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Trial Title: Phase 3 Study of RMC-6236 in Patients with Previously Treated Metastatic Pancreatic Ductal Adenocarcinoma (PDAC)

NCT ID: NCT06625320

Condition: Pancreatic Cancer
PDAC
PDAC - Pancreatic Ductal Adenocarcinoma

Conditions: Official terms:
Adenocarcinoma
Pancreatic Neoplasms
Leucovorin
Paclitaxel
Gemcitabine
Oxaliplatin
Fluorouracil
Irinotecan

Conditions: Keywords:
Pancreatic Cancer
PDAC
Pancreatic Ductal Adenocarcinoma
RAS
KRAS
NRAS
HRAS
RAS Wild-Type
RAS Q61 Mutation
RAS G12 Mutation
RAS G13 Mutation

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: RMC-6236
Description: Oral Tablets
Arm group label: RMC-6236

Intervention type: Drug
Intervention name: Gemcitabine
Description: intravenous (IV) infusion
Arm group label: Investigator's choice of standard of care therapy

Intervention type: Drug
Intervention name: nab-paclitaxel
Description: IV infusion
Arm group label: Investigator's choice of standard of care therapy

Intervention type: Drug
Intervention name: Irinotecan
Description: IV infusion
Arm group label: Investigator's choice of standard of care therapy

Intervention type: Drug
Intervention name: Liposomal irinotecan
Description: IV infusion
Arm group label: Investigator's choice of standard of care therapy

Intervention type: Drug
Intervention name: 5-fluorouracil
Description: IV infusion
Arm group label: Investigator's choice of standard of care therapy

Intervention type: Drug
Intervention name: leucovorin
Description: IV infusion
Arm group label: Investigator's choice of standard of care therapy

Intervention type: Drug
Intervention name: Oxaliplatin
Description: IV infusion
Arm group label: Investigator's choice of standard of care therapy

Summary: The purpose of this study is to evaluate the safety and efficacy of a novel RAS(ON) inhibitor compared to standard(s) of care (SOC) treatment.

Detailed description: This is a global, randomized, open-label, Phase 3 study designed to evaluate whether treatment with RMC-6236 will improve progression free survival (PFS) or overall survival (OS) compared to Investigator's choice of standard of care chemotherapy in patients with metastatic PDAC who were previously treated with one prior line of therapy with 5-fluorouracil (5-FU) based or gemcitabine-based regimen. Patients will be randomized in a 1:1 ratio to receive RMC-6236 (Arm A) or Investigator's choice of standard of care chemotherapy (Arm B).

Criteria for eligibility:
Criteria:
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 PDAC with metastatic disease. - Measurable disease per RECIST 1.1. - Adequate organ function (bone marrow, liver, kidney, coagulation) - Documented RAS mutation status, either mutant or wild-type. Eligible RAS mutations defined as nonsynonymous mutations in KRAS, NRAS, or HRAS at codons 12, 13, or 61 (G12, G13, or Q61). - Able to take oral medications. Exclusion Criteria: - Prior therapy with direct RAS-targeted therapy (eg. degraders and/or inhibitors). - History of or known central nervous system metastatic disease. - Any conditions that may affect the ability to take or absorb study treatment - Major surgery within 4 weeks prior to randomization. - Patient is unable or unwilling to comply with protocol-required study visits or procedures

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: UCLA

Address:
City: Los Angeles
Zip: 90095
Country: United States

Status: Recruiting

Contact:
Last name: Bindu Cherian

Phone: 310-633-8400

Phone ext: 16031
Email: bcherian@mednet.ucla.edu

Facility:
Name: Memorial Sloan Kettering Cancer Center

Address:
City: New York
Zip: 10022
Country: United States

Status: Recruiting

Facility:
Name: Huntsman Cancer Institute

Address:
City: Salt Lake City
Zip: 84112
Country: United States

Status: Recruiting

Contact:
Last name: Susan Sharry

Phone: 801-585-3453
Email: susan.sharry@hci.utah.edu

Facility:
Name: Virginia Cancer Specialists

Address:
City: Fairfax
Zip: 22031
Country: United States

Status: Recruiting

Contact:
Last name: Carrie Friedman

Phone: 703-636-1473
Email: carrie.friedman@usoncology.com

Start date: October 16, 2024

Completion date: December 2027

Lead sponsor:
Agency: Revolution Medicines, Inc.
Agency class: Industry

Source: Revolution Medicines, Inc.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06625320

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