Registration Links (4 Options)
ONC-ORG

Study of Elironrasib and Daraxonrasib as Monotherapies and Combination Therapy in Participants With Advanced KRAS G12C Mutant Solid Tumors

NCT06128551 · Phase 1, Phase 2 · Duarte, California, United States

Recruiting
Condition
Stomach Cancer
Disease stage
Stage I-IV
Phase
Phase 1, Phase 2
Study type
DRUG
Intervention
Elironrasib, Daraxonrasib
Age
18 Years to
Gender
All
Sponsor
Revolution Medicines, Inc.
Research institution
Revolution Medicines, Inc.
Facility
City of Hope
Research center
City of Hope

Summary

This study is to evaluate the safety, tolerability, and PK profiles of Elironrasib and Daraxonrasib as monotherapies and combination therapy in patients with KRAS G12C-mutated solid tumors.

Detailed description

This is an open-label, multicenter, Phase 1b/2 study evaluating elironrasib and daraxonrasib, administered as monotherapy and in combination, in patients with advanced KRAS G12C-mutated solid tumors to determine the maximum tolerated dose (MTD), identify the recommended Phase 2 dose and schedule (RP2DS), and preliminarily assess antitumor activity. The study includes a Phase 1b dose escalation and expansion of combination therapy, followed by a Phase 2 evaluation of the selected RP2DS as monotherapy and combination therapy to further assess safety and antitumor activity.

Inclusion criteria

* 18 years of age * Histology: pathologically documented, KRAS G12C-mutated, advanced or metastatic solid tumors not amendable to curative therapy 1. Phase 1b Dose Escalation: solid tumors, previously treated 2. Phase 1b Dose Expansion and Phase 2: i. NSCLC, previously treated with immunotherapy, chemotherapy, and KRAS G12C (OFF) inhibitors ii. Solid tumors, previously treated, naïve to KRAS G12C (OFF) inhibitors. * ECOG performance status 0 or 1 * Adequate organ function

Exclusion criteria

* Primary central nervous system (CNS) tumors * Active brain metastases * Known impairment of GI function that would alter the absorption * Major surgical procedures within 28 days or non-study related minor procedures within 7 days of treatment

Primary outcomes

Number of patients with adverse events (AEs) in Phase 1b; Changes in vital signs in Phase 1b; Changes in clinical laboratory test values in Phase 1b

Secondary outcomes

Maximum Observed Blood Concentration of Elironrasib and Daraxonrasib; Time to Reach Maximum Blood Concentration of Elironrasib and Daraxonrasib; Area Under Blood Concentration Time Curve of Elironrasib and Daraxonrasib