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Study of Zoldonrasib + Chemo of Investigator's Choice vs Placebo + Chemo of Investigator's Choice as First-line Treatment in Metastatic KRAS G12D-mutated Pancreatic Adenocarcinoma ( RASolute 305 )

RECRUITINGPhase 3Sponsored by Revolution Medicines, Inc.
Actively Recruiting
PhasePhase 3
SponsorRevolution Medicines, Inc.
Started2026-05-22
Est. completion2028-12-30
Eligibility
Age18 Years+
Healthy vol.Accepted
Locations4 sites

Summary

The purpose of this study is to evaluate the efficacy of an investigational RAS(ON) inhibitor administered in combination with chemotherapy compared to placebo in combination with chemotherapy.

Eligibility

Age: 18 Years+Healthy volunteers accepted
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.
* Diagnosis of metastatic disease ≤ 6 weeks prior to screening.
* Documented KRAS G12D mutation status.
* Measurable disease per RECIST v1.1.
* Adequate organ function (bone marrow, liver, kidney, coagulation).
* Able to take oral medications.

Exclusion Criteria:

* Prior treatment with systemic anticancer therapy in unresectable locally advanced or metastatic setting.
* Prior systemic RAS-targeted therapy any time prior to randomization.
* Presence of other known driver mutations with approved targeted therapies
* Active or known history of untreated central nervous system metastatic 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.

Conditions9

CancerPDACPDAC - Pancreatic Ductal AdenocarcinomaPancreatic AdenocarcinomaPancreatic Adenocarcinoma MetastaticPancreatic Adenosquamous CarcinomaPancreatic CancerPancreatic Cancer MetastaticPancreatic Ductal Adenocarcinoma (PDAC)

Interventions7

Locations4 sites

Florida

1 site
Moffitt Cancer Center
Tampa, Florida, 33612

Georgia

1 site
Piedmont Healthcare

Illinois

1 site
University of Chicago Medical Center
Desgardin773-834-7188adesgard@bsd.uchicago.edu

Maryland

1 site
Johns Hopkins University
Apostol410-502-7484giclinicaltrials@jhmi.edu

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Trial data from ClinicalTrials.gov. Trial status and eligibility can change — verify directly with the study contact or on ClinicalTrials.gov.

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