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
調査の概要
状態
詳細な説明
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).
研究の種類
入学 (推定)
段階
- フェーズ 3
連絡先と場所
研究連絡先
- 名前:Revolution Medicines Study Director
- 電話番号:1-844-2-REVMED
- メール:medinfo@revmed.com
研究場所
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Arizona
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Tucson、Arizona、アメリカ、85719
- 募集
- The University of Arizona Cancer Center-North Campus
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コンタクト:
- Zimmerman
- 電話番号:520-626-8286
- メール:priscaz@arizona.edu
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Connecticut
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New Haven、Connecticut、アメリカ、06511
- 募集
- Yale University
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コンタクト:
- Boateng
- 電話番号:203-314-7948
- メール:Kwasi.boateng@yale.edu
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Florida
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Tampa、Florida、アメリカ、33612
- 募集
- Moffitt Cancer Center
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コンタクト:
- Kim
- 電話番号:813-745-3691
- メール:Cheyenne.Schneider@moffitt.org
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Georgia
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Atlanta、Georgia、アメリカ、30318
- 募集
- Piedmont Healthcare
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コンタクト:
- Mieri
- 電話番号:404-425-1777
- メール:Takiyyah.Hamilton@piedmont.org
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Illinois
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Chicago、Illinois、アメリカ、60637
- 募集
- University Of Chicago Medical Center
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コンタクト:
- Desgardin
- 電話番号:773-834-7188
- メール:adesgard@bsd.uchicago.edu
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Maryland
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Baltimore、Maryland、アメリカ、21287
- 募集
- Johns Hopkins University
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コンタクト:
- Apostol
- 電話番号:410-502-7484
- メール:giclinicaltrials@jhmi.edu
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Massachusetts
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Boston、Massachusetts、アメリカ、02215
- 募集
- Dana Farber Cancer Institute
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コンタクト:
- Lindquist
- 電話番号:857-215-2351
- メール:DanielleA_Lindquist@DFCI.HARVARD.EDU
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New Jersey
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East Brunswick、New Jersey、アメリカ、08816
- 募集
- Astera Cancer Care
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コンタクト:
- Yao
- 電話番号:ext 1012 732-390-7750
- メール:eileen.peng@asterahealthcare.org
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New Brunswick、New Jersey、アメリカ、08901
- 募集
- Rutgers Cancer University
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コンタクト:
- DiOrio
- 電話番号:732-235-2135
- メール:kassie.diorio@rutgers.edu
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
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.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的:Arm A: zoldonrasib + chemotherapy
study drug in combination with Investigator choice chemotherapy (mFFX or GnP)
|
点滴
点滴
点滴
点滴
経口錠剤
IV infusion
IV infusion
|
|
プラセボコンパレーター:Arm B: placebo + chemotherapy
placebo in combination with Investigator choice chemotherapy (mFFX or GnP)
|
経口錠
点滴
点滴
点滴
点滴
IV infusion
IV infusion
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Progression free survival (PFS)
時間枠: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)
時間枠:Up to approximately 4 years
|
OS is defined as the time from randomization until death from any cause.
|
Up to approximately 4 years
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
PFS per blinded independent central review (BICR)
時間枠: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)
時間枠: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
|
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Duration of response (DOR)
時間枠: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
|
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Incidence of adverse events (AEs)
時間枠: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
|
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Changes in vital signs
時間枠:Up to approximately 4 years
|
Number of patients with clinically significant changes in vital signs.
|
Up to approximately 4 years
|
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Changes in clinical laboratory test values
時間枠: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
時間枠: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
|
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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
時間枠: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
時間枠: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)
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- RMC-9805-305
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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