Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
ID07397338

A Phase 1/2 Open-Label, Multicenter Study of RAS(ON) Inhibitors in Combination With Ivonescimab With or Without Other Anti-Cancer Agents in Patients With Solid Tumors

Led by Revolution Medicines, Inc. · Updated on 2026-05-12

370

Participants Needed

5

Research Sites

N/A

Total Duration

On this page

Sponsors

R

Revolution Medicines, Inc.

Lead Sponsor

S

Summit Therapeutics

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the safety, tolerability, pharmacokinetics, and preliminary anti-tumor activity of RAS(ON) inhibitors combined with ivonescimab in adults with advanced or metastatic solid tumors that have a RAS mutation. This open-label, multicenter Phase 1/2 study aims to assess these treatments with or without other anti-cancer agents to better understand their effects in this patient population. The study includes three groups: Arm A tests daraxonrasib with ivonescimab; Arm B tests elironrasib with ivonescimab; and Arm C tests zoldonrasib with ivonescimab. Each arm has two parts: Part 1 focuses on finding safe and tolerable doses, while Part 2 explores safety, tolerability, and anti-tumor activity of the combinations with or without additional anti-cancer therapies such as carboplatin, cisplatin, pemetrexed, or cetuximab. Treatments include oral tablets and intravenous infusions given according to these groupings. Participants will be monitored for adverse events, vital signs, laboratory test changes, and dose-limiting toxicities for up to about four years. Researchers will also measure drug concentrations, tumor response rates, duration and control of disease, progression-free survival, and immune responses to ivonescimab. The study requires regular visits for assessments, and participation can last several years to thoroughly evaluate safety and treatment effects.

CONDITIONS

Brief Title

Study of RAS(ON) Inhibitors in Combination With Ivonescimab in Patients With Solid Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • At least 18 years old and has provided informed consent.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Histologically confirmed, locally advanced or metastatic solid tumor malignancy with documented RAS mutation in KRAS, HRAS, or NRAS.
  • Received and progressed or been intolerant to prior standard therapy (Part 1 Dose Exploration).
  • Non-squamous NSCLC without a treatable driver mutation that has not received prior systemic treatment (Arms A & B for Part 2 Dose Expansion).
  • Solid tumor or colorectal cancer previously treated with no more than 2 prior lines of therapy for advanced disease and progressed or been intolerant to prior standard therapies (Arm C for Part 2 Dose Expansion).
  • Measurable disease per RECIST v1.1.
  • Adequate organ function including bone marrow, liver, kidney, coagulation, and endocrine function.
  • Able to take oral medications.
Not Eligible

You will not qualify if you...

  • Head and neck squamous cell carcinoma.
  • Any conditions that may affect the ability to take or absorb study drug.
  • Major surgery within 4 weeks prior to receiving study drug(s).
  • Patient is unable or unwilling to comply with protocol-required study visits or procedures.
  • Other inclusion/exclusion criteria may apply.

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Repeated 21-day cycles during dose exploration and dose expansion phases

Participants receive RAS(ON) inhibitors in combination with ivonescimab, with or without other anti-cancer agents, to evaluate safety, tolerability, and preliminary clinical activity.

Visits occur at the start of each 21-day treatment cycle, up to at least 6 cycles

Follow-up

Duration - Up to approximately 4 years

Participants are monitored for adverse events, clinical laboratory changes, and treatment response up to approximately 4 years after treatment.

Periodic follow-up visits during the monitoring period

Trial Site Locations

Total: 5 locations

1

Eastern Connecticut Hematology and Oncology Associates

Norwich, Connecticut, United States, 06360

Actively Recruiting

2

Tennessee Oncology

Nashville, Tennessee, United States, 37023

Actively Recruiting

3

NEXT Dallas

Irving, Texas, United States, 75039

Actively Recruiting

4

NEXT Oncology

San Antonio, Texas, United States, 78229

Actively Recruiting

5

NEXT Virginia

Fairfax, Virginia, United States, 22031

Actively Recruiting

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Research Team

R

Revolution Medicines Study Director

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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