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2025-524928-21-00RecruitingPhase 3

Phase 3 Study of Investigator Choice of Chemotherapy with or without Zoldonrasib as First-line Treatment in Metastatic KRAS G12D-mutated Pancreatic Adenocarcinoma

A Phase 3, Randomized, Double-blind, Placebo-controlled Study of Investigator Choice of Chemotherapy (modified FOLFIRINOX or Gemcitabine plus Nab-paclitaxel) with or without Zoldonrasib (RMC-9805) as First-line Treatment in Patients with Metastatic KRAS G12D-mutated Pancreatic Adenocarcinoma (RASolute 305)

Source: EU CTIS (euclinicaltrials.eu) · Last updated 25 Sept 2026

Next steps

Brief summary (registry, in English)

To compare the efficacy of zoldonrasib plus Investigator choice of chemotherapy (mFFX or GnP) versus placebo plus Investigator choice of chemotherapy (mFFX or GnP)

Status (registry)
Recruiting
Phase (registry)
Phase 3
Study type
Interventional
Enrollment
281 (estimated)
First submitted
29 Apr 2026
Start date
12 Oct 2026
Lead sponsor
Revolution Medicines Inc.
EU CT number
2025-524928-21-00

What you commit to

  • Study type: Interventional · Phase 3
  • Planned participants: 281
  • 64 sites in 12 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of EU CTIS (euclinicaltrials.eu). It describes the study design.

AI-kivonat: who the study is looking for

Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with newly diagnosed pancreatic adenocarcinoma that has spread (metastatic) and carries a KRAS G12D mutation. It tests chemotherapy with zoldonrasib or with placebo.

Age
18 years or older (or the legal age of consent)
Sex
All sexes can join.
Disease stage
Metastatic pancreatic adenocarcinoma, newly diagnosed within 6 weeks or less before screening. At least one lesion that can be measured (RECIST 1.1). ECOG performance status of 0 or 1.
Earlier treatment
No earlier systemic therapy for unresectable locally advanced or metastatic pancreatic adenocarcinoma. No earlier RAS-targeted therapy (including KRAS inhibitors) or MAPK pathway targeted drugs.
Biomarker or test result
A KRAS G12D mutation confirmed by a validated test.

Main reasons for not taking part

  • Other known driver gene changes that have approved targeted treatment (for example BRAF V600E, MSI-high/dMMR, NTRK fusions)
  • Pancreatic cancers that are not adenocarcinoma (for example neuroendocrine tumors, acinar cell carcinoma)
  • Brain or CNS spread that is untreated or causes symptoms, or leptomeningeal disease
  • Active infections that are not controlled, including hepatitis B, hepatitis C or HIV
  • Major surgery within 28 days before randomization

Read by machine on 9 Nov 2026.

Who cannot take part

Copied verbatim from EU CTIS (euclinicaltrials.eu) and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Prior systemic therapy for unresectable locally advanced or metastatic pancreatic adenocarcinoma
  • Prior treatment with RAS-targeted therapies (including KRAS inhibitors) or MAPK pathway targeted agents
  • Presence of other known actionable oncogenic driver alterations for which approved targeted therapies are available (eg BRAF V600E, MSI-high/dMMR, NTRK fusions)
  • Major surgery within 28 days prior to randomization

Other illness

  • Non-adenocarcinoma pancreatic malignancies (eg neuroendocrine tumors, acinar cell carcinoma)
  • Untreated or symptomatic central nervous system metastases or leptomeningeal disease
  • Clinically significant uncontrolled comorbidities (including cardiovascular, pulmonary, or gastrointestinal conditions that may affect safety or drug absorption)
  • Active uncontrolled infections, including hepatitis B, hepatitis C, or HIV not meeting protocol-defined control criteria

