Evaluating daraxonrasib for previously treated patients with RAS mutated lung cancer
RASolve 301: Phase 3 Multicenter, Open Label, Randomized Study of RMC-6236 Versus Docetaxel in Patients With Previously Treated Locally Advanced or Metastatic RAS[MUT] NSCLC
This study is testing if a new drug called daraxonrasib can help people with RAS mutated lung cancer live longer and feel better compared to standard chemotherapy.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 420 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Revolution Medicines, Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 129 sites (Birmingham, Alabama and 128 other locations) |
| Trial ID | NCT06881784 on ClinicalTrials.gov |
What this trial studies
This global, randomized, open-label Phase 3 study aims to assess the safety and efficacy of daraxonrasib, a novel RAS(ON) inhibitor, compared to standard docetaxel chemotherapy in patients with previously treated non-small cell lung cancer (NSCLC). Participants will be randomly assigned in a 1:1 ratio to receive either daraxonrasib or docetaxel. The primary focus is to determine if daraxonrasib can improve progression-free survival (PFS) or overall survival (OS) in this patient population. Eligible patients must have documented RAS mutations and measurable disease.
Who should consider this trial
Good fit: Ideal candidates are adults with previously treated NSCLC who have documented RAS mutations and meet specific health criteria.
Not a fit: Patients who have previously received direct RAS-targeted therapy or docetaxel, or those with untreated CNS metastases, may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could provide a new therapeutic option that improves survival outcomes for patients with RAS mutated NSCLC.
How similar studies have performed: Other studies have shown promise with RAS-targeted therapies, but this specific approach with daraxonrasib is novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * At least 18 years old and has provided informed consent. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. * Pathologically confirmed NSCLC, either locally advanced or metastatic, not amenable to curative surgery or radiotherapy. * Measurable disease per RECIST v1.1. * Adequate organ function (bone marrow, liver, kidney, coagulation). * One to two prior lines of therapy including an anti-PD-1/anti-PD(L)-1 agent and platinum-based chemotherapy. * Documented RAS mutation status, 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 or docetaxel. * Untreated central nervous system (CNS) metastases. * Medically significant comorbidities (significant cardiovascular disease, lung disease, or impaired GI function). * Ongoing anticancer therapy. * Pregnant or breastfeeding.
Where this trial is running
Birmingham, Alabama and 128 other locations
- Alabama Oncology — Birmingham, Alabama, United States (Recruiting)
- MemorialCare Long Beach Medical Center — Long Beach, California, United States (Recruiting)
- Yale University, Smillow Cancer Center — New Haven, Connecticut, United States (Recruiting)
- Florida Cancer Specialists & Research Institute - South — Fort Myers, Florida, United States (Recruiting)
- BRCR Global — Plantation, Florida, United States (Recruiting)
- Cancer Care Centers of Breevard — Rockledge, Florida, United States (Recruiting)
- Florida Cancer Specialists & Research Institute - North — St. Petersburg, Florida, United States (Recruiting)
- Cleveland Clinic Martin North — Stuart, Florida, United States (Recruiting)
- Florida Cancer Specialists & Research Institute - East — West Palm Beach, Florida, United States (Recruiting)
- University Cancer and Blood Center — Athens, Georgia, United States (Recruiting)
- Center for Care and Discovery — Chicago, Illinois, United States (Recruiting)
- The University of Kansas Cancer Center — Westwood, Kansas, United States (Recruiting)
- Johns Hopkins University of Medicine — Baltimore, Maryland, United States (Recruiting)
- Karmanos Cancer Institute — Detroit, Michigan, United States (Recruiting)
- Henry Ford Health — Detroit, Michigan, United States (Recruiting)
- Washington University School of Medicine - Siteman Cancer Center — St Louis, Missouri, United States (Recruiting)
- St. Vincent Frontier Cancer Center — Billings, Montana, United States (Recruiting)
- Dartmouth-Hitchcock Medical Center — Lebanon, New Hampshire, United States (Recruiting)
- Morristown Medical Center (MMCORC) — Morristown, New Jersey, United States (Recruiting)
- Roswell Park Cancer Institute — Buffalo, New York, United States (Recruiting)
- Memorial Sloan Kettering Cancer Center — New York, New York, United States (Recruiting)
- Montefiore Medical Center — The Bronx, New York, United States (Recruiting)
- UNC Lineberger Comprehensive Cancer Center at University of North Carolina — Chapel Hill, North Carolina, United States (Recruiting)
- TriHealth Cancer & Blood Institute Research — Cincinnati, Ohio, United States (Recruiting)
- Taylor Cancer Research Center — Maumee, Ohio, United States (Recruiting)
- Oncology Associates of Oregon PC — Eugene, Oregon, United States (Recruiting)
- Avera Cancer Institute — Sioux Falls, South Dakota, United States (Recruiting)
- SCRI Oncology Partners - Tennessee — Nashville, Tennessee, United States (Recruiting)
- Texas Oncology - South Austin — Austin, Texas, United States (Recruiting)
- Texas Oncology Dallas — Dallas, Texas, United States (Recruiting)
- MD Anderson Cancer Center — Houston, Texas, United States (Recruiting)
- Texas Oncology - Gulf Coast — The Woodlands, Texas, United States (Recruiting)
- Utah Cancer Specialists — Salt Lake City, Utah, United States (Recruiting)
- Virginia Cancer Specialists — Fairfax, Virginia, United States (Recruiting)
- Blacktown Medical Oncology Research — Blacktown, New South Wales, Australia (Recruiting)
- Chris O'Brien Lifehouse — Camperdown, New South Wales, Australia (Recruiting)
- Calvary Mater Newcastle — Waratah, New South Wales, Australia (Recruiting)
- Mater Misericordiae Limited — South Brisbane, Queensland, Australia (Recruiting)
- The Alfred Hospital — Melbourne, Victoria, Australia (Recruiting)
- Sir Charles Gairdner Hospital — Perth, Western Australia, Australia (Recruiting)
- Institut Jules Bordet — Anderlecht, Belgium, Belgium (Recruiting)
- Grand Hôpital de Charleroi - Les Viviers — Gilly, Belgium (Recruiting)
- AZ Groeninge — Kortrijk, Belgium (Recruiting)
- UZ Leuven-Campus Gasthuisberg — Leuven, Belgium (Recruiting)
- AZ Delta — Roeselare, Belgium (Recruiting)
- CHU Strasbourg - Nouvel Hôpital Civil — Strasbourg, Bas Rhin, France (Recruiting)
- Hopital Nord - CHU Marseille — Marseille, Bouches-du-Rhône, France (Recruiting)
- Institut régional du Cancer de Montpellier — Montpellier, Herault, France (Recruiting)
- CHU Rennes Hôpital Pontchaillou — Rennes, Ille et Vilaine, France (Recruiting)
- CHU de Grenoble - Hôpital Albert Michallon — La Tronche, Isere, France (Recruiting)
+79 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Revolution Medicines Study Director
- Email: medinfo@revmed.com
- Phone: 1-844-2-REVMED
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.