Recruiting at 6 sites Phase 3 Pancreatic Cancer

Trial comparing treatments for Pancreatic Cancer

Official title Study of Zoldonrasib (RMC-9805) Plus Daraxonrasib (RMC-6236) Versus Gemcitabine and Nab-Paclitaxel as First-Line Treatment in Metastatic KRAS G12D-Mutated Pancreatic Adenocarcinoma

ClinicalTrials.gov ID: NCT07805954

What this study is testing

What is daraxonrasib?

an investigational oral tablet being studied as a potential treatment for KRAS G12D‑mutated metastatic pancreatic cancer. is designed to inhibit the KRAS G12D protein and block downstream signaling that drives tumor growth.

Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
The study compares how well the two investigational RAS inhibitors work against the usual chemotherapy.
Who it's for
Adults with metastatic pancreatic cancer that has a KRAS G12D mutation.
What's involved
Participants will receive either the two new drugs or the standard chemotherapy, with regular clinic visits and medical tests to monitor progress.
  • Phase 3: a large, late-stage study
  • Which group you join is decided by chance.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • At least 18 years old and has provided informed consent.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Histologically or cytologically confirmed pancreatic adenocarcinoma, including adenosquamous carcinoma, not previously treated in the locally...
  • No prior treatment in the locally advanced unresectable or metastatic setting
  • Diagnosis of metastatic disease ≤ 6 weeks prior to informed consent.

You likely can't join if

  • Mutation status with known driver mutations for which there are approved targeted therapies.
  • Acinar cell carcinoma, pancreatic neuroendocrine tumors, tumors involving islet cells or islet cell neoplasms, and other non-adenocarcinoma...
  • Tumors determined to originate from non-pancreatic primary sites.
  • Prior treatment with MAPK-pathway targeted therapy or administration of RAS-targeted vaccine in the metastatic setting.
  • Active or known history of untreated central nervous system metastatic or leptomeningeal disease.
  • Any conditions that may affect the ability to take or absorb study drug.
See the full eligibility criteria
Who can join
  • At least 18 years old and has provided informed consent.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Histologically or cytologically confirmed pancreatic adenocarcinoma, including adenosquamous carcinoma, not previously treated in the locally advanced unresectable or metastatic setting.
  • No prior treatment in the locally advanced unresectable or metastatic setting
  • Diagnosis of metastatic disease ≤ 6 weeks prior to informed consent.
  • Documented KRAS G12D mutation status.
  • Measurable disease per RECIST v1.1.
  • Adequate organ function (bone marrow, liver, kidney, coagulation).
What rules you out
  • Mutation status with known driver mutations for which there are approved targeted therapies.
  • Acinar cell carcinoma, pancreatic neuroendocrine tumors, tumors involving islet cells or islet cell neoplasms, and other non-adenocarcinoma pancreatic malignancies.
  • Tumors determined to originate from non-pancreatic primary sites.
  • Prior treatment with MAPK-pathway targeted therapy or administration of RAS-targeted vaccine in the metastatic setting.
  • Active or known history of untreated central nervous system metastatic or leptomeningeal disease.
  • Any conditions that may affect the ability to take or absorb study drug.
  • Major surgery within 28 days prior to randomization.
  • Patient is unable or unwilling to comply with protocol-required study visits or procedures.
  • Additional inclusion \& exclusion criteria may apply.

The study team makes the final eligibility decision.

Where it is enrolling

  • Phoenix, Arizona, United States
  • Scottsdale, Arizona, United States
  • Jacksonville, Florida, United States
  • Tampa, Florida, United States
  • Rochester, Minnesota, United States
  • Providence, Rhode Island, United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

This study is enrolling now at Phoenix, Arizona, United States; Scottsdale, Arizona, United States; Jacksonville, Florida, United States; Tampa, Florida, United States; Rochester, Minnesota, United States; Providence, Rhode Island, United States. Enter your location above to see the nearest enrolling site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.