New drug combo targets tough cancers with RAS mutation
NCT ID NCT05907304
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-stage trial is testing whether a combination of two drugs, naporafenib and trametinib, can shrink or control advanced solid tumors that have a specific genetic change called RAS Q61X. About 86 people whose cancer has not responded to standard treatments will receive the drugs. The main goals are to see if the combination is safe and whether it can shrink tumors.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- naporafenib (a Pan-Raf inhibitor) combined with trametinib (a MEK inhibitor)
- What this could lead to
- If it works, this could point toward a new treatment option for people with certain hard-to-treat cancers that have a RAS Q61X mutation.
- What could go wrong
- This is a very early (Phase 1) trial with only 86 participants, so it is not yet known if the combination is safe or effective. Many early-stage cancer drugs do not succeed in later trials.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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86 people
The number who actually took part.
- Started
-
Aug 2023
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 to 99 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: 1. Willing and able to provide written informed consent 2. Age ≥ 12 years 3. A locally advanced or metastatic tumor who has progressed on or for which no standard therapy exists. Patients who are intolerant to standard therapy or who are not a candidate for standard therapy (in the opinion of the Investigator) or who decline standard therapy are also eligible. 4. Documentation of a RAS Q61X mutation (tumor tissue or blood) prior to first dose of study treatment as determined locally with an analytically validated assay in a certified testing laboratory. 5. Archival tumor tissue collected within 5 years prior to enrollment must be confirmed to be available at the time of Screening, which may be submitted before or after enrollment for exploratory biomarker analysis. 6. ECOG performance status 0, 1 or 2 7. Presence of at least 1 measurable lesion according to RECIST v1.1 8. Able to swallow oral medication. Exclusion Criteria: 1. Prior therapy with an ERK-, MEK-, RAF-, or RAS-inhibitor 2. Impairment of GI function or gastrointestinal (GI) disease that may significantly alter the absorption of study treatment (e.g., ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, small bowel resection) 3. History or current evidence of retinal vein occlusion (RVO) or current risk factors for RVO (e.g., uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndrome) 4. Corrected QT interval using Fridericia's formula (QTcF) at Screening \>450 ms based on triplicate average NOTE: criterion does not apply to patients with a right or left bundle branch block 5. LVEF \<50% 6. All primary CNS tumors 7. Symptomatic CNS metastases that are neurologically unstable. Patients with controlled CNS metastases are eligible. 8. Patients receiving treatment with medications that are known to be strong inhibitors and/or inducers of cytochrome P450 (CYP)3A; substrates of CYP2C8, CYP2C9, and CYP3A with a narrow therapeutic index and sensitive substrates of CYP3A; 9. Are pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the trial
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Beatson West of Scotland Cancer Center
Glasgow, United Kingdom
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British Columbia Cancer Agency
Vancouver, British Columbia, V5Z 4E6, Canada
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Comprehensive Cancer Center of Nevada (CCCN)
Las Vegas, Nevada, 89169, United States
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Cross Cancer Institute- Alberta Health Services (AHS)
Edmonton, Alberta, T6G 1Z2, Canada
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Emory University School of Medicine
Atlanta, Georgia, 30322, United States
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Florida Cancer Specialists - Sarasota
Sarasota, Florida, 34232, United States
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Florida Cancer Specialists - St. Petersburg
St. Petersburg, Florida, 33705, United States
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Henry Ford Health System
Detroit, Michigan, 48202, United States
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Inje University Haeundae Paik Hospital
Busan, Busan Gwang'yeogsi, 48108, South Korea
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Inova Schar Cancer Institute
Fairfax, Virginia, 22031, United States
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Linear Clinical Research, LTD
Perth, Australia
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London Regional Cancer Center
London, Ontario, Canada
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Macquarie University
Macquarie Park, New South Wales, Australia
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NEXT Virginia
Fairfax, Virginia, 22031, United States
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National Cancer Center
Goyang-si, South Korea
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Oregon Health & Science University
Portland, Oregon, 97239, United States
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Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
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SCRI Oncology Partners (formerly Tennessee Oncology)
Nashville, Tennessee, 37203, United States
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Samsung Medical Center
Seoul, Seoul Teugbyeolsi, 06351, South Korea
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Sarah Cannon Research Institute - HCA Healthcare
City of London, London, W1G 6AD, United Kingdom
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Seoul National University Hospital
Seoul, South Korea
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Seoul National University Hospital Bundang
Gyeonggi-do, South Korea
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St. Vincent's Hospital
Melbourne, Victoria, Australia
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The Catholic University Hospital
Seoul, South Korea
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The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
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University of California, San Francisco
San Francisco, California, 94143, United States
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University of Wisconsin
Madison, Wisconsin, 53792, United States
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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Yale Cancer Center
New Haven, Connecticut, 06510, United States
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