Study of Zoldonrasib + Chemo of Investigator's Choice vs Placebo + Chemo of Investigator's Choice as First-line Treatment in Metastatic KRAS G12D-mutated Pancreatic Adenocarcinoma ( RASolute 305 ) (RASolute 305)
RASolute 305: A Phase 3, Randomized, Double-blind, Placebo-controlled Study of Investigator Choice of Chemotherapy (Modified FOLFIRINOX or Gemcitabine Plus Nab-Paclitaxel) With or Without Zoldonrasib (RMC-9805) as First-line Treatment in Patients With Metastatic KRAS G12D-mutated Pancreatic Adenocarcinoma
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
This is a Phase 3, global, randomized, double-blind study designed to evaluate whether treatment with zoldonrasib in combination with Investigator choice of chemotherapy will improve progression-free survival or overall survival compared to placebo in combination with Investigator choice of chemotherapy when given to patients with previously untreated, 1L metastatic KRAS G12D-mutated pancreatic adenocarcinoma. Choice of chemotherapy (mFFX or GnP) will be at the discretion of the Investigator.
Patients will be randomized to one of two arms: zoldonrasib + Investigator choice of chemotherapy (Arm A) or placebo + Investigator choice of chemotherapy (Arm B).
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Revolution Medicines Study Director
- Telefonnummer: 1-844-2-REVMED
- E-Mail: medinfo@revmed.com
Studienorte
-
-
Arizona
-
Tucson, Arizona, Vereinigte Staaten, 85719
- Rekrutierung
- The University of Arizona Cancer Center-North Campus
-
Kontakt:
- Zimmerman
- Telefonnummer: 520-626-8286
- E-Mail: priscaz@arizona.edu
-
-
Connecticut
-
New Haven, Connecticut, Vereinigte Staaten, 06511
- Rekrutierung
- Yale University
-
Kontakt:
- Boateng
- Telefonnummer: 203-314-7948
- E-Mail: Kwasi.boateng@yale.edu
-
-
Florida
-
Tampa, Florida, Vereinigte Staaten, 33612
- Rekrutierung
- Moffitt Cancer Center
-
Kontakt:
- Kim
- Telefonnummer: 813-745-3691
- E-Mail: Cheyenne.Schneider@moffitt.org
-
-
Georgia
-
Atlanta, Georgia, Vereinigte Staaten, 30318
- Rekrutierung
- Piedmont Healthcare
-
Kontakt:
- Mieri
- Telefonnummer: 404-425-1777
- E-Mail: Takiyyah.Hamilton@piedmont.org
-
-
Illinois
-
Chicago, Illinois, Vereinigte Staaten, 60637
- Rekrutierung
- University Of Chicago Medical Center
-
Kontakt:
- Desgardin
- Telefonnummer: 773-834-7188
- E-Mail: adesgard@bsd.uchicago.edu
-
-
Maryland
-
Baltimore, Maryland, Vereinigte Staaten, 21287
- Rekrutierung
- Johns Hopkins University
-
Kontakt:
- Apostol
- Telefonnummer: 410-502-7484
- E-Mail: giclinicaltrials@jhmi.edu
-
-
Massachusetts
-
Boston, Massachusetts, Vereinigte Staaten, 02215
- Rekrutierung
- Dana Farber Cancer Institute
-
Kontakt:
- Lindquist
- Telefonnummer: 857-215-2351
- E-Mail: DanielleA_Lindquist@DFCI.HARVARD.EDU
-
-
New Jersey
-
East Brunswick, New Jersey, Vereinigte Staaten, 08816
- Rekrutierung
- Astera Cancer Care
-
Kontakt:
- Yao
- Telefonnummer: ext 1012 732-390-7750
- E-Mail: eileen.peng@asterahealthcare.org
-
New Brunswick, New Jersey, Vereinigte Staaten, 08901
- Rekrutierung
- Rutgers Cancer University
-
Kontakt:
- DiOrio
- Telefonnummer: 732-235-2135
- E-Mail: kassie.diorio@rutgers.edu
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
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 screening.
- Documented KRAS G12D mutation status.
- 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 unresectable locally advanced or metastatic setting.
- Prior systemic RAS-targeted therapy any time prior to randomization.
- Presence of other known driver mutations with approved targeted therapies
- 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.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Doppelt
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Arm A: zoldonrasib + chemotherapy
study drug in combination with Investigator choice chemotherapy (mFFX or GnP)
|
IV-Infusion
IV-Infusion
IV-Infusion
IV-Infusion
orale Tabletten
IV infusion
IV infusion
|
|
Placebo-Komparator: Arm B: placebo + chemotherapy
placebo in combination with Investigator choice chemotherapy (mFFX or GnP)
|
orale Tabletten
IV-Infusion
IV-Infusion
IV-Infusion
IV-Infusion
IV infusion
IV infusion
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Progression free survival (PFS)
Zeitfenster: Up to approximately 4 years
|
PFS is defined as the time from randomization until disease progression or death from any cause, whichever occurs first.
Progression is assessed per response evaluation criteria in solid tumors (RECIST) v1.1 by Investigator.
|
Up to approximately 4 years
|
|
Overall survival (OS)
Zeitfenster: Up to approximately 4 years
|
OS is defined as the time from randomization until death from any cause.
|
Up to approximately 4 years
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
PFS per blinded independent central review (BICR)
Zeitfenster: Up to approximately 4 years
|
PFS is defined as the time from randomization until disease progression or death from any cause, whichever occurs first.
Progression is assessed RECIST v1.1 by BICR.
|
Up to approximately 4 years
|
|
Objective response rate (ORR)
Zeitfenster: Up to approximately 4 years
|
Objective response is defined as partial response (PR) or complete response (CR) as assessed per RECIST v1.1 by Investigator and BICR.
|
Up to approximately 4 years
|
|
Duration of response (DOR)
Zeitfenster: Up to approximately 4 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 and BICR.
|
Up to approximately 4 years
|
|
Incidence of adverse events (AEs)
Zeitfenster: Up to approximately 4 years
|
Percentage of patients with AEs as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v5
|
Up to approximately 4 years
|
|
Changes in vital signs
Zeitfenster: Up to approximately 4 years
|
Number of patients with clinically significant changes in vital signs.
|
Up to approximately 4 years
|
|
Changes in clinical laboratory test values
Zeitfenster: Up to approximately 4 years
|
Number of patients with changes from baseline in clinical laboratory test values
|
Up to approximately 4 years
|
|
Health-related outcome assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Pancreatic Cancer Module (EORTC QLQ-PAN26) pain scale
Zeitfenster: Up to approximately 4 years
|
EORTC QLQ-PAN26 consists of 26 questions relating to disease symptoms, treatment side effects and emotional issues specific to pancreatic cancer.
The pancreatic pain subscale assesses abdominal pain, back pain, and pain while lying down.
Change in score from baseline in the pain subscale will be assessed with higher scores on the pain subscale indicating more severe pain and worsening function.
|
Up to approximately 4 years
|
|
Quality of life as assessed with European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) global health status score
Zeitfenster: Up to approximately 4 years
|
EORTC QLQ-C30 consists of 5 functional scales (physical, role, cognitive, emotional, and social), 9 symptom scales (fatigue, pain, nausea/vomiting, dyspnoea, appetite loss, insomnia, constipation/diarrhea, and financial difficulties), and an overall scale for global health status.
It uses a mix of 4-point scales and 7-point scales.
Change from baseline in EORTC QLQ-C30 global health status will be assessed.
Higher scores on functional scales reflect better functioning, whereas higher scores on symptom scales reflect higher symptom burden.
|
Up to approximately 4 years
|
|
Concentration of zoldonrasib in Arm A
Zeitfenster: Up to Cycle 5 Day 1 (each cycle is 28 days)
|
Pre-dose trough and post-dose blood concentrations of zoldonrasib at selected visits.
|
Up to Cycle 5 Day 1 (each cycle is 28 days)
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des endokrinen Systems
- Neubildungen nach Standort
- Neubildungen
- Neoplasmen des Verdauungssystems
- Erkrankungen des Verdauungssystems
- Neoplasmen der endokrinen Drüse
- Erkrankungen der Bauchspeicheldrüse
- Neoplasmen der Bauchspeicheldrüse
- Organische Chemikalien
- Heterocyclische Verbindungen, 1-Ring
- Heterocyclische Verbindungen
- Heterocyclische Verbindungen, 2-Ring
- Heterocyclische Verbindungen, Fusionsring
- Camptothecin
- Alkaloide
- Enzyme und Coenzyme
- Koordinationskomplexe
- Desoxycytidin
- Cytidin
- Pyrimidin -Nucleoside
- Pyrimidine
- Formyltetrahydrofolate
- Tetrahydrofolate
- Folsäure
- Pterins
- Pteridine
- Uracil
- Pyrimidinone
- Coenzyme
- Oxaliplatin
- Irinotecan
- Gemcitabin
- Fluoruracil
- Leucovorin
- 130-nm-Albumin-gebundenes Paclitaxel
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- RMC-9805-305
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .