-selective, Noncovalent Tri-complex Inhibitor for the Treatment of Patients with Multiple RAS-Addicted Cancers. J Med Chem. 2025 Mar 27;68(6):6064-6083. doi: 10.1021/acs.jmedchem.4c02314. Epub 2025 Mar 8.
- Weller C, Burnett GL, Jiang L, Chakraborty S, Zhang D, Vita NA, Dilly J, Kim E, Maldonato B, Seamon K, Eilerts DF, Milin A, Marquez A, Spradlin J, Helland C, Gould A, Ziv TB, Dinh P, Steele SL, Wang Z, Mu Y, Chugh S, Feng H, Hennessey C, Wang J, Roth J, Rees M, Ronan M, Wolpin BM, Hahn WC, Holderfield M, Wang Z, Koltun ES, Singh M, Gill AL, Smith JAM, Aguirre AJ, Jiang J, Knox JE, Wildes D. A neomorphic protein interface catalyzes covalent inhibition of RASG12D aspartic acid in tumors. Science. 2025 Jul 24;389(6758):eads0239. doi: 10.1126/science.ads0239. Epub 2025 Jul 24.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Endocrine System Diseases
- Pathologic Processes
- Neoplasms by Site
- Neoplasms
- Intestinal Diseases
- Respiratory Tract Diseases
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Lung Diseases
- Endocrine Gland Neoplasms
- Pancreatic Diseases
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Colonic Diseases
- Neoplastic Processes
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Pathological Conditions, Signs and Symptoms
- Lung Neoplasms
- Colorectal Neoplasms
- Colonic Neoplasms
- Neoplasm Metastasis
- Pancreatic Neoplasms
- Gastrointestinal Neoplasms
- Carcinoma, Non-Small-Cell Lung
Other Study ID Numbers
Other Study ID Numbers
- RMC-9805-001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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