Translational and Therapeutic Evaluation of RAS-GTP Inhibition by RMC-6236 in RAS-Driven Cancers.
Jingjing Jiang, Lingyan Jiang, Benjamin J Maldonato...
https://pubmed.ncbi.nlm.nih.gov/38593348/Actively Recruiting
Led by Revolution Medicines, Inc. · Updated on 2026-05-15
754
Participants Needed
21
Research Sites
8 weeks
Total Duration
Researchers are evaluating the safety, tolerability, pharmacokinetics, and clinical activity of RMC-6236, an oral drug targeting specific RAS mutations, in adults with advanced solid tumors. This Phase 12, multicenter, open-label study aims to find the maximum tolerated dose and recommended dose for further study among patients with tumors harboring particular KRAS, NRAS, or HRAS mutations. RMC-6236 selectively inhibits active RAS forms, which are involved in cancer growth. The study includes a dose exploration phase open to any advanced solid tumor with KRAS p.G12 mutations, followed by dose expansion or optimization in groups with specific tumor types and RAS mutations, such as non-small cell lung cancer, pancreatic ductal adenocarcinoma, colorectal cancer, melanoma, and gynecological cancers. Participants receive escalating doses of RMC-6236 taken orally. The study evaluates dose-limiting toxicities and monitors drug levels in the blood over several weeks. Participants will undergo safety assessments including monitoring adverse events, lab tests, and vital signs for up to 2.5 years, along with evaluations of response rates, disease control, and progression-free survival. The study tracks how the drug is processed in the body and records any treatment-related toxicities. Participants may be followed long-term to observe the duration of response and overall clinical outcomes.
CONDITIONS
Study of RMC-6236 in Patients With Advanced Solid Tumors Harboring Specific Mutations in RAS
R
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Revolution Medicines, Inc.
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | RMC‑6236 (oral RAS‑ON inhibitor) | Current standard care (e.g., KRAS G12C inhibitors or chemotherapy) |
|---|---|---|
| What it is | An oral pan‑RAS (RAS‑ON) inhibitor being investigated in a dose‑escalation and expansion study in adults with advanced solid tumors harboring RAS mutations. | Genotype‑matched therapies such as KRAS G12C inhibitors (like sotorasib or adagrasib) in NSCLC or standard chemotherapy regimens for RAS‑mutant CRC and PDAC. |
| Role in trial | Investigational study treatment evaluated across dose levels in a single‑group design. | Represents what patients with similar RAS‑mutated tumors could receive outside this trial. |
| Primary use | To evaluate safety, dosing, pharmacokinetics and preliminary activity of oral RMC‑6236. | To treat RAS‑mutated cancers using approved targeted therapy (KRAS G12C inhibitors where indicated) or standard chemotherapy. |
| How it is given | Oral tablets given in escalating dose cohorts and expansion phases. | KRAS G12C inhibitors are oral; standard chemotherapy is typically intravenous. |
| Evidence status | Early‑phase clinical data on safety and pharmacokinetics; activity still being characterized. | KRAS G12C inhibitors have demonstrated progression‑free survival benefit in NSCLC; chemotherapy has known modest outcomes in CRC and PDAC. |
| Important risks | Not yet established; safety profile under investigation. | KRAS G12C inhibitors may cause gastrointestinal effects and liver enzyme elevations; chemotherapy has well‑known toxicity such as cytopenias and nausea. |
| Important limitations | Data are preliminary from early‑phase study; efficacy and safety not established. | KRAS G12C inhibitors only apply to that mutation subset; chemotherapy has limited response in RAS‑mutant disease especially PDAC. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 2.5 years
Participants receive escalating doses of RMC-6236, an oral drug, to evaluate safety, tolerability, and clinical activity.
Regular visits during treatment for assessments and dosing
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Jingjing Jiang, Lingyan Jiang, Benjamin J Maldonato...
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https://pubmed.ncbi.nlm.nih.gov/42090791/Christopher J Schulze, Kyle J Seamon, Yulei Zhao...
https://pubmed.ncbi.nlm.nih.gov/37590355/Revolution Medicines, Inc.
Lead Sponsor