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Undersøgelse af Daraxonrasib og Daraxonrasib + GnP som førstelinjebehandling hos patienter med metastatisk pankreasadenokarcinom (RASolute 303)

30. september 2026 opdateret af: Revolution Medicines, Inc.

RASolute 303: En fase 3 global, multicenter, åben-label, randomiseret, 3-armet undersøgelse af Daraxonrasib-monoterapi eller Daraxonrasib plus Gemcitabin og Nab-paclitaxel versus Gemcitabin og Nab-paclitaxel som første-linje behandling til patienter med metastatisk pankreasadenokarcinom

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.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This is a global, randomized, open-label, Phase 3 study designed to evaluate whether treatment with daraxonrasib monotherapy or daraxonrasib plus gemcitabine and nab-paclitaxel will improve progression-free survival and/or overall survival compared with standard gemcitabine and nab-paclitaxel when given as first-line treatment in patients with metastatic pancreatic adenocarcinoma.

Patients will be randomized to one of three arms: daraxonrasib (Arm A), daraxonrasib + gemcitabine and nab-paclitaxel (Arm B), or gemcitabine and nab-paclitaxel (Arm C).

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

900

Fase

  • Fase 3

Udvidet adgang

Godkendt til salg til offentligheden. Se udvidet adgangsregistrering.

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

  • Navn: Revolution Medicines Study Director
  • Telefonnummer: 1-844-2-REVMED
  • E-mail: medinfo@revmed.com

Studiesteder

    • New South Wales
      • Kogarah, New South Wales, Australien, 2217
        • Rekruttering
        • St. George Hospital
      • Randwick, New South Wales, Australien, 2031
      • Waratah, New South Wales, Australien, 2298
    • Queensland
      • Herston, Queensland, Australien, 4029
        • Rekruttering
        • Royal Brisbane and Women's Hospital
    • Victoria
      • East Melbourne, Victoria, Australien, 3002
      • Heidelberg, Victoria, Australien, 3084
        • Rekruttering
        • Austin Health, Olivia Newton-John Cancer Research & Wellness Centre
      • Anderlecht, Belgien, 1070
        • Rekruttering
        • Institut Jules Bordet
      • Leuven, Belgien, 3000
        • Rekruttering
        • UZ Leuven (Univ Ziekenhuis Leuven)
      • São Paulo, Brasilien, 09060-650
        • Rekruttering
        • CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia
    • Santa Catarina
      • Florianópolis, Santa Catarina, Brasilien, 88034-000
    • Ontario
      • Toronto, Ontario, Canada, M5G 1Z5
        • Rekruttering
        • Princess Margaret Cancer Centre
      • Toronto, Ontario, Canada, M4N 3M5
        • Rekruttering
        • Sunnybrook Research Institute
    • Quebec
      • Montreal, Quebec, Canada, H4A 3J1
        • Rekruttering
        • McGill University - Dept. Oncology Clinical Research Program
      • Birmingham, Det Forenede Kongerige, B15 2TH
        • Rekruttering
        • Queen Elizabeth Hospital - Birmingham
      • Cambridge, Det Forenede Kongerige, CB2 0QQ
        • Rekruttering
        • NHS Cambridge of Addenbrooke Hospital
      • Liverpool, Det Forenede Kongerige, L7 8YA
        • Rekruttering
        • The Clatterbridge Cancer Centre
      • London, Det Forenede Kongerige, W1G 6AD
      • London, Det Forenede Kongerige, NW3 2QG
        • Rekruttering
        • Royal Free Hospital
      • London, Det Forenede Kongerige, SE1 9RT
      • London, Det Forenede Kongerige, SW3 6JJ
        • Rekruttering
        • Royal Marsden Hospital - London
      • London, Det Forenede Kongerige, WC1E 6AG
        • Rekruttering
        • University College London Hospital
      • London, Det Forenede Kongerige, EC1A 7BE
        • Rekruttering
        • Barts Hospital
      • Manchester, Det Forenede Kongerige, M20 4BX
        • Rekruttering
        • The Christie NHS Foundation Trust
    • Devon
      • Torquay, Devon, Det Forenede Kongerige, TQ2 7AA
        • Rekruttering
        • Torbay Hospital
    • Arizona
      • Phoenix, Arizona, Forenede Stater, 85054
        • Aktiv, ikke rekrutterende
        • Mayo Clinic - Scottsdale
      • Scottsdale, Arizona, Forenede Stater, 85258
        • Aktiv, ikke rekrutterende
        • Honor Health Research Institute
    • California
      • Los Angeles, California, Forenede Stater, 90095
        • Aktiv, ikke rekrutterende
        • University of California Los Angeles Health - Hematology/Oncology
      • San Francisco, California, Forenede Stater, 94158
        • Aktiv, ikke rekrutterende
        • University of California San Francisco
    • Florida
      • Jacksonville, Florida, Forenede Stater, 32224
        • Aktiv, ikke rekrutterende
        • Mayo Clinic Cancer Center- Florida
      • Tampa, Florida, Forenede Stater, 33612
        • Aktiv, ikke rekrutterende
        • H Lee Moffitt Cancer Center and Research Institute
    • Maryland
      • Baltimore, Maryland, Forenede Stater, 21287
        • Aktiv, ikke rekrutterende
        • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater, 02215
        • Aktiv, ikke rekrutterende
        • Dana-Farber Cancer Institute
    • Michigan
      • Detroit, Michigan, Forenede Stater, 48202
        • Aktiv, ikke rekrutterende
        • Henry Ford Health System
    • Minnesota
      • Rochester, Minnesota, Forenede Stater, 55905
        • Aktiv, ikke rekrutterende
        • Mayo Clinic Cancer Center- Rochester
    • Nevada
      • Henderson, Nevada, Forenede Stater, 89052
        • Aktiv, ikke rekrutterende
        • Comprehensive Cancer Centers of Nevada
    • New York
      • New York, New York, Forenede Stater, 10065
        • Aktiv, ikke rekrutterende
        • Memorial Sloan Kettering Cancer Center
    • North Carolina
      • Durham, North Carolina, Forenede Stater, 27710
        • Aktiv, ikke rekrutterende
        • Duke University Medical Center
    • Ohio
      • Cincinnati, Ohio, Forenede Stater, 45219
        • Aktiv, ikke rekrutterende
        • University of Cincinnati Cancer Center
      • Maumee, Ohio, Forenede Stater, 43537
        • Aktiv, ikke rekrutterende
        • Taylor Cancer Research Center
    • Tennessee
      • Nashville, Tennessee, Forenede Stater, 37203
        • Aktiv, ikke rekrutterende
        • SCRI Oncology Partners
    • Texas
      • Dallas, Texas, Forenede Stater, 95246
        • Aktiv, ikke rekrutterende
        • SCRI - Texas Oncology Dallas
      • Houston, Texas, Forenede Stater, 77030
        • Aktiv, ikke rekrutterende
        • MD Anderson Cancer Center
    • Utah
      • Salt Lake City, Utah, Forenede Stater, 84112
        • Aktiv, ikke rekrutterende
        • Huntsman Cancer Institute
    • Virginia
      • Fairfax, Virginia, Forenede Stater, 22031
        • Aktiv, ikke rekrutterende
        • Virginia Cancer Specialists
    • Washington
      • Seattle, Washington, Forenede Stater, 98101
        • Aktiv, ikke rekrutterende
        • Virginia Mason Medical Center
      • Rotterdam, Holland, 3015 GD
        • Rekruttering
        • Erasmus Medisch Centrum
        • Kontakt:
          • Marjolein Yvonne Veronique Homs
          • Telefonnummer: +31 (0)10 704 17 54
          • E-mail: m.homs@erasmusmc.nl
      • Utrecht, Holland, 3543 AZ
    • Sha Tin
      • Hong Kong, Sha Tin, Hong Kong
        • Rekruttering
        • The Chinese University of Hong Kong
      • Milan, Italien, 20133
        • Rekruttering
        • Fondazione IRCCS Istituto Nazionale dei Tumori
      • Padova, Italien, 35128
        • Rekruttering
        • Istituto Oncologico Veneto IRCCS
      • Roma, Italien, 00168
        • Rekruttering
        • Fondazione Policlinico Universitario Agostino Gemelli IRCCS
      • Tricase, Italien, 73039
        • Rekruttering
        • Azienda Ospedaliera Card. G. Panico
      • Verona, Italien, 37134
        • Rekruttering
        • Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma)
      • Chiba, Japan, 260-8717
        • Rekruttering
        • Chiba Cancer Center
      • Fukuoka, Japan, 812-8582
        • Rekruttering
        • Kyushu University Hospital
      • Fukuoka, Japan, 811-1395
        • Rekruttering
        • NHO Kyushu Cancer Center
        • Kontakt:
          • Terumasa Hisano
          • Telefonnummer: +81-92-541-3231
      • Kanagawa, Japan, 241-0815
        • Rekruttering
        • Kanagawa Cancer Canter
        • Kontakt:
          • Makoto Ueno
          • Telefonnummer: +81-45-520-2222
      • Osaka, Japan, 541-8567
        • Rekruttering
        • Osaka International Cancer Institute
      • Tokyo, Japan, 104-0045
        • Rekruttering
        • National Cancer Center - Tokyo
      • Wakayama, Japan, 641-8510
        • Rekruttering
        • Wakayama Medical University Hospital
        • Kontakt:
          • Reiko Ashida
          • Telefonnummer: +81-73-447-2300
      • Yamaguchi, Japan, 755-8505
        • Rekruttering
        • Yamaguchi University Hospital
        • Kontakt:
          • Tatsuya Ioka
          • Telefonnummer: +81-836-22-2111
    • Chiba
      • Kashiwa, Chiba, Japan, 277-8577
        • Rekruttering
        • National Cancer Center - East
        • Kontakt:
          • Masafumi Ikeda
          • Telefonnummer: +81-4-7133-1111
    • Tokyo
      • Koto-Ku, Tokyo, Japan, 135-8550
        • Rekruttering
        • Cancer Institute Hospital - Japan Foundation for Cancer Research
        • Kontakt:
          • Masato Ozaka
          • Telefonnummer: +81-3-3520-0111
      • Singapore, Singapore, 168583
        • Rekruttering
        • National Cancer Centre Singapore
        • Kontakt:
      • Singapore, Singapore, 217562
      • Madrid, Spanien, 28041
        • Rekruttering
        • Hospital Universitario 12 de Octubre
      • Madrid, Spanien, 28009
        • Rekruttering
        • Hospital General Universitario Gregorio Marañon
      • Madrid, Spanien, 28064
        • Rekruttering
        • Hospital Universitario La Paz - PPDS
      • Valencia, Spanien, 46010
        • Rekruttering
        • Hospital Clínico Universitario de Valencia
      • Busan, Sydkorea, 49201
        • Rekruttering
        • Dong-A University Hospital
      • Seoul, Sydkorea, 03080
        • Rekruttering
        • Seoul National University Hospital
        • Kontakt:
      • Seoul, Sydkorea, 03722
        • Rekruttering
        • Severance Hospital, Yonsei University Health System
      • Seoul, Sydkorea, 06351
      • Seoul, Sydkorea, 05505
        • Rekruttering
        • Asan Medical Center - PPDS
    • Republic of Korea
      • Daegu, Republic of Korea, Sydkorea, 41404
        • Rekruttering
        • Kyungpook National University Chilgok Hospital
      • Kaohsiung City, Taiwan, 80756
        • Rekruttering
        • Kaohsiung Medical University - Chung-Ho Memorial Hospital
      • Taichung, Taiwan, 40447
        • Rekruttering
        • China Medical University Hospital
      • Tainan, Taiwan, 704
        • Rekruttering
        • National Cheng Kung University Hospital
      • Taipei, Taiwan, 11217
        • Rekruttering
        • Taipei Veterans General Hospital
      • Taipei, Taiwan, 100225, R.O.C
        • Rekruttering
        • National Taiwan University Hospital
      • München, Tyskland, 81377
        • Rekruttering
        • Klinikum der Universitaet Muenchen Campus Grosshadern
      • Vienna, Østrig, 1020
        • Rekruttering
        • Krankenhaus der Barmherzigen Brüder Wien-Klinisch wissenschaftliche Studien

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

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 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.

Exclusion Criteria:

  • 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.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Arm A: daraxonrasib

study drug

oral tablets

Eksperimentel: Arm B: daraxonrasib + gemcitabine and nab-paclitaxel

study drug in combination with chemotherapy

IV infusion

oral tablets

intravenous (IV) infusion

Aktiv komparator: Arm C: gemcitabine and nab-paclitaxel

SOC chemotherapy

IV infusion

intravenous (IV) infusion

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Progression free survival (PFS)
Tidsramme: Up to approximately 2 years

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)
Tidsramme: Up to approximately 2 years

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

Up to approximately 2 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Objective response rate (ORR)
Tidsramme: Up to approximately 2 years

Objective response is defined as partial response (PR) or complete response (CR) per RECIST v1.1, as assessed by the Investigator.

Up to approximately 2 years
Duration of response (DOR)
Tidsramme: Up to approximately 2 years

DOR is defined as time from first evidence of objective response (PR or CR) to disease progression or death due to any cause, whichever occurs first, as assessed by the investigator.

Up to approximately 2 years
Concentration of daraxonrasib in Arm A and B
Tidsramme: Up to Cycle 5 Day 1 (each cycle is 28 days)

Pre-dose trough and post-dose blood concentrations of daraxonrasib at selected visits.

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)
Tidsramme: Up to approximately 2 years

EORTC QLQ-PAN26 consists of 26 items assessing patient-reported health-related quality of life, including symptoms and impacts. Change from baseline in the pain subscale scores will be evaluated, with higher scores indicating greater symptom burden.

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)
Tidsramme: Up to approximately 2 years

EORTC QLQ-C30 is a 30-item cancer-specific instrument consisting of 5 functional scales (physical, role, cognitive, emotional, and social), 9 symptom scales (fatigue, pain, nausea/vomiting, dyspnea, appetite loss, insomnia, constipation/diarrhea, and financial difficulties), and an overall scale for global health status. Change from baseline in EORTC QLQ-C30 global health status will be assessed, with higher scores reflecting better functioning.

Up to approximately 2 years
Incidence of adverse events (AEs)
Tidsramme: Up to approximately 2 years

Percentage of patients with AEs as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v5

Up to approximately 2 years
Changes in vital signs
Tidsramme: Up to approximately 2 years

Number of patients with clinically significant changes in vital signs

Up to approximately 2 years
Changes in clinical laboratory test values
Tidsramme: Up to approximately 2 years

Number of patients with changes from baseline in clinical laboratory test values

Up to approximately 2 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

9. marts 2026

Primær færdiggørelse (Anslået)

1. juni 2028

Studieafslutning (Anslået)

1. marts 2029

Datoer for studieregistrering

Først indsendt

10. marts 2026

Først indsendt, der opfyldte QC-kriterier

19. marts 2026

Først opslået (Faktiske)

24. marts 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • RMC-6236-303

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .