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

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.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.