Evaluating RMC-6291 and RMC-6236 for Advanced KRAS G12C Mutant Solid Tumors
Official title: Phase 1b/2, Multicenter, Open-label, Dose Escalation and Dose Expansion Study of Elironrasib and Daraxonrasib as Monotherapies and Combination Therapy in Patients With Advanced KRAS G12C-Mutated Solid Tumors
Run by Revolution Medicines, Inc. · NCT06128551 · Data updated 2026-11-12
This study is testing a new combination of drugs to see if they can safely help adults with advanced solid tumors that have a specific KRAS mutation.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 534 (estimated) |
| Sponsor | Revolution Medicines, Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy, immunotherapy |
| Locations | 56 sites (Duarte, California and 55 other locations) |
| Status | Recruiting |
| Started | November 14, 2023 |
| Main results expected | December 2028 |
| Study ends | June 2029 |
| Registry record updated | September 22, 2026 |
| Trial ID | NCT06128551 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with KRAS G12C-mutated advanced or metastatic solid tumors that are not amenable to curative therapy.
✕Probably not a fit
Patients with primary central nervous system tumors or active brain metastases may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This open-label, multicenter Phase 1b study aims to assess the safety, tolerability, and pharmacokinetics of RMC-6291 in combination with RMC-6236 in adults with advanced KRAS G12C-mutated solid tumors. The study is divided into two parts: a dose-escalation phase to determine the maximum tolerated dose and a dose-expansion phase to evaluate preliminary antitumor activity. Participants will include those with non-small cell lung cancer, colorectal cancer, and pancreatic ductal adenocarcinoma who have previously undergone treatment. The study seeks to provide insights into effective treatment options for this specific mutation.
Why it matters
Potential benefit: If successful, this study could offer a new therapeutic option for patients with advanced KRAS G12C-mutant solid tumors.
How similar studies have gone: Other studies targeting KRAS mutations have shown promise, indicating potential for success with this novel combination approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 18 years of age * Histology: pathologically documented, KRAS G12C-mutated, advanced or metastatic solid tumors not amendable to curative therapy 1. Phase 1b Dose Escalation: solid tumors, previously treated 2. Phase 1b Dose Expansion and Phase 2: i. NSCLC, previously treated with immunotherapy, chemotherapy, and KRAS G12C (OFF) inhibitors ii. Solid tumors, previously treated, naïve to KRAS G12C (OFF) inhibitors. * ECOG performance status 0 or 1 * Adequate organ function Exclusion Criteria: * Primary central nervous system (CNS) tumors * Active brain metastases * Known impairment of GI function that would alter the absorption * Major surgical procedures within 28 days or non-study related minor procedures within 7 days of treatment
Where it's running
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UC IRVINE Health
Orange, California, United States Recruiting -
UC Davis Comprehensive Cancer Center
Sacramento, California, United States Recruiting -
Stanford Cancer Institute
Stanford, California, United States Recruiting -
University of Colorado Cancer Center
Aurora, Colorado, United States Recruiting -
Florida Cancer Specialists
Sarasota, Florida, United States Recruiting -
Moffitt Cancer Center and Research Institute
Tampa, Florida, United States Recruiting
Show 44 more locations
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Community Health Network
Indianapolis, Indiana, United States Recruiting -
Dana Farber Cancer Institute
Boston, Massachusetts, United States Recruiting -
START Midwest
Grand Rapids, Michigan, United States Recruiting -
Columbia University
New York, New York, United States Recruiting -
NYU Langone Health
New York, New York, United States Recruiting -
Memorial Sloan Kettering Cancer Center
New York, New York, United States Recruiting -
University of Oklahoma
Oklahoma City, Oklahoma, United States Recruiting -
Allegheny Health Network
Pittsburgh, Pennsylvania, United States Recruiting -
Sarah Cannon Research Institue
Nashville, Tennessee, United States Recruiting -
MD Anderson
Houston, Texas, United States Recruiting -
NEXT Dallas
Irving, Texas, United States Recruiting -
NEXT Oncology San Antonio
San Antonio, Texas, United States Recruiting -
START Texas
San Antonio, Texas, United States Recruiting -
NEXT Oncology Virginia
Fairfax, Virginia, United States Recruiting -
West Cancer Institute
Angers, France Recruiting -
Institut Bergonie
Bordeaux, France Recruiting -
Hospital Louise Pradel
Bron, France Recruiting -
Oscar Lambret Center of Lillle
Lille, France Recruiting -
Centre Leon Berard
Lyon, France Recruiting -
Cancer Institute of Montpellier
Montpellier, France Recruiting -
CHU Nantes
Nantes, France Recruiting -
Universitäts Klinikum Köln
Cologne, Germany Recruiting -
Klinikum Esslingen GmbH
Esslingen am Neckar, Germany Recruiting -
Krankenhaus Bethanien Moers
Moers, Germany Recruiting -
Klinkum Nurnberg Paracelsus Medical Unviersity
Nuremberg, Germany Recruiting -
Centro Ricerche Cliniche di Verona Srl
Verona, Veneto, Italy Recruiting -
Department of Medical Oncology - Azienda Ospedaliero Uniersitaria delle Marche
Ancona, Italy Recruiting -
Centro Di Riferimento Oncologico
Aviano, Italy Recruiting -
Institute Romagnolo per lo Studio Tumori
Meldola, Italy Recruiting -
Niguarda Cancer Center
Milan, Italy Recruiting -
Istituto Nazionale Tumori IRCCS Fondazione "G. Pascale"
Naples, Italy Recruiting -
San Luigi Hospital
Orbassano, Italy Recruiting -
AUSL Romagna - S.M. delle Croci Hospital
Ravenna, Italy Recruiting -
Netherlands Cancer Institute Antoni van Leeuwenhoek
Amsterdam, Netherlands Recruiting -
Pan American Center for Oncology Trials
San Juan, Puerto Rico, Puerto Rico Recruiting -
START Barcelona - Hospital HM Nou Delfos
Barcelona, Spain Recruiting -
Institut Catala d'Oncologia Hospital
Barcelona, Spain Recruiting -
University Clinic of Navarra
Madrid, Spain Recruiting -
Fundacion MD Anderson Cancer Center
Madrid, Spain Recruiting -
START Madrid
Madrid, Spain Recruiting -
Hospital Universitario 12 de Octubre
Madrid, Spain Recruiting -
NEXT Oncology - Quirónsalud Madrid University Hospital
Madrid, Spain Recruiting -
University Clinic of Navarra
Pamplona, Spain Recruiting -
Hospital Universitario Virgen Macarena
Seville, Spain Recruiting
+6 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Revolution Medicines, Inc.
- Email: medinfo@revmed.com
- Phone: 1-844-2-REVMED
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.