Recruiting
Phase 1
Phase 2

RAS(ON) Inhibitors

Sponsor:

Revolution Medicines, Inc.

Code:

NCT06445062

Conditions

Colorectal Cancer

CRC

Pancreatic Ductal Adenocarcinoma

PDAC

Gastrointestinal Cancer

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

RMC-6236

mFOLFOX6 regimen

bevacizumab

mFOLFIRINOX regimen

cetuximab

Study Details

Brief summary:

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

The current subprotocols include the following:

Subprotocol A: RMC-6236 + 5-fluorouracil-based regimens

Subprotocol B: RMC-6236 + cetuximab with or without mFOLFOX6

Subprotocol C: RMC-6236 + gemcitabine + nab-paclitaxel

Subprotocol D: RMC-9805 with or without RMC-6236 + 5-fluorouracil-based regimens

Subprotocol E: RMC-9805 with or without RMC-6236 + cetuximab with or without mFOLFOX6

Subprotocol F: RMC-9805 with or without RMC-6236 + gemcitabine + nab-paclitaxel

Conditions

Colorectal Cancer

CRC

Pancreatic Ductal Adenocarcinoma

PDAC

Gastrointestinal Cancer

Study ID

NCT06445062

Start date

May 24, 2024

Status verified date

Jul, 2026

Completion date

Jul 15, 2027

Anticipated

Primary completion date

May 15, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

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
  • Pathologically or cytologically documented pancreatic carcinoma or poorly differentiated pancreatic carcinoma with metastatic disease or RAS-mutated, histologically or cytologically confirmed colorectal adenocarcinoma with documented unresectable or metastatic disease (Subprotocol A, B, and C)
  • Presence of RAS G12D mutation (Subprotocol D, E, F)

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 within 28 days of first dose

Other inclusion/exclusion criteria may apply.

Study Design

Enrollment

1130 participants

Anticipated

Allocation

Non randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Subprotocol A: RAS-mutated unresectable or metastatic CRC or metastatic PDAC

RMC-6236 (QD) and Bevacizumab with 5-fluorouracil-based regimens

experimental: Subprotocol B: RAS-mutated unresectable or metastatic CRC or metastatic PDAC

RMC-6236 (QD) and Cetuximab with or without mFOLFOX6

experimental: Subprotocol C: metastatic PDAC

RMC-6236 (QD) and Gemcitabine with Nab-paclitaxel

experimental: Subprotocol D: RAS G12D-mutated unresectable or metastatic CRC or metastatic PDAC

RMC-9805 (QD or BID) with or without RMC-6236 (QD), and Bevacizumab with 5-fluorouracil- based regimens

experimental: Subprotocol E: RAS G12D-mutated unresectable or metastatic CRC or metastatic PDAC

RMC-9805 (QD or BID) with or without RMC-6236 (QD), and Cetuximab with or without mFOLFOX6

experimental: Subprotocol F: RAS G12D-mutated metastatic PDAC

RMC-9805 (QD or BID) with or without RMC-6236 (QD), and Gemcitabine with Nab-paclitaxel

Interventions

RMC-6236

Oral tablet

mFOLFOX6 regimen

IV infusion

bevacizumab

IV infusion

mFOLFIRINOX regimen

IV infusion

cetuximab

IV infusion

gemcitabine

IV infusion

nab-paclitaxel

IV infusion

RMC-9805

Oral Tablet

Primary outcome measure

  • Adverse events [ Time Frame: Up to 3 years ]
  • Dose limiting toxicities [ Time Frame: 28 days ]

Central Contacts and Locations

Central contacts

Locations

Ironwood Cancer and Research Centers

Recruiting

Chandler, Arizona, United States, 85224

Contacts

Mayo Clinic Hospital

Recruiting

Phoenix, Arizona, United States, 85054

Contacts

HonorHealth Research Institute

Recruiting

Scottsdale, Arizona, United States, 85258

Contacts

UC San Diego Moores Cancer Center

Recruiting

La Jolla, California, United States, 92093

Contacts

Cedars-Sinai Cancer at Cedars-Sinai Medical Center

Recruiting

Los Angeles, California, United States, 90048

Contacts

UCLA Hematology/Oncology- Santa Monica

Recruiting

Los Angeles, California, United States, 90404

Contacts

University of Colorado Hospital-Anschutz Cancer Pavilion

Recruiting

Aurora, Colorado, United States, 88045

Contacts

Yale-New Haven Hospital-Yale Cancer Center

Recruiting

New Haven, Connecticut, United States, 06520

Contacts

Mayo Clinic Cancer Center

Recruiting

Jacksonville, Florida, United States, 32224

Contacts

Moffitt Cancer Center

Recruiting

Tampa, Florida, United States, 33612

Contacts

The University of Kansas Clinical Research Center

Recruiting

Westwood, Kansas, United States, 66205

Contacts

The Sidney Kimmel Comprehensive Cancer Center at John Hopkins

Recruiting

Baltimore, Maryland, United States, 21287

Contacts

Massachusetts General Hospital

Recruiting

Boston, Massachusetts, United States, 02114

Contacts

Dana Farber Cancer Institute

Recruiting

Boston, Massachusetts, United States, 02215

Contacts

Mayo Clinic

Recruiting

Rochester, Minnesota, United States, 55905

Contacts

Nebraska Cancer Specialists

Recruiting

Omaha, Nebraska, United States, 68130

Contacts

University of Nebraska Medical Center

Recruiting

Omaha, Nebraska, United States, 68198

Contacts

Atlantic Health System

Recruiting

Morristown, New Jersey, United States, 07960

Contacts

Northwell Health / RJ Zuckerberg Cancer Center

Recruiting

Lake Success, New York, United States, 11042

Contacts

Columbia University Medical Center

Recruiting

New York, New York, United States, 10032

Contacts

Memorial Sloan Kettering Cancer Center Main Campus

Recruiting

New York, New York, United States, 10065

Duke University Medical Center

Recruiting

Durham, North Carolina, United States, 27710

Contacts

University of Cincinnati Medical Center

Recruiting

Cincinnati, Ohio, United States, 45267

Contacts

Stephenson Cancer Center

Recruiting

Oklahoma City, Oklahoma, United States, 73104

Contacts

Hospital of the University of Pennsylvania

Recruiting

Philadelphia, Pennsylvania, United States, 19104

Contacts

SCRI Oncology Partners

Recruiting

Nashville, Tennessee, United States, 37203

Baylor College of Medicine

Recruiting

Houston, Texas, United States, 77030

Contacts

The University of Texas MD Anderson Cancer Center

Recruiting

Houston, Texas, United States, 77030

Contacts

NEXT Oncology Dallas

Recruiting

Irving, Texas, United States, 75039

Contacts

Huntsman Cancer Institute, University of Utah

Recruiting

Salt Lake City, Utah, United States, 84112

Contacts

Virginia Cancer Specialists

Recruiting

Fairfax, Virginia, United States, 22314

Contacts

Fred Hutchinson Cancer Center

Recruiting

Seattle, Washington, United States, 98109

Contacts

More Information

Sponsor

Revolution Medicines, Inc.

Last update posted

Jul 29, 2026

Last verified

Jul, 2026

Keywords

  • CRC
  • PDAC
  • RAS Mutation
  • KRAS G12X
  • Colorectal Cancer
  • Pancreatic Cancer
  • Pancreatic Ductal Carcinoma
  • KRAS Q61 Mutation
  • KRAS G12 Mutation
  • RAS Wild-type
  • RAS G12D Mutation

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Revolution Medicines, Inc. on 2026-07-29.