Ireland
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Recruiting Phase 3

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

NCT07805954 · tracked via the Priya Life Science USA tracker
Phase
Phase 3
Started
2026-08-28
Last updated
2026-10-16

Condition(s) studied

Pancreatic CancerPancreatic Cancer MetastaticPDACPDAC - Pancreatic Ductal AdenocarcinomaPancreatic Ductal Adenocarcinoma (PDAC)Pancreatic Adenocarcinoma MetastaticPancreatic AdenocarcinomaPancreatic Adenosquamous Carcinoma

Investigational drug(s) / intervention(s)

daraxonrasib →gemcitabine →nab-paclitaxel →zoldonrasib →

daraxonrasib: oral tablets

gemcitabine: intravenous (IV) infusion

nab-paclitaxel: IV infusion

zoldonrasib: oral tablets

Study summary

The purpose of this study is to evaluate the efficacy of combination therapy with two investigational RAS(ON) inhibitors (daraxonrasib and zoldonrasib) compared to chemotherapy.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
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. * 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). Exclusion Criteria: * 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.

Primary outcome measure(s)

  • Progression free survival (PFS) — Up to approximately 4 years
    PFS is defined as the time from randomization until disease progression or death from any cause, whichever occurs first. Progression is per response evaluation criteria in solid tumors (RECIST) v1.1 and as assessed by Investigator.
  • Overall survival (OS) — Up to approximately 4 years
    OS is defined as the time from randomization until death from any cause.

Trial sites (5)

FacilityCityRegionStatus
Mayo Clinic Arizona Phoenix Arizona Recruiting
HonorHealth Research Institute Scottsdale Arizona Recruiting
Mayo Clinic Florida Jacksonville Florida Recruiting
Moffitt Cancer Center Tampa Florida Recruiting
Mayo Clinic Rochester Rochester Minnesota Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07805954 on ClinicalTrials.gov ↗ ← All trials in the USA