Overview
Sponsor-declared trial summary
Lung Cancer
To evaluate the ORR as assessed by RECIST v1.1 criteria of zoldonrasib monotherapy in patients with RAS G12D-mutant NSCLC who have been previously treated with systemic therapy
Key facts
- Sponsor
- Revolution Medicines Inc.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Respiratory Tract Diseases [C08]
- Trial duration
- 2 Oct 2025 → ongoing
- Decision date (initial)
- 2025-09-22
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Revolution Medicines Inc
External identifiers
- EU CT number
- 2025-521681-10-00
- ClinicalTrials.gov
- NCT06162221
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Efficacy
To evaluate the ORR as assessed by RECIST v1.1 criteria of zoldonrasib monotherapy in patients with RAS G12D-mutant NSCLC who have been previously treated with systemic therapy
Secondary objectives 1
- To evaluate other measures of efficacy ofzoldonrasib monotherapy in patients with RG12D-mutant NSCLC who have been previously treated with systemic therapy. To evaluate the safety and tolerability of zoldonrasib in patients with RAS G12D-mutant. To characterize the PK of zoldonrasib.
Conditions and MedDRA coding
Lung Cancer
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 27.1 | PT | 10061873 | Non-small cell lung cancer | 100000004864 |
Regulatory references
- Plan to share IPD
- No
| EU CT number | Title | Sponsor |
|---|---|---|
| 2023-509571-16-00 | A Phase 1b/2 Open-Label, Multicenter Study of RMC-6291 in Combination with Pembrolizumab with or without Chemotherapy, in Patients with KRASG12C-Mutated Solid Tumors – Subprotocol A | Revolution Medicines Inc. |
| 2025-521147-21-00 | A Phase 1b/2 Open-Label, Multicenter Study of RMC-9805 with or without RMC-6236, in Combination with Other Anticancer Agents, in Patients with RAS G12D-Mutated Non-Small Cell Lung Cancer (NSCLC) – Subprotocol C | Revolution Medicines Inc. |
| 2023-509572-42-00 | A Phase 1b/2 Open-Label, Multicenter Study of RMC-6236 in Combination with Pembrolizumab with or without Chemotherapy, in Patients with RAS‑Mutated Non-Small Cell Lung Cancer (NSCLC) – Subprotocol B | Revolution Medicines Inc. |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- Patients that are at least 18 years of age
- Patients that have NSCLC with RAS-G12D mutation
- Patients that have had cancer treatment before or are not able to tolerate regular treatments.
- Patients that have at least 1 measurable tumor (lesion).
- Patients that have adequate organ function (bone marrow, liver, kidney) and blood clotting.
Exclusion criteria 6
- 1. Patients that have primary brain and spinal cord tumor.
- 2. Patients thathave gastrointestinal problems that may affect absorption of RMC-9805
- 3. Patients thathad any major surgery in the last 4 weeks.
- 4. Patients that have any other medical condition that may interfere with the study medicine.
- 5. Patient that have a history of severe allergic reactions to the study medicine.
- 6. Patients that have previously taken targeted therapy for KRAS mutation.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Confirmed ORR per RECIST v1.1 as assessed by BICR
Secondary endpoints 8
- •PFS
- • OS
- • DOR
- • TTR
- • DCR
- • PFS rate at 6 months and 12 months and OS rate at 12 months
- • Incidence of TEAEs, SAEs, and changes from baseline in clinical laboratory values and vital signs.
- • Zoldonrasib blood concentration over time
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD12324715 · Product
- Active substance
- (2S-2-CYCLOPENTYL-2-5S-2-2R3R-3-CYCLOPROPYL-1-METHYLAZIRIDINE-2-CARBONYL-27-DIAZASPIRO44NONAN-7-YL-N-6S8S14S-21-5-4-CYCLOPROPYLPIPERAZIN-1-YL-2-1S-1-METHOXYETHYLPYRIDIN-3-YL-1818-DIMETHYL-915-DIOXO-22-222-TRIFLUOROETHYL-516-DIOXA-2102228-TETRAZAPENTACYCLO18521261101402327NONACOSA-12620232724-TETRAEN-8-YLACETAMIDE
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 1200 mg milligram(s)
- Max total dose
- 1200 mg milligram(s)
- Max treatment duration
- 9 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- REVOLUTION MEDICINES INC.
