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Study of Daraxonrasib and Daraxonrasib + GnP as First-line Treatment in Patients With Metastatic Pancreatic Adenocarcinoma

RecruitingPhase 3

RASolute 303: A Phase 3 Global, Multicenter, Open-label, Randomized, 3-Arm Study of Daraxonrasib Monotherapy or Daraxonrasib Plus Gemcitabine and Nab-paclitaxel Versus Gemcitabine and Nab-paclitaxel as a First-Line Treatment for Patients With Metastatic Pancreatic Adenocarcinoma

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
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 informed consent.
* Documented RAS mutation status, either mutant or wild-type.
* 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 metastatic setting or prior RAS-targeted therapy in any treatment setting.
* 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.

About the study

The purpose of this study is to evaluate the safety and efficacy of an investigational RAS(ON) inhibitor administered as monotherapy or in combination with chemotherapy, compared with standard of care (SOC) chemotherapy alone.

What is being tested

Sponsor: Revolution Medicines, Inc. · Participants: 900 · Started: Mar 9, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07491445

Locations in the U.S.

ArizonaMayo Clinic - Scottsdale, Phoenix
Honor Health Research Institute, Scottsdale
CaliforniaUniversity of California Los Angeles Health - Hematology/Oncology, Los Angeles
University of California San Francisco, San Francisco
FloridaMayo Clinic Cancer Center- Florida, Jacksonville
H Lee Moffitt Cancer Center and Research Institute, Tampa
MarylandJohns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore
MassachusettsDana-Farber Cancer Institute, Boston
MinnesotaMayo Clinic Cancer Center- Rochester, Rochester
New YorkMemorial Sloan Kettering Cancer Center, New York
North CarolinaDuke University Medical Center, Durham
OhioUniversity of Cincinnati Cancer Center, Cincinnati
TennesseeSCRI Oncology Partners, Nashville
TexasSCRI - Texas Oncology Dallas, Dallas
MD Anderson Cancer Center, Houston
UtahHuntsman Cancer Institute, Salt Lake City
VirginiaVirginia Cancer Specialists, Fairfax
WashingtonVirginia Mason Medical Center, Seattle

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.