Overview
Sponsor-declared trial summary
non-small cell lung cancer
To compare the treatment effect of Daraxonrasib versus docetaxel in the RAS (G12X-C) population.
Key facts
- Sponsor
- Revolution Medicines Inc.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 27 Aug 2025 → ongoing
- Decision date (initial)
- 2025-07-01
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
External identifiers
- EU CT number
- 2024-518154-16-00
- ClinicalTrials.gov
- NCT06881784
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy, Safety, Pharmacokinetic, Efficacy
To compare the treatment effect of Daraxonrasib versus docetaxel in the RAS (G12X-C) population.
Conditions and MedDRA coding
non-small cell lung cancer
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 27.1 | PT | 10061873 | Non-small cell lung cancer | 100000004864 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 9
- At least 18 years of age and has provided informed consent.
- ECOG performance status 0 or 1.
- Pathologically confirmed NSCLC, either locally advanced or metastatic, not amenable to curative surgery or radiotherapy
- Measurable disease per RECIST v1.1
- Adequate organ function (bone marrow, liver, kidney, coagulation)
- One to two prior lines of therapy including an anti-PD-1/anti-PD(L)-1 agent and platinum-based chemotherapy.
- Documented RAS mutation status, defined as nonsynonymous mutations in KRAS, NRAS, or HRAS at codons 12, 13, or 61 (G12, G13, or Q61)
- Able to take oral medications
- For the full list of inclusion criteria please refer to the protocol.
Exclusion criteria 6
- Prior therapy with any direct RAS-targeted therapy or docetaxel
- Untreated central nervous system (CNS) metastases
- Medically significant comorbidities (significant cardiovascular disease, lung disease, or impaired GI function)
- Ongoing anticancer therapy
- Pregnant or breastfeeding
- For the full list of exclusion criteria please refer to the protocol.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- PFS is defined as time from randomization until disease progression or death from any cause, whichever occurs first. Progression is per RECIST v1.1 as assessed by Investigator. OS is defined as time from randomization until death from any cause.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
PRD10818590 · Product
- Active substance
- (12M-1S2S-N-63S4SZ-11-ETHYL-12-2-S-1-METHOXYETHYL-5-4-METHYLPIPERAZIN-1-YLPYRIDIN-3-YL-1010-DIMETHYL-57-DIOXO-616263646566-HEXAHYDRO-11H-8-OXA-242-THIAZOLA-153-INDOLA-613-PYRIDAZINACYCLOUNDECAPHANE-4-YL-2-METHYLCYCLOPROPANE-1-CARBOXAMIDE
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 200 mg milligram(s)
- Max total dose
- 120000 mg milligram(s)
- Max treatment duration
- 20 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- REVOLUTION MEDICINES INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD10818589 · Product
- Active substance
- (12M-1S2S-N-63S4SZ-11-ETHYL-12-2-S-1-METHOXYETHYL-5-4-METHYLPIPERAZIN-1-YLPYRIDIN-3-YL-1010-DIMETHYL-57-DIOXO-616263646566-HEXAHYDRO-11H-8-OXA-242-THIAZOLA-153-INDOLA-613-PYRIDAZINACYCLOUNDECAPHANE-4-YL-2-METHYLCYCLOPROPANE-1-CARBOXAMIDE
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 200 mg milligram(s)
- Max total dose
- 120000 mg milligram(s)
- Max treatment duration
- 20 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- REVOLUTION MEDICINES INC.
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 1
SUB12492MIG · Substance
- Active substance
- Docetaxel
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 75 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2025 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 20 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- labeling
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Revolution Medicines Inc.
- Sponsor organisation
- Revolution Medicines Inc.
- Address
- 700 Saginaw Drive
- City
- Redwood City
- Postcode
- 94063-4752
- Country
- United States
Scientific contact point
- Organisation
- Revolution Medicines Inc.
- Contact name
- Minoti Hiremath
Public contact point
- Organisation
- Revolution Medicines Inc.
- Contact name
- Minoti Hiremath
Third parties 13
| Organisation | City, country | Duties |
|---|---|---|
| Foundation Medicine Inc. ORG-100040457
|
Cambridge, United States | Other |
| Medidata Solutions Inc. ORG-100016256
|
New York, United States | Other, E-data capture |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | On site monitoring, Code 12, Code 2, Code 5 |
| Suvoda LLC ORG-100043523
|
Conshohocken, United States | Interactive response technologies (IRT) |
| Azenta US Inc. ORG-100012907
|
Indianapolis, United States | Other |
| PPD Global Central Labs ORG-100046496
|
Zaventem, Belgium | Other |
| Perceptive Informatics Inc. ORG-100013171
|
Billerica, United States | Other |
| Primevigilance USA Inc. ORG-100047266
|
Raleigh, United States | Other, Code 8 |
| Aperio Clinical Outcomes LLC ORG-100046387
|
Durham, United States | Data management |
| Cytel Inc. ORG-100042560
|
Cambridge, United States | Other |
| Alturas Analytics Inc. ORG-100045347
|
Moscow, United States | Other |
| Guardant Health Inc. ORG-100042461
|
Redwood City, United States | Other |
| Cisys Inc. ORG-100046011
|
Raleigh, United States | Other |
Locations
8 EU/EEA countries · 85 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Ongoing, recruiting | 22 | 6 |
| France | Ongoing, recruiting | 64 | 17 |
| Germany | Ongoing, recruiting | 48 | 11 |
| Ireland | Ongoing, recruiting | 15 | 7 |
| Italy | Ongoing, recruiting | 50 | 16 |
| Netherlands | Ongoing, recruiting | 29 | 6 |
| Poland | Ongoing, recruiting | 14 | 4 |
| Spain | Ongoing, recruiting | 54 | 18 |
| Rest of world
Puerto Rico, Hong Kong, Korea, Republic of, New Zealand, Singapore, Australia, Japan, United States, Switzerland, Taiwan, United Kingdom
|
— | 124 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Belgium | 2025-09-17 | 2025-09-17 | |||
| France | 2025-08-29 | 2025-08-29 | |||
| Germany | 2025-08-27 | 2025-08-27 | |||
| Ireland | 2025-11-05 | 2025-11-06 | |||
| Italy | 2025-10-03 | 2025-10-29 | |||
| Netherlands | 2025-09-17 | 2025-09-17 | |||
| Poland | 2025-09-30 | 2025-09-30 | |||
| Spain | 2025-10-27 | 2025-11-03 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 93 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_ Protocol_2024-518154-16-00_red-san | 3.0 |
| Protocol (for publication) | D4_Patient facing document_Patient Facing Documentation_copyright statement_san | 1.0 |
| Recruitment arrangements (for publication) | K1_2024-518154-16_Recruitment Arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | V1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_BEL_san | V1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_san | 2.0 |
| Recruitment arrangements (for publication) | K1_RMC-6236-301_Recruitment and Informed consent procedure_San | 1 |
| Recruitment arrangements (for publication) | K1_RMC-6236-301_Recruitment arrangements-NL-san | V2.0 |
| Recruitment arrangements (for publication) | K2_ Recruitment arrangements placeholder | 1 |
| Recruitment arrangements (for publication) | K2_2024-518154-16_Recruitment material_Banner Ads_Placeholder | N/A |
| Recruitment arrangements (for publication) | K2_2024-518154-16_Recruitment material_Digital Waiting Room Ad_Placeholder | V01FRAfr |
| Recruitment arrangements (for publication) | K2_2024-518154-16_Recruitment material_Dr to Patient Letter_Placeholder | V01FRAfr01 |
| Recruitment arrangements (for publication) | K2_2024-518154-16_Recruitment material_Patient Advocacy Group Letter_Placeholder | V01FRAfr01 |
| Recruitment arrangements (for publication) | K2_2024-518154-16_Recruitment material_Patient Brochure_Placeholder | V01FRAfr |
| Recruitment arrangements (for publication) | K2_2024-518154-16_Recruitment material_Patient Study Guide_Placeholder | V02FRAfr |
| Recruitment arrangements (for publication) | K2_2024-518154-16_Recruitment material_Physician Referral Letter_Placeholder | V01FRAfr01 |
| Recruitment arrangements (for publication) | K2_2024-518154-16_Recruitment material_Social Media Clinical Trial Posts_Placeholder | V01FRAfr |
| Recruitment arrangements (for publication) | K2_2024-518154-16_Recruitment material_Study Information Slides_Placeholder | 01Globalen |
| Recruitment arrangements (for publication) | K2_2024-518154-16_Recruitment material_Talking Points Guide_Placeholder | 01Globalen |
| Recruitment arrangements (for publication) | K2_Patient facing document_Placeholder_v1-0_27Feb2025 | 1 |
| Recruitment arrangements (for publication) | K2_Patient_Brochure | V01DEUde |
| Recruitment arrangements (for publication) | K2_RecruitMat_Banner Ads | V01.DEUde |
| Recruitment arrangements (for publication) | K2_RecruitMat_Digital Waiting Room Ad | V01.DEUde |
| Recruitment arrangements (for publication) | K2_RecruitMat_Dr-to-Patient Letter | V01DEUde01 |
| Recruitment arrangements (for publication) | K2_RecruitMat_Patient Advocacy Group Letter | V01DEUde01 |
| Recruitment arrangements (for publication) | K2_RecruitMat_Social Media_Clinical Trial Posts | V01DEUde |
| Recruitment arrangements (for publication) | K2_Recruitment material_Banner Ads | NA |
| Recruitment arrangements (for publication) | K2_Recruitment material_Digital Waiting Room Ad | V01ITA(it) |
| Recruitment arrangements (for publication) | K2_Recruitment material_Dr-to-Patient Letter | V01ITA(it) |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Advocacy Group Letter | V01ITA(it) |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure | V01ITA(it) |
| Recruitment arrangements (for publication) | K2_Recruitment material_Social Media and Clinical Trial Posts | V01ITA(it) |
| Recruitment arrangements (for publication) | K2_Recruitment materials placeholder | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment materials placeholder_san | 2 |
| Recruitment arrangements (for publication) | K2_RMC-6236-301_Banner Ads | N/A |
| Recruitment arrangements (for publication) | K2_RMC-6236-301_Digital Waiting Room Ad | V01NLD(nl) |
| Recruitment arrangements (for publication) | K2_RMC-6236-301_Dr-to-Patient Letter_San | V01NLD02 |
| Recruitment arrangements (for publication) | K2_RMC-6236-301_Patient Advocacy Group Letter_San | V01NLD(nl) |
| Recruitment arrangements (for publication) | K2_RMC-6236-301_Patient Brochure_San | V01NLD(nl) |
| Recruitment arrangements (for publication) | K2_RMC-6236-301_Physician Referral Letter | V02 |
| Recruitment arrangements (for publication) | K2_RMC-6236-301_Social Media and Clinical Trial Posts_San | V01NLD(nl) |
| Recruitment arrangements (for publication) | Patient Recruitment_Placeholder | 1 |
| Subject information and informed consent form (for publication) | L1_BfS information for Germany | 1 |
| Subject information and informed consent form (for publication) | L1_Main ICF Redacted | 3.0ESP1.0 |
| Subject information and informed consent form (for publication) | L1_Main no BfS ICF_red-san | 3.0DEU1.0 |
| Subject information and informed consent form (for publication) | L1_Main with BfS ICF_red-san | 3.0DEU1.0 |
| Subject information and informed consent form (for publication) | L1_Pre-screening ICF | V1-0DEUde2 |
| Subject information and informed consent form (for publication) | L1_Preg_ICF | 1.0DEU1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-6236-301_Main ICF_Ireland_redacted | 2.2 |
| Subject information and informed consent form (for publication) | L1_RMC-6236-301_Main ICF_Red-san | V3.0NLD1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-6236-301_Pre-screening ICF_Red-san | V1.0NLD2.0 |
| Subject information and informed consent form (for publication) | L1_RMC-6236-301_Pregnancy ICF_Red-san | V1.0NLD2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_FSR_Red-San | 1.0ITA1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_EN_red | V3.0BEL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_FR_red | V3.0BEL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_NL_red | V3.0BEL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main Privacy_Red-San | 1.0ITA1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Red | V3.0POL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Red_San_CL | 3.0ITA1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Red-San_CL | 3.0ITA1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening ICF_EN_red | 1.0BEL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening ICF_FR_red | 1.0BEL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening ICF_NL_red | 1.0BEL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_Red-San | 1.0ITA1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_Red_San | 1.0ITA1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner_EN_san | V1.0BEL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner_FR_san | V1.0BEL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner_NL_san | V1.0BEL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner_Red_San_CL | 1.0ITA1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Sponsorstatement_BEL_red | 1.0 |
| Subject information and informed consent form (for publication) | L2_2024-518154-16_ICF_Main ICF_Red-san | V3.0FRA1.0 |
| Subject information and informed consent form (for publication) | L2_2024-518154-16_ICF_PP ICF_Red-san | V1-0FRA1-0 |
| Subject information and informed consent form (for publication) | L2_2024-518154-16_ICF_Pre-screening ICF_Red-san | V1-0FRA1-0 |
| Subject information and informed consent form (for publication) | L2_2024-518154-16_Patient ID Card | V02FRAfr01 |
| Subject information and informed consent form (for publication) | L2_ICF_Pregnant Partner_red | V1.0POL2.0 |
| Subject information and informed consent form (for publication) | L2_ICF_Prescreening ICF_red | V1.0POL1.0 |
| Subject information and informed consent form (for publication) | L2_Ireland GP Letter Template V01 7Feb2025 | 1 |
| Subject information and informed consent form (for publication) | L2_Pre-screening ICF Redacted | 1.0ESP2.0 |
| Subject information and informed consent form (for publication) | L2_Pregnant Partner ICF_Redacted | 1.0ESP3.0 |
| Subject information and informed consent form (for publication) | L2_RMC-6236-301 Pregnant Partner ICF_Ireland_V1_05Feb2025_Final_clean | 1 |
| Subject information and informed consent form (for publication) | L2_RMC-6236-301_Optional and Future Research ICF_Ireland_V1_08May2025_Final | 1.1 |
| Subject information and informed consent form (for publication) | L2_RMC-6236-301_Pre-screening ICF_Ireland_V1_05Feb2025_Final_clean _redacted | 1.2 |
| Subject information and informed consent form (for publication) | Obsolete_L1_SIS and ICF_Main_Red_San | 3.0ITA1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_Representative SmPC_Docetaxel | N/A |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis_BE_DE_2024-518154-16-00_red-san | 3.1 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis_BE_FR_2024-518154-16-00_red-san | 3.1 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis_BE_NL_2024-518154-16-00_red-san | 3.1 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis_ENG_2024-518154-16-00_red-san | 3.1 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis_ES_2024-518154-16-00_red-san | 3.1 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis_FR_2024-518154-16-00_red-san | 3.1 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis_IT_2024-518154-16-00_red-san | 3.1 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis_NL_2024-518154-16-00_red-san | 3.1 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis_PL_2024-518154-16-00_red-san | 3.1 |
Application history
11 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-03-10 | Germany | Acceptable 2025-06-30
|
2025-07-01 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-07-09 | Acceptable | 2025-08-12 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-07-09 | Acceptable | 2025-08-26 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-07-09 | Germany | Acceptable | 2025-08-15 |
| 5 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-07-09 | Acceptable | 2025-07-18 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-07-09 | Acceptable | 2025-08-04 | |
| 7 | SUBSTANTIAL MODIFICATION | SM-6 | 2025-07-09 | Acceptable | 2025-08-07 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-7 | 2025-07-09 | Acceptable | 2025-08-19 | |
| 9 | SUBSTANTIAL MODIFICATION | SM-8 | 2025-07-09 | Acceptable | 2025-08-06 | |
| 10 | SUBSTANTIAL MODIFICATION | SM-9 | 2025-09-30 | Germany | Acceptable 2025-12-19
|
2025-12-22 |
| 11 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-01-21 | Acceptable 2025-12-19
|
2026-01-21 |