- Paediatric formulation
- No
- Orphan designation
- No
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
- Melanie Caruno
Public contact point
- Organisation
- Revolution Medicines Inc.
- Contact name
- Melanie Caruno
Third parties 19
| Organisation | City, country | Duties |
|---|---|---|
| Myonex LLC ORG-100047430
|
Horsham, United States | Other |
| Medidata Solutions Inc. ORG-100016256
|
New York, United States | Other |
| Scout Clinical ORG-100042228
|
Dallas, United States | Other |
| Alturas Analytics Inc. ORG-100045347
|
Moscow, United States | Laboratory analysis |
| Tempus AI Inc. ORG-100044006
|
Chicago, United States | Laboratory analysis |
| Atreo Inc. ORG-100045217
|
San Francisco, United States | Interactive response technologies (IRT) |
| PPD Global Ltd. ORG-100007531
|
Marousi, Greece | Code 12, Other, Code 5 |
| Propharma Group LLC ORG-100048652
|
Raleigh, United States | Code 9 |
| PPD Denmark Filial Af PPD Scandinavia AB Sverige ORG-100006387
|
Copenhagen S, Denmark | Code 12, Other, Code 5 |
| PPD Development LP ORG-100011560
|
Wilmington, United States | Other |
| Guardant Health Inc. ORG-100042461
|
Redwood City, United States | Other |
| Primevigilance Limited ORG-100027742
|
Guildford, United Kingdom | Code 8 |
| Icon Clinical Research LLC ORG-100039864
|
Rochester, United States | Other |
| Adaptive Biotechnologies Corp. ORG-100044428
|
Seattle, United States | Laboratory analysis |
| Aperio Clinical Outcomes LLC ORG-100046387
|
Durham, United States | Data management |
| Perceptive Informatics Inc. ORG-100013171
|
Billerica, United States | Other |
| Discovery Life Sciences LLC ORG-100046461
|
Huntsville, United States | Laboratory analysis |
| Sherpa Clinical Packaging LLC ORG-100042876
|
San Diego, United States | Other |
| Edetek Inc. ORG-100045957
|
Princeton, United States | Other |
Locations
9 EU/EEA countries · 42 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Authorised, recruitment pending | 5 | 2 |
| Czechia | Authorised, recruitment pending | 5 | 1 |
| Denmark | Ongoing, recruitment ended | 8 | 2 |
| France | Ongoing, recruitment ended | 17 | 12 |
| Germany | Authorised, recruitment pending | 8 | 4 |
| Greece | Ongoing, recruitment ended | 5 | 2 |
| Italy | Ongoing, recruitment ended | 9 | 4 |
| Netherlands | Ongoing, recruitment ended | 8 | 3 |
| Spain | Ongoing, recruitment ended | 19 | 12 |
| Rest of world
Korea, Republic of, Taiwan, Australia, Hong Kong, Malaysia, Singapore, United States
|
— | 16 | — |
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 |
|---|---|---|---|---|---|
| Denmark | 2025-12-05 | 2026-01-09 | 2026-01-09 | ||
| France | 2025-10-31 | 2025-11-13 | 2026-02-24 | ||
| Greece | 2025-10-30 | 2025-12-03 | 2025-12-03 | ||
| Italy | 2025-12-04 | 2025-12-16 | 2026-01-23 | ||
| Netherlands | 2025-11-05 | 2025-12-19 | 2026-02-05 | ||
| Spain | 2025-10-02 | 2025-10-09 | 2026-01-13 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 81 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_RevMed_RMC-LUNG-101_Core Protocol_2025-521681-10_GRK_EL_Public | 6.1 |
| Protocol (for publication) | D1_RevMed_RMC-LUNG-101_Core Protocol_2025-521681-10_Public | 6.1 |
| Protocol (for publication) | D1_RevMed_RMC-LUNG-101D_SubProtocol_2025-521681-10_GRK_LE_Public | 1.1 |
| Protocol (for publication) | D1_RevMed_RMC-LUNG-101D_SubProtocol_2025-521681-10_Public | 1.1 |
| Protocol (for publication) | D4_RevMed_RMC-LUNG-101D_ Patient Diary_AUT_AT_Public | 2.0 |
| Protocol (for publication) | D4_RevMed_RMC-LUNG-101D_ Patient Diary_CZE_CZ_Public | 2.0 |
| Protocol (for publication) | D4_RevMed_RMC-LUNG-101D_ Patient Diary_FRA_FR_Public | 2.0 |
| Protocol (for publication) | D4_RevMed_RMC-LUNG-101D_ Patient Diary_GER_DE_Public | 2.0 |
| Protocol (for publication) | D4_RevMed_RMC-LUNG-101D_ Patient Diary_GRC_EL_Public | 2.0 |