Other

  • Noncompliance with study visits or procedures

Who the study is looking for

  • Adult patients (≥18 years or legal age of consent)
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Histologically of cytologically confirmed pancreatic adenocarcinoma
  • Metastatic disease, newly diagnosed within ≤6 weeks prior to screening
  • Documented KRAS G12D mutations identified by a validated assay
  • At least one measurable lesion per RECIST version 1.1
  • Adequate organ function (hematologic, hepatic and renal)
  • Able to take oral medications

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on EU CTIS (euclinicaltrials.eu)

Sites (64)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
Ordensklinikum Linz GmbHLinzAustriaRecruiting
Gemeinnuetzige Salzburger Landeskliniken Betriebsgesellschaft mbHSalzburgAustriaRecruiting
Medical University of ViennaViennaAustriaRecruiting
Klinikum Wels-Grieskirchen GmbHWelsAustriaRecruiting
Noe LGA Gesundheit Thermenregion GmbHWiener NeustadtAustriaRecruiting
Universitair Ziekenhuis AntwerpenEdegemBelgiumNot yet recruiting
Az Maria Middelares GentGentBelgiumNot yet recruiting
Universitair Ziekenhuis GentGentBelgiumNot yet recruiting
UZ LeuvenLeuvenBelgiumNot yet recruiting
Centre Hospitalier Universitaire de LiègeLiègeBelgiumNot yet recruiting
Algemeen Ziekenhuis DeltaRoeselareBelgiumNot yet recruiting
Cliniques Universitaires Saint-LucSint-Lambrechts-WoluweBelgiumNot yet recruiting
Fakultni nemocnice BrnoBrnoCzechiaNot yet recruiting
University Hospital OlomoucOlomoucCzechiaNot yet recruiting
Všeobecná fakultní nemocnice v PrazePraha 2CzechiaNot yet recruiting
Charite Universitaetsmedizin Berlin KöRBerlinGermanyNot yet recruiting
Sana Kliniken Berlin-Brandenburg GmbHBerlinGermanyNot yet recruiting
Katholisches Klinikum Bochum gGmbHBochumGermanyNot yet recruiting
Technische Universitaet DresdenDresdenGermanyNot yet recruiting
Krankenhaus Nordwest GmbHFrankfurt am MainGermanyNot yet recruiting
Asklepios Kliniken Hamburg GmbHHamburgGermanyNot yet recruiting
Haematologisch Onkologische Praxis Eppendorf / Norddeutsches Studienzentrum für Innovative OnkologieHamburgGermanyNot yet recruiting
Universitaetsklinikum Heidelberg AöRHeidelbergGermanyNot yet recruiting
SLK-Kliniken Heilbronn GmbHHeilbronnGermanyNot yet recruiting
Klinikum der Technischen Universitaet Muenchen (TUM Klinikum)MunichGermanyNot yet recruiting
LMU Klinikum Muenchen AöRMunichGermanyNot yet recruiting
Universitaetsklinikum Ulm AoRUlmGermanyNot yet recruiting
Region HovedstadenHerlevDenmarkNot yet recruiting
Hospital Universitari Vall d'HebronBarcelonaSpainNot yet recruiting
Hospital Clinic de BarcelonaBarcelonaSpainNot yet recruiting
Hospital Universitario Fundación Jiménez DíazMadridSpainNot yet recruiting
Clinica Universidad de NavarraMadridSpainNot yet recruiting
Hospital General Universitario Gregorio MarañónMadridSpainNot yet recruiting
Hospital Universitario Virgen de la VictoriaMálagaSpainNot yet recruiting
Clínica Universidad de navarraPamplonaSpainNot yet recruiting
Hospital Universitario Virgen De La MacarenaSevillaSpainNot yet recruiting
Institut BergonieBordeauxFranceNot yet recruiting
Centre Hospitalier Universitaire Grenoble AlpesGrenoble Cedex 9FranceNot yet recruiting
Centre Hospitalier Universitaire De LilleLille CedexFranceNot yet recruiting
Centre Leon BerardLyonFranceNot yet recruiting
Institut Paoli-CalmettesMarseilleFranceNot yet recruiting
Centre Hospitalier Universitaire de BordