New hope for pancreatic cancer: targeted drug enters final testing phase
NCT ID NCT06625320
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tests a new drug called daraxonrasib (RMC-6236) against standard treatments for people with metastatic pancreatic cancer that has already been treated. About 500 adults with a specific RAS gene mutation will be randomly assigned to receive either the new drug or standard care. The study measures how long patients live without their cancer growing and overall survival.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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500 people
The number who actually took part.
- Started
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Oct 2024
- Expected to finish
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Dec 2027
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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18 years and older
- 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.
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 PDAC with metastatic disease. * Measurable disease per RECIST 1.1. * Adequate organ function (bone marrow, liver, kidney, coagulation) * Documented RAS mutation status, either mutant or wild-type. RAS mutations defined as nonsynonymous mutations in KRAS, NRAS, or HRAS at codons 12, 13, or 61 (G12, G13, or Q61). * Able to take oral medications. Exclusion Criteria: * Prior therapy with direct RAS-targeted therapy (eg. degraders and/or inhibitors). * History of or known central nervous system metastatic disease. * Any conditions that may affect the ability to take or absorb study treatment * Major surgery within 4 weeks prior to randomization. * Patient is unable or unwilling to comply with protocol-required study visits or procedures
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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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Abramson Cancer Center Clinical Research Unit
Philadelphia, Pennsylvania, 19104, United States
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Aichi Cancer Center
Nagoya, 4648681, Japan
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Azienda Ospedaliera
Pisa, 56126, Italy
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Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234, United States
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Cancer Care Centers of Brevard Inc
Palm Bay, Florida, 32909, United States
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Cancer Institute Hospital of JFCR
Tokyo, 135-8550, Japan
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Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
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Centre Eugene Marquis
Rennes, 35042, France
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Charité Universitätsmedizin, Campus Berlin Mitte
Berlin, 13353, Germany
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City of Hope-Duarte
Duarte, California, 91010, United States
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Clinica Universidad de Navarra
Pamplona, 31008, Spain
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Columbia University Medical Center
New York, New York, 10032, United States
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Dana Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, Italy
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Fred Hutchinson Cancer Center
Seattle, Washington, 98109, United States
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Gustave Roussy
Villejuif, 94805, France
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Hopital Paul Brousse
Villejuif, 94804, France
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Hospital 12 de Octubre
Madrid, 28041, Spain
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Hospital Clinico de Valencia
Valencia, 46010, Spain
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Hospital Unversitari
Barcelona, 08035, Spain
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Huntsman Cancer Institute
Salt Lake City, Utah, 84112, United States
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IEO-Istituto Europeo di Oncologia
Milan, Italy
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IOV-Istituto Oncologico
Padova, 35128, Italy
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Institut Paoli Calmettes
Marseille, 13009, France
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Johns Hopkins
Baltimore, Maryland, 21287, United States
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Kanagawa Cancer Center
Yokohama, 241-8515, Japan
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Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
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MD Anderson Cancer Center
Houston, Texas, 77030, United States
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Mayo Clinic Cancer Center - Florida
Jacksonville, Florida, 32224, United States
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Mayo Clinic Cancer Center - Phoenix
Phoenix, Arizona, 85054, United States
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Mayo Clinic Cancer Center - Rochester
Rochester, Minnesota, 55905, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10022, United States
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Mission Hall UCSF
San Francisco, California, 94158, United States
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Moffitt Cancer Center
Tampa, Florida, 33612, United States
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NYU Lagone Health
New York, New York, 10016, United States
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National Cancer Center
Chiba, 277-8577, Japan
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National Cancer Center Hospital
Tokyo, 104-0045, Japan
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Nationales Centrum fur
Heidelberg, 69120, Germany
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Oregon Health and Science University
Portland, Oregon, 97239, United States
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Osaka International Cancer
Osaka, 541-8567, Japan
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Pan-American Center for Oncology Trials
San Juan, 00907, Puerto Rico
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Rocky Mountain Cancer
Aurora, Colorado, 80012, United States
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Roswell Park Cancer Institute
Buffalo, New York, 14263, United States
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Sarah Cannon Research Institute (Tennessee)
Nashville, Tennessee, 37203, United States
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Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104, United States
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Texas Oncology - Central South
Irving, Texas, 75063, United States
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Texas Oncology Sammons
Dallas, Texas, 75246, United States
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The Queen's Medical Center
Honolulu, Hawaii, 96813, United States
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The University of Chicago Medical Center
Chicago, Illinois, 60637, United States
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UC San Diego Health Moores Cancer Center
San Diego, California, 92037, United States
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UCLA
Los Angeles, California, 90095, United States
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UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232, United States
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Universitatsklinikum Ulm
Ulm, 89081, Germany
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Universitatsklinikum Ulm, Zentru
München, 81377, Germany
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University of Cincinnati Medical Center
Cincinnati, Ohio, 45219, United States
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University of Miami Sylvester Comprehensive Cancer Center
Miami, Florida, 33136, United States
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University of Michigan
Ann Arbor, Michigan, 48109, United States
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Virginia Cancer Specialists
Fairfax, Virginia, 22031, United States
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Washington University
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a blood test before pancreatic surgery predict a dangerous leak?
- New chemo cocktail targets pancreatic cancer at every stage
- Bacteria-Based immunotherapy targets pancreatic tumors in first human test
- Can a new radiation machine cut breath holds for cancer patients?
- Two oral drugs join chemotherapy in a bid to shrink pancreatic tumors
- Nerve-Block procedure tested against severe pancreatic and stomach cancer pain