| Protocol (for publication) | D4_RevMed_RMC-LUNG-101D_ Patient Diary_ITA_IT_Public | 2.0 |
| Protocol (for publication) | D4_RevMed_RMC-LUNG-101D_ Patient Diary_NLD_BE_Public | 2.0 |
| Protocol (for publication) | D4_RevMed_RMC-LUNG-101D_ Patient Diary_Public | 2.0 |
| Protocol (for publication) | D4_RevMed_RMC-LUNG-101D_ Patient Diary_SPA_ES_Public | 2.0 |
| Protocol (for publication) | RevMed_RMC-LUNG-101_Core Protocol_Signature Page_Public | 6.0 |
| Protocol (for publication) | RevMed_RMC-LUNG-101_Subprotocol D_Signature Page_ Public | 1.0 |
| Recruitment arrangements (for publication) | K1_RMC-LUNG-101 SubProtocol D_Recruitment-Arrangements_GRC_Public | N/A |
| Recruitment arrangements (for publication) | K1_RMC-LUNG-101_ SubProtocolD_Recruitment-Arrangements_AT_Public | 1.0 |
| Recruitment arrangements (for publication) | K1_RMC-LUNG-101_Recruitment_Informed-Consent-Procedure_CZ_Public | 1.0 |
| Recruitment arrangements (for publication) | K1_RMC-LUNG-101_Subprotocol-D_Recruitment-and-Informed-Consent-Procedure_DE | 1.0 |
| Recruitment arrangements (for publication) | K1_RMC-LUNG-101-D_Recruitment-arrangements_DNK_English | 1.0 |
| Recruitment arrangements (for publication) | K1_RMC-LUNG-101D_Recruitment-Arrangements_ES | 1.0 |
| Recruitment arrangements (for publication) | K1_RMC-LUNG-101D_Recruitment-Arrangements_FR_French_Public | 1.0 |
| Recruitment arrangements (for publication) | K1_RMC-LUNG-101D_Recruitment-arrangements_NL_Public | n/a |
| Recruitment arrangements (for publication) | K1_RMC-LUNG-101D_Recruitment-Informed-Consent-Procedure_IT_English_Public | 1.0 |
| Recruitment arrangements (for publication) | K2_RMC-LUNG-101D_GP-letter_IT_ITA_Public | 1.0 |
| Recruitment arrangements (for publication) | K2_RMC-LUNG-101D_Patient_Card_FR_French_Public | 1.0.0 |
| Recruitment arrangements (for publication) | K2_RMC-LUNG-101D_Patient-Card_IT_Italian_Public | 1.0.0 |
| Subject information and informed consent form (for publication) | L1_ RMC-LUNG-101_Pregnant Partner _ICF_CZ_CS_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_ RMC-LUNG-101_SubD_GDPR_ICF_CZ_CS_Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_ RMC-LUNG-101_SubD_Main_ICF_CZ_CS_Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_ RMC-LUNG-101_SubD_Pre-Screen_ICF_CZ_CS_Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_RMC_LUNG-101-D_Addendum-to-Main-consent-form_DNK_Danish_Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101 Subprotocol-D_Future Research ICF_DE_German_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_D_Main_ICF_AT-German_Public | 2.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_D_Pre-screening ICF_AT-German_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_D_Pregnancy_ICF_AT-German_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_Pregnant Partner ICF_ES_Spanish_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_Scout ICF_ES_Spanish_Public | 0.2 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_SubProtocol_D_Main-ICF_GRC_English_Public | 3.1 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_SubProtocol_D_Main-ICF_GRC_Greek_Public | 3.1 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_SubProtocol_D_Pre-Screening-ICF_GRC_English_Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_SubProtocol_D_Pre-Screening-ICF_GRC_Greek_Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_SubProtocol_D_Pregnancy-Follow-up-ICF_GRC_English_Public | 4.1 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_SubProtocol_D_Pregnancy-Follow-up-ICF_GRC_Greek_Public | 4.1 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_Subprotocol-D_Main ICF_DE_German_Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_Subprotocol-D_Pre-Screening ICF_DE_German_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101_Subprotocol-D_Pregnancy ICF_DE_German_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101-D_ Main-ICF_DNK_Danish_Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101-D_Main-Adult-ICF_IT_Italian_Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_RMC-lung-101-D_PP-ICF_DNK_Danish_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101-D_Pre-screening-ICF_DNK_Danish_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101-D_Pre-Screening-ICF_IT_Italian_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101-D_Pregnant-Partner-ICF_IT_Italian_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101-D_Privacy-Addendum-ICF_IT_Italian_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101A_Scout ICF_DE_German_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101D_Main ICF_ES_Spanish_Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101D_Main-ICF_FR_French_Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101D_Pre-screening ICF_ES_Spanish_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101D_Pre-screening ICF_FR_French_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101D_Pregnancy-ICF_FR_French_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101D_SIS-and-ICF_Certificates-of-Translation_NL_English_Public | n/a |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101D_SIS-and-ICF-adults_NL_Dutch_Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101D_SIS-and-ICF-pre-screening_NL_Dutch_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_RMC-LUNG-101D_SIS-and-ICF-pregnant-partner_NL_Dutch_Public | 4.0 |
| Subject information and informed consent form (for publication) | L2_RMC-LUNG-101_Site-Patient-advocacy_Contact-List-for-ICF_AT | N/A |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101_Core Protocol synopsis_2025-521681-10_AUT_AT_Public | 6.1 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101_Core Protocol synopsis_2025-521681-10_CZE_CZ_Public | 6.1 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101_Core Protocol synopsis_2025-521681-10_FRA_FR_Public | 6.1 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101_Core Protocol synopsis_2025-521681-10_ITA_IT_Public | 6.1 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101_Core Protocol synopsis_2025-521681-10_NLD_NL_Public | 6.1 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101_Core Protocol Synopsis_2025-521681-10_Public | 6.1 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101_Core Protocol synopsis_2025-521681-10_SPA_ES_Public | 6.1 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101D_Protocol Lay Synopsis_2025-521681-10_Public | 2.0 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101D_SubProtocol Lay Synopsis_2025-521681-10_AUT-AT_Public | 2.0 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101D_SubProtocol Lay Synopsis_2025-521681-10_CZE_CZ_Public | 2.0 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101D_SubProtocol Lay Synopsis_2025-521681-10_FRA_FR_Public | 2.0 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101D_SubProtocol Lay Synopsis_2025-521681-10_GRK_LE_Public | 2.0 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101D_SubProtocol Lay Synopsis_2025-521681-10_ITA_IT_Public | 2.0 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101D_SubProtocol Lay Synopsis_2025-521681-10_NLD_NL_Public | 2.0 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101D_SubProtocol Lay Synopsis_2025-521681-10_SPA_ES_Public | 2.0 |
| Synopsis of the protocol (for publication) | D1_RevMed_RMC-LUNG-101D_SubProtocol Synopsis_2025-521681-10_ NLD_DU_Public | 6.1 |
Application history
4 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-05-28 | Spain | Acceptable 2025-09-22
|
2025-09-22 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-10-29 | Acceptable | 2025-11-06 | |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-12-11 | Acceptable | 2025-12-11 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-12-12 | Acceptable | 2026-02-02 |