Study of RMC-5127 in Patients With Advanced KRAS G12V-Mutant Solid Tumors

Purpose

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of RMC-5127 as a monotherapy and in combination with either daraxonrasib or cetuximab in adults with KRAS G12V-mutant solid tumors.

Conditions

  • Non-small Cell Lung Cancer (NSCLC)
  • Colorectal Cancer (CRC)
  • Pancreatic Adenocarcinoma
  • Pancreatic Ductal Adenocarcinoma (PDAC)
  • PDAC
  • CRC
  • NSCLC
  • Pancreatic Cancer
  • Lung Cancer (NSCLC)
  • Advanced Solid Tumors

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • At least 18 years old and has provided informed consent. - Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. - Pathologically documented, locally advanced or metastatic KRAS G12V-mutated solid tumor malignancy. - Received and progressed or been intolerant to prior standard therapy (including targeted therapy) appropriate for tumor type and stage. - Measurable per RECIST v1.1 - Adequate organ function (bone marrow, liver, kidney, coagulation). - Able to take oral medications.

Exclusion Criteria

  • Primary central nervous system (CNS) tumors - Prior therapy with KRAS G12V inhibitor or direct RAS-targeted therapy (eg. degraders and/or inhibitors). - Any conditions that may affect the ability to take or absorb study drug. - Major surgery within 28 days prior to receiving study drug(s). - Patient is unable or unwilling to comply with protocol-required study visits or procedures.

Study Design

Phase
Phase 1
Study Type
Interventional
Allocation
Non-Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Arm A: RMC-5127 Monotherapy
Dose Escalation and Dose Expansion
  • Drug: RMC-5127
    oral tablets
Experimental
Arm B: RMC-5127 + Daraxonrasib Combination
Dose Escalation and Dose Expansion
  • Drug: RMC-5127
    oral tablets
  • Drug: daraxonrasib
    oral tablets
Experimental
Arm C: RMC-5127 + Cetuximab Combination
Dose Escalation and Dose Expansion
  • Drug: RMC-5127
    oral tablets
  • Drug: cetuximab
    IV infusion

Recruiting Locations

Yale Cancer Center
New Haven, Connecticut 06511
Contact:
Ingrid Palma
203-833-1034
ingrid.palma@yale.edu

Johns Hopkins
Baltimore, Maryland 21231
Contact:
Katelyn Spence
443-927-1685
kspenc29@jh.edu

Dana-Farber Cancer Institute
Boston, Massachusetts 02215
Contact:
Kailene Sullivan
617-632-3482
kailene_sullivan@dfci.harvard.edu

START Midwest
Grand Rapids, Michigan 49546
Contact:
616-954-5554
hopeteam@startresearch.com

Laura and Isaac Perlmutter Cancer Center at NYU Langone Health
New York, New York 10016
Contact:
Salman Punekar
212-731-6228
salman.punekar@nyulangone.org

NEXT - Dallas
Dallas, Texas 75039
Contact:
NEXT TXReferrels
972-893-8800
NXT_TXReferrals@nextoncology.com

NEXT
San Antonio, Texas 78229
Contact:
Jordan Georg
210-580-9521
jgeorg@nextoncology.com

START - San Antonio
San Antonio, Texas 78229
Contact:
Isabel Jimenez
210-593-5265
isabel.jimenez@startresearch.com

NEXT - Virginia
Fairfax, Virginia 22031
Contact:
Paolo Umayam
703-783-4546
pumayam@nextoncology.com

More Details

Status
Recruiting
Sponsor
Revolution Medicines, Inc.

Study Contact

Revolution Medicines Study Director
1-844-2-REVMED
medinfo@revmed.com

Detailed Description

This is an open-label, multicenter, Phase 1/1b study of RMC-5127 in adults with advanced KRAS G12V-mutant solid tumors to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary clinical activity. The study consists of three arms: RMC-5127 monotherapy arm, RMC-5127 plus daraxonrasib combination arm, and RMC-5127 plus cetuximab combination arm. All arms consist of two parts: Part 1- dose exploration and Part 2- dose expansion. Both parts of the monotherapy arm may include Food Effect Cohorts.