Undersøgelse af Daraxonrasib og Daraxonrasib + GnP som førstelinjebehandling hos patienter med metastatisk pankreasadenokarcinom (RASolute 303)
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
Status
Betingelser
Betingelser
Intervention / Behandling
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
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 3
Udvidet adgang
Udvidet adgang
Godkendt
- Tilgængelig: Udvidet adgang er i øjeblikket tilgængelig for denne forsøgsbehandling, og patienter, der ikke er deltagere i den kliniske undersøgelse, kan muligvis få adgang til lægemidlet, det biologiske eller medicinske udstyr undersøgt.
- Ikke længere tilgængelig: Udvidet adgang var tilgængelig for denne intervention tidligere, men er ikke tilgængelig i øjeblikket og vil ikke være tilgængelig i fremtiden.
- Midlertidigt ikke tilgængelig: Udvidet adgang er i øjeblikket ikke tilgængelig for denne intervention, men forventes at være tilgængelig i fremtiden.
- Godkendt til markedsføring: Interventionen er blevet godkendt af U.S. Food and Drug Administration til brug for offentligheden.
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Revolution Medicines Study Director
- Telefonnummer: 1-844-2-REVMED
- E-mail: medinfo@revmed.com
Studiesteder
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New South Wales
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Kogarah, New South Wales, Australien, 2217
- Rekruttering
- St. George Hospital
-
Randwick, New South Wales, Australien, 2031
- Rekruttering
- Prince of Wales Hospital
-
Kontakt:
- Kaye Kongrak
- Telefonnummer: 612-938-25131
- E-mail: kamonwan.kongrak@health.nsw.gov.au
-
Waratah, New South Wales, Australien, 2298
- Rekruttering
- Calvary Mater Newcastle
-
Kontakt:
- Kerrie Cornall
- Telefonnummer: +61 401 443 282
- E-mail: kerrie.cornall@health.nsw.gov.au
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Queensland
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Herston, Queensland, Australien, 4029
- Rekruttering
- Royal Brisbane and Women's Hospital
-
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Victoria
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East Melbourne, Victoria, Australien, 3002
- Rekruttering
- Epworth HealthCare
-
Kontakt:
- Ashleigh Poh
- Telefonnummer: 613-942-68880
- E-mail: eh-pancreaticcentre@epworth.org.au
-
Heidelberg, Victoria, Australien, 3084
- Rekruttering
- Austin Health, Olivia Newton-John Cancer Research & Wellness Centre
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-
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-
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Anderlecht, Belgien, 1070
- Rekruttering
- Institut Jules Bordet
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Leuven, Belgien, 3000
- Rekruttering
- UZ Leuven (Univ Ziekenhuis Leuven)
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-
-
-
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São Paulo, Brasilien, 09060-650
- Rekruttering
- CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia
-
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Santa Catarina
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Florianópolis, Santa Catarina, Brasilien, 88034-000
- Rekruttering
- CEPON - Centro de Pesquisa Oncologicas de Santa Catarina
-
Kontakt:
- Victor Fonseca
- E-mail: contatopesquisa@cepon.org.br
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Ontario
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Toronto, Ontario, Canada, M5G 1Z5
- Rekruttering
- Princess Margaret Cancer Centre
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Toronto, Ontario, Canada, M4N 3M5
- Rekruttering
- Sunnybrook Research Institute
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Quebec
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Montreal, Quebec, Canada, H4A 3J1
- Rekruttering
- McGill University - Dept. Oncology Clinical Research Program
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-
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-
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Birmingham, Det Forenede Kongerige, B15 2TH
- Rekruttering
- Queen Elizabeth Hospital - Birmingham
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Cambridge, Det Forenede Kongerige, CB2 0QQ
- Rekruttering
- NHS Cambridge of Addenbrooke Hospital
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Liverpool, Det Forenede Kongerige, L7 8YA
- Rekruttering
- The Clatterbridge Cancer Centre
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London, Det Forenede Kongerige, W1G 6AD
- Rekruttering
- Sarah Cannon Research Institute UK
-
Kontakt:
- SCRI Referrals Team
- Telefonnummer: 02032195200 ext 65218
- E-mail: Referrals.SCRI@hcahealthcare.co.uk
-
London, Det Forenede Kongerige, NW3 2QG
- Rekruttering
- Royal Free Hospital
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London, Det Forenede Kongerige, SE1 9RT
- Rekruttering
- Guy's Hospital
-
Kontakt:
- Debashis Sarker
- E-mail: gstt.giresearchteam@nhs.net
-
London, Det Forenede Kongerige, SW3 6JJ
- Rekruttering
- Royal Marsden Hospital - London
-
London, Det Forenede Kongerige, WC1E 6AG
- Rekruttering
- University College London Hospital
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London, Det Forenede Kongerige, EC1A 7BE
- Rekruttering
- Barts Hospital
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Manchester, Det Forenede Kongerige, M20 4BX
- Rekruttering
- The Christie NHS Foundation Trust
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Devon
-
Torquay, Devon, Det Forenede Kongerige, TQ2 7AA
- Rekruttering
- Torbay Hospital
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-
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Arizona
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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
-
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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
-
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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
-
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Nevada
-
Henderson, Nevada, Forenede Stater, 89052
- Aktiv, ikke rekrutterende
- Comprehensive Cancer Centers of Nevada
-
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New York
-
New York, New York, Forenede Stater, 10065
- Aktiv, ikke rekrutterende
- Memorial Sloan Kettering Cancer Center
-
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North Carolina
-
Durham, North Carolina, Forenede Stater, 27710
- Aktiv, ikke rekrutterende
- Duke University Medical Center
-
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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
-
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Tennessee
-
Nashville, Tennessee, Forenede Stater, 37203
- Aktiv, ikke rekrutterende
- SCRI Oncology Partners
-
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Texas
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Dallas, Texas, Forenede Stater, 95246
- Aktiv, ikke rekrutterende
- SCRI - Texas Oncology Dallas
-
Houston, Texas, Forenede Stater, 77030
- Aktiv, ikke rekrutterende
- MD Anderson Cancer Center
-
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Utah
-
Salt Lake City, Utah, Forenede Stater, 84112
- Aktiv, ikke rekrutterende
- Huntsman Cancer Institute
-
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Virginia
-
Fairfax, Virginia, Forenede Stater, 22031
- Aktiv, ikke rekrutterende
- Virginia Cancer Specialists
-
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Washington
-
Seattle, Washington, Forenede Stater, 98101
- Aktiv, ikke rekrutterende
- Virginia Mason Medical Center
-
-
-
-
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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
- Rekruttering
- St. Antonius Ziekenhuis
-
Kontakt:
- Geert Anne Cirkel
- Telefonnummer: +31 (0)88-3206273
- E-mail: g.cirkel@antoniusziekenhuis.nl
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-
-
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Sha Tin
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Hong Kong, Sha Tin, Hong Kong
- Rekruttering
- The Chinese University of Hong Kong
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-
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-
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Milan, Italien, 20133
- Rekruttering
- Fondazione IRCCS Istituto Nazionale dei Tumori
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Padova, Italien, 35128
- Rekruttering
- Istituto Oncologico Veneto IRCCS
-
Roma, Italien, 00168
- Rekruttering
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
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Tricase, Italien, 73039
- Rekruttering
- Azienda Ospedaliera Card. G. Panico
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Verona, Italien, 37134
- Rekruttering
- Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma)
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Chiba, Japan, 260-8717
- Rekruttering
- Chiba Cancer Center
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Fukuoka, Japan, 812-8582
- Rekruttering
- Kyushu University Hospital
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Fukuoka, Japan, 811-1395
- Rekruttering
- NHO Kyushu Cancer Center
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Kontakt:
- Terumasa Hisano
- Telefonnummer: +81-92-541-3231
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Kanagawa, Japan, 241-0815
