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CLINICAL STUDY · NCT06162221

Study of RAS(ON) Inhibitors in Patients With Advanced RAS-mutated NSCLC

RecruitingPhase 1 / Phase 2Interventional

Sponsored by Revolution Medicines, Inc.

Condition
Non-Small Cell Lung Cancer, NSCLC, KRAS, NRAS, HRAS-mutated NSCLC, KRAS G12C-mutated Solid Tumors, Lung Cancer, Lung Cancer Stage IV, Advanced Solid Tumor, Cancer, RAS G12D-mutated NSCLC
Study locations
98 reported sites
Study updated
19 Oct 2026
Source
ClinicalTrials.gov

Overall study status is shown above. Individual hospitals may have a different recruitment status.

THE STUDY

About this study

The purpose of this platform study is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of novel RAS(ON) inhibitors as a monotherapy or combined with Standard(s) of Care (SOC) or with each other.

The first four subprotocols include the following:

Subprotocol A: RMC-6291 +/- RMC-6236 + SOC Subprotocol B: RMC-6236 + SOC Subprotocol C: RMC-9805 +/- RMC-6236 + SOC Subprotocol D: RMC-9805
Full official title
A Platform Study of RAS(ON) Inhibitors in Patients With RAS-Mutated Non-Small Cell Lung Cancer (NSCLC)
Detailed description
The platform study design allows combinations of RAS(ON) inhibitors with other anticancer agents or as a monotherapy to be evaluated in patients with RAS-mutated solid tumors with a focus on NSCLC.

This is an open-label platform Phase 1b/2 study to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of novel RAS(ON) inhibitors combined with Standard of Care (SOC), or as a monotherapy and to define the Recommended Phase 2 Dose and Schedule (RP2DS). Enrollment of patients with KRAS or RAS mutations will be specified in each subprotocol.

Subprotocol A is an open-label, multicenter, Phase 1b/2 study of RMC-6291, with or without RMC-6236, in combination with pembrolizumab, with or without chemotherapy, in patients with KRAS G12C-mutated advanced solid tumors.

Subprotocol B is an open-label, multicenter, Phase1b/2 study of RMC-6236 in combination with pembrolizumab, with or without chemotherapy, in patients with RAS-mutated non-small cell lung cancer (NSCLC)

Subprotocol C is an open-label, multicenter, Phase1b/2 study of RMC-9805 with or without RMC-6236, in combination with other anticancer agents, in patients with RAS G12D-mutated non-small cell lung cancer (NSCLC)

Subprotocol D is a Phase 2, Open-label, Multicenter Study of Zoldonrasib (RMC-9805) in Previously Treated Patients with RAS G12D-Mutant Non-Small Cell Lung Cancer (NSCLC)

Subprotocols A, B, and C consist of two parts: Part 1 - Dose Exploration and Part 2 - Dose Expansion. Subprotocol D consists of only one part.

PARTICIPATION

Who may participate

Minimum age
18 Years
Maximum age
Not reported
Sex eligibility
All sexes
Healthy volunteers
Not accepted

Only the study team can confirm eligibility. The registry criteria below are not a medical recommendation.

Full inclusion and exclusion criteria
Inclusion criteria:

All Patients (unless otherwise noted):

* ≥ 18 years of age
* ECOG PS is 0 to 1
* Adequate organ function as outlined by the study
* Received prior standard therapy appropriate for tumor type and stage
* Must have pathologically documented, locally advanced or metastatic KRAS G12C-mutated solid tumor malignancy (not amenable to curative surgery) (Subprotocol A)
* Must have pathologically documented, locally advanced or metastatic RAS-mutated NSCLC (Subprotocol B)
* Must have pathologically documented, locally advanced or metastatic RAS G12D-mutated NSCLC (Subprotocol C and Subprotocol D)

Exclusion criteria:

All Patients:

* Primary central nervous system (CNS) tumors
* Impaired gastrointestinal (GI) function that may significantly alter the absorption of RMC drugs
* Major surgery \< 28 days of first dose
* Active or history of interstitial lung disease (ILD) or pneumonitis requiring steroids

Other inclusion/exclusion criteria may apply.

NEAR YOU

Study locations worldwide

98 sites

Check the individual site’s status and contact the listed study team for current availability.

