New pill targets Hard-to-Treat cancers in early trial
NCT ID NCT05462717
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase study tests a new drug called RMC-6291 in adults with advanced cancers (lung, colon, pancreatic) that have a specific KRAS G12C mutation. The goal is to find the safest dose and see how well the drug works. About 222 participants will receive the drug by mouth, and researchers will monitor side effects and drug levels in the blood.
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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About 222 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2022
- Expected to finish
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Sep 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: * Subject must be ≥18 years of age. * Subject must have pathologically documented, locally advanced or metastatic KRASG12C-mutated solid tumor malignancy (not amenable to curative surgery) that has previously been treated with standard-of-care therapies for respective tumor types, is intolerant to, or is considered ineligible for standard-of-care anticancer treatments. * ECOG performance status 0 or 1 * Prior treatment with a KRASG12C (OFF) inhibitor allowed for dose escalation and for NSCLC in dose expansion * Adequate organ function Exclusion Criteria: * Primary central nervous system (CNS) tumors * Active brain metastases * Known impairment of GI function that would alter the absorption * Major surgical procedures within 28 days or non-study-related minor procedures within 7 days of treatment. * Prior therapy with KRASG12C (ON) inhibitor Other inclusion/exclusion criteria may apply.
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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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Ajou University Hospital
Suwon, Gyeonggi-do, 16499, South Korea
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American Oncology Partners of Maryland
Bethesda, Maryland, 20817, United States
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Austin Health, Olivia Newton-John Cancer Research & Wellness Centre
Heidelberg, Victoria, 3084, Australia
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Azienda Ospedaliero-Universitaria San Luigi Gonzaga
Orbassano, 10043, Italy
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CHU Bordeaux Hospital Saint-Andre
Bordeaux, 33000, France
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CHU Nantes
Nantes, 44093, France
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Centre Jean Perrin
Clermont-Ferrand, 63011, France
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Centre Léon Bérard
Lyon, 69008, France
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Centre Oscar Lambret
Lille, 59000, France
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Centro Ricerche Cliniche di Verona s.r.l.
Verona, 37134, Italy
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Chiang Mai University
Chiang Mai, 50200, Thailand
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Clinica Universidad de Navarra
Pamplona, 31008, Spain
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Clinical hospital center Bezanijska Kosa
Belgrade, 11071, Serbia
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Clínica Universidad de Navarra
Madrid, 28027, Spain
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Columbia University Irving 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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E-DA hospital
Kaohsiung City, Yanchao District, 82445, Taiwan
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Fondazione IRCCS Policlinico San Matteo
Pavia, 27100, Italy
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Highlands Oncology Group
Springdale, Arkansas, 72762, United States
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Hospital Universitario Fundación Jiménez Díaz
Madrid, 28040, Spain
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Hospital Universitario Miguel Servet
Zaragoza, 50009, Spain
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Hospital Universitario Quirónsalud
Pozuelo de Alarcón, 28223, Spain
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Hospital Universitario Virgen del Rocío
Seville, 41013, Spain
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ICANS
Strasbourg, 67200, France
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ICO
Angers, 49055, France
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ICO Hospitalet
Barcelona, 08908, Spain
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Institute for pulmonary diseases Sremska Kamenica
Kamenitz, 21204, Serbia
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Instytut MSF Sp zoo
Lodz, 90-302, Poland
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Istituto Europeo Oncologico
Milan, 20141, Italy
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Istituto Nazionale Tumori Fondazione G. Pascale
Naples, 80131, Italy
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Khon Kaen University
Khon Kaen, 40002, Thailand
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Klinika onkologie a radioterapie, Fakultni Nemocnice Hradec Kralove
Hradec Králové, 50005, Czechia
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Korea University Hospital
Seoul, 02708, South Korea
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MD Anderson Cancer Center
Madrid, 28033, Spain
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MSB General Hospital
Belgrade, 11000, Serbia
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MSK Cancer Center
New York, New York, 10021, United States
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Med - Polonia Sp. z o. o.
Poznan, 60-693, Poland
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Moffitt Cancer Center
Tampa, Florida, 33612, United States
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NEXT Oncology IOB Hospital Quirónsalud
Barcelona, 08023, Spain
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NH Hospital a.s.
Hořovice, 268 31, Czechia
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Narodowy Instytut Onkologii
Warsaw, 02-781, Poland
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National Cancer centre Singapore
Singapore, 168583, Singapore
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National Cheng Kung University Hospital
Tainan, 70457, Taiwan
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National Taiwan University Hospital
Taipei, 10048, Taiwan
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Next Oncology
San Antonio, Texas, 78229, United States
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Next Oncology Virginia
Fairfax, Virginia, 22031, United States
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Onkologicka klinika, Fakultni Nemocnice Olomouc
Olomouc, 77900, Czechia
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Peninsula & South Eastern Haematology and Oncology Group
Frankston, Victoria, 3199, Australia
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Roswell Park Comprehensive Cancer Center
Buffalo, New York, 14203, United States
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S.C. Oncologia Falck, Dipartimento Ematologia ed Oncologia Niguarda Cancer Center
Milan, 20162, Italy
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START
San Antonio, Texas, 78229, United States
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Sarawak General Hospital
Kuching, 93586, Malaysia
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Seoul National University Hospital
Seoul, 3080, South Korea
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Severance Hospital
Seoul, 3722, South Korea
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Siriraj Hospital
Bangkok Noi, 10700, Thailand
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South West Health Care
Warrnambool, Victoria, 3280, Australia
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Southside Cancer Care Centre
Sydney, New South Wales, 2228, Australia
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Taipei Tzu Chi Hospital
New Taipei City, 231, Taiwan
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Tennessee Oncology
Nashville, Tennessee, 37203, United States
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UC Davis Cancer Center
Sacramento, California, 95817, United States
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UC Irvine Cancer Center
Orange, California, 92868, United States
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UCSF
San Francisco, California, 94158, United States
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University Malaya Medical Centre
Kuala Lumpur, 59100, Malaysia
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University of Miami School of Medicine Sylvester Comprehensive Cancer Center
Miami, Florida, 33136, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Mitochondria-Targeting drug gamitrinib tested for first time in humans
- Can a Two-Drug combo outsmart advanced cancer?
- Can an experimental pill boost cancer immunotherapy? early trial puts HG146 to the test
- New injectable drug tested for safety in Hard-to-Treat solid tumors
- Can digital questionnaires improve life during pancreatic cancer therapy?