- Rekruttering
- Kanagawa Cancer Canter
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Kontakt:
- Makoto Ueno
- Telefonnummer: +81-45-520-2222
-
Osaka, Japan, 541-8567
- Rekruttering
- Osaka International Cancer Institute
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Tokyo, Japan, 104-0045
- Rekruttering
- National Cancer Center - Tokyo
-
Wakayama, Japan, 641-8510
- Rekruttering
- Wakayama Medical University Hospital
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Kontakt:
- Reiko Ashida
- Telefonnummer: +81-73-447-2300
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Yamaguchi, Japan, 755-8505
- Rekruttering
- Yamaguchi University Hospital
-
Kontakt:
- Tatsuya Ioka
- Telefonnummer: +81-836-22-2111
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Chiba
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Kashiwa, Chiba, Japan, 277-8577
- Rekruttering
- National Cancer Center - East
-
Kontakt:
- Masafumi Ikeda
- Telefonnummer: +81-4-7133-1111
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Tokyo
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Koto-Ku, Tokyo, Japan, 135-8550
- Rekruttering
- Cancer Institute Hospital - Japan Foundation for Cancer Research
-
Kontakt:
- Masato Ozaka
- Telefonnummer: +81-3-3520-0111
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-
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-
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Singapore, Singapore, 168583
- Rekruttering
- National Cancer Centre Singapore
-
Kontakt:
- Lee Jie Xin Joycelyn
- Telefonnummer: 6564368000
- E-mail: clinical.trials@nccs.com.sg
-
Singapore, Singapore, 217562
- Rekruttering
- Curie Oncology Pte Ltd
-
Kontakt:
- Hui Shan Chong
- Telefonnummer: 659 829-7005
- E-mail: huishan_chong@curieresearch.sg
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-
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-
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Madrid, Spanien, 28041
- Rekruttering
- Hospital Universitario 12 de Octubre
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Madrid, Spanien, 28009
- Rekruttering
- Hospital General Universitario Gregorio Marañon
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Madrid, Spanien, 28064
- Rekruttering
- Hospital Universitario La Paz - PPDS
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Valencia, Spanien, 46010
- Rekruttering
- Hospital Clínico Universitario de Valencia
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-
-
-
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Busan, Sydkorea, 49201
- Rekruttering
- Dong-A University Hospital
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Seoul, Sydkorea, 03080
- Rekruttering
- Seoul National University Hospital
-
Kontakt:
- Eunjung Kim
- E-mail: miwansung@snu.ac.kr
-
Seoul, Sydkorea, 03722
- Rekruttering
- Severance Hospital, Yonsei University Health System
-
Seoul, Sydkorea, 06351
- Rekruttering
- Samsung Medical Center
-
Kontakt:
- Hyangsuk Jeong
- Telefonnummer: 82-2-3410-955
- E-mail: hyangsuk.jeong@samsung.com
-
Seoul, Sydkorea, 05505
- Rekruttering
- Asan Medical Center - PPDS
-
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Republic of Korea
-
Daegu, Republic of Korea, Sydkorea, 41404
- Rekruttering
- Kyungpook National University Chilgok Hospital
-
-
-
-
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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
-
-
-
-
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München, Tyskland, 81377
- Rekruttering
- Klinikum der Universitaet Muenchen Campus Grosshadern
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-
-
-
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Vienna, Østrig, 1020
- Rekruttering
- Krankenhaus der Barmherzigen Brüder Wien-Klinisch wissenschaftliche Studien
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
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
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / 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
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
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
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdomme i det endokrine system
- Neoplasmer efter sted
- Neoplasmer
- Neoplasmer i fordøjelsessystemet
- Sygdomme i fordøjelsessystemet
- Neoplasmer i endokrine kirtler
- Pancreassygdomme
- Bugspytkirtel neoplasmer
- Heterocykliske forbindelser, 1-ring
- Heterocykliske forbindelser
- Deoxycytidin
- Cytidin
- Pyrimidin -nukleosider
- Pyrimidiner
- Gemcitabin
- 130-nm albuminbundet paclitaxel
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- RMC-6236-303
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