UC Davis, Davis Comprehensive Cancer Center

Recruiting

Sacramento, California, 95817, United States

Site contacts (1)
Thanina AmiratContactPhone: 916-734-3186Email: tamirat@ucdavis.edu

University of California, San Diego Moores Cancer Center

Recruiting

San Diego, California, 92037, United States

Site contacts (1)
Kathy VelascoContactPhone: 858-822-5677Email: kcvelasco@health.ucsd.edu

UCSF Medical Center - Mission Bay

Recruiting

San Francisco, California, 94158, United States

Site contacts (1)
Name not reportedContactPhone: 415-866-7866Email: lisa.tan@ucsf.edu

Georgetown University Medical Center

Recruiting

Washington D.C., District of Columbia, 20007, United States

Site contacts (1)
Shannon RaueContactPhone: 202-784-5097Email: sr1657@georgetown.edu

Boca Raton Clinical Research Associates

Recruiting

Plantation, Florida, 33322, United States

Site contacts (1)
Sandra PerezContactPhone: 561-447-0614Email: sperez@brcrglobal.com

University Hospitals Cleveland Medical Center

Recruiting

Cleveland, Ohio, 44106, United States

Site contacts (1)
Name not reportedContactPhone: 216-844-3951

UPMC Hillman Cancer Center

Recruiting

Pittsburgh, Pennsylvania, 15232, United States

Site contacts (1)
Name not reportedContactEmail: iddcreferrals@upmc.edu

The University of Texas MD Anderson Cancer Center

Recruiting

Houston, Texas, 77030, United States

Site contacts (1)
Alison ShawContactPhone: 713-563-1235Email: ANTran1@mdanderson.org

Centre Georges François Leclerc

Recruiting

Dijon, Bourgogne-Franche-Comté, 21079, France

Site contacts (1)
François GhirighhelliContactPhone: 33 3 80 73 75 06Email: fghiringhelli@cgfl.fr

Uniklinik Köln

Recruiting

Cologne, 50937, Germany

Site contacts (1)
Name not reportedContactEmail: lungenkrebs@uk-koeln.de

Universitätsklinikum Carl Gustav Carus an der TU Dresden

Recruiting

Dresden, 01307, Germany

Site contacts (1)
Max LangnerContactPhone: +49 351 458 7566Email: ectu@ukdd.de

Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.l

Recruiting

Meldola, Emilia-Romagna, 47014, Italy

Site contacts (1)
Oriana NanniContactEmail: oriana.nanni@irst.emr.it

The Netherlands Cancer Institute (NKI)

Recruiting

Amsterdam, 1066, Netherlands

Site contacts (1)
Name not reportedContactPhone: 0031 (0)20-512 9111Email: fase1@nki.nl

Hospital Universitario 12 de Octubre

Recruiting

Madrid, Madrid, 28041, Spain

Site contacts (1)
Name not reportedContactEmail: oncologia.imas12@h12o.es

Clinica Universidad de Navarra

Recruiting

Pamplona, Navarre, 31008, Spain

Site contacts (1)
Mariano Ponz SarviseContactPhone: +34 91 353 19 20Email: eecc@unav.es

Hospital Universitario Ramon y Cajal

Recruiting

Madrid, 28034, Spain

Site contacts (1)
Maria Eugenia OlmedoContactPhone: 34-913-369-159

Hospital Universitario Fundacion Jimenez Diaz

Recruiting

Madrid, 28040, Spain

Site contacts (1)
Name not reportedContactPhone: +34 91 550 4800 ext. 2805Email: fjd@startmadrid.com

Fundacion Instituto Valenciano de Oncologia

Recruiting

Valencia, 46009, Spain

Site contacts (1)
David Lorente EstellésContactPhone: +34 961114229Email: dlorente@fivo.org

WHAT IS BEING STUDIED

Treatments and study groups

Interventions

RMC-6291Drug
Oral tablet

Study groups: Subprotocol A: KRAS G12C-Mutated Solid Tumors

RMC-6236Drug
Oral tablet

Study groups: Subprotocol A: KRAS G12C-Mutated Solid Tumors, Subprotocol B: RAS-mutated NSCLC, Subprotocol C: RAS G12D-mutated NSCLC

PembrolizumabDrug
IV Infusion

Study groups: Subprotocol A: KRAS G12C-Mutated Solid Tumors, Subprotocol B: RAS-mutated NSCLC, Subprotocol C: RAS G12D-mutated NSCLC

CisplatinDrug
IV Infusion

Study groups: Subprotocol A: KRAS G12C-Mutated Solid Tumors, Subprotocol B: RAS-mutated NSCLC, Subprotocol C: RAS G12D-mutated NSCLC

CarboplatinDrug
IV Infusion

Study groups: Subprotocol A: KRAS G12C-Mutated Solid Tumors, Subprotocol B: RAS-mutated NSCLC, Subprotocol C: RAS G12D-mutated NSCLC

PemetrexedDrug
IV infusion

Study groups: Subprotocol A: KRAS G12C-Mutated Solid Tumors, Subprotocol B: RAS-mutated NSCLC, Subprotocol C: RAS G12D-mutated NSCLC

RMC-9805Drug
Oral Tablet

Study groups: Subprotocol C: RAS G12D-mutated NSCLC, Subprotocol D: RAS G12D-mutated NSCLC

Study groups

Subprotocol A: KRAS G12C-Mutated Solid TumorsExperimental
RMC-6291 (BID), RMC-6236 (QD), and Pembrolizumab (Q3W) with or without Chemotherapy (Q3W)

Interventions: Drug: RMC-6291, Drug: RMC-6236, Drug: Pembrolizumab, Drug: Cisplatin, Drug: Carboplatin, Drug: Pemetrexed

Subprotocol B: RAS-mutated NSCLCExperimental
RMC-6236 (QD) and Pembrolizumab (Q3W) with or without Chemotherapy (Q3W)

Interventions: Drug: RMC-6236, Drug: Pembrolizumab, Drug: Cisplatin, Drug: Carboplatin, Drug: Pemetrexed

Subprotocol C: RAS G12D-mutated NSCLCExperimental
RMC-9805 (QD or BID), RMC-6236 (QD), and Pembrolizumab (Q3W) with or without Chemotherapy (Q3W).

Interventions: Drug: RMC-6236, Drug: Pembrolizumab, Drug: Cisplatin, Drug: Carboplatin, Drug: Pemetrexed, Drug: RMC-9805

Subprotocol D: RAS G12D-mutated NSCLCExperimental
RMC-9805 (QD)

Interventions: Drug: RMC-9805

RESEARCH DETAILS

Study design

Study type
Interventional
Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non randomized
Study model
Parallel
Masking
None (open label)
Enrolment
616 participants · Estimated

TIMELINE & MEASURES

Dates and outcomes

Study started
18 Jan 2024 · Actual
Primary completion
Jun 2027 · Estimated
Study completion
Dec 2028 · Estimated
First registered
8 Dec 2023 · Actual
Last registry update
19 Oct 2026 · Actual
Status last verified
Jun 2026
Primary outcomes (2)

Adverse events

Incidence and severity of treatment-emergent Adverse Events (AEs) and serious AEs and clinically significant changes in laboratory values, ECGs and vital signs

Time frame: Up to 5 years

Dose limiting toxicities

Number of participants with dose limiting toxicities

Time frame: 21 days

Secondary outcomes (6)

Drug concentrations over time

Observed blood concentration of each drug as applicable per subprotocol

Time frame: Up to 21 weeks

Cmax

Maximum observed blood concentration of each drug as applicable per subprotocol

Time frame: Up to 21 weeks

Tmax

Time to reach maximum blood concentration of each drug as applicable per subprotocol

Time frame: Up to 21 weeks

AUC

Area under the concentration-time curve of each drug as applicable per subprotocol

Time frame: Up to 21 weeks

ORR

Objective Response Rate per RECIST v1.1

Time frame: Up to 5 years

DOR

Duration of Response per RECIST v1.1

Time frame: Up to 5 years

STUDY TEAM

Sponsor and contacts

Lead sponsor
Revolution Medicines, Inc.
Sponsor type
Industry
Collaborators
Not reported
Organisation study ID
RMC-LUNG-101

Central study contacts

Revolution MedicinesContactPhone: 1-844-2-REVMEDEmail: medinfo@RevMed.com
Study officials
Revolution MedicinesStudy director · Revolution Medicines

Contacts are provided by the registry for study enquiries. Do not use these details for marketing or promotions.

FURTHER READING

Results, documents and references

No results are posted in this registry record

This does not mean the study has no findings. Results may not yet have been submitted or published here.

No study documents are listed in this record.

Publications (1)
  1. Cregg J, Edwards AV, Chang S, Lee BJ, Knox JE, Tomlinson ACA, Marquez A, Liu Y, Freilich R, Aay N, Wang Y, Jiang L, Jiang J, Wang Z, Flagella M, Wildes D, Smith JAM, Singh M, Wang Z, Gill AL, Koltun ES. Discovery of Daraxonrasib (RMC-6236), a Potent and Orally Bioavailable RAS(ON) Multi-selective, Noncovalent Tri-complex Inhibitor for the Treatment of Patients with Multiple RAS-Addicted Cancers. J Med Chem. 2025 Mar 27;68(6):6064-6083. doi: 10.1021/acs.jmedchem.4c02314. Epub 2025 Mar 8. PubMed ↗

Source: ClinicalTrials.gov · Data fetched 20 Oct 2026, 16:39 GMT+0530

Registry data timestamp: 2026-10-19T09:00:04

Registry content is reformatted for readability; original study text is not rewritten. Missing information is labelled “Not reported”. Records are supplied by study sponsors or investigators and can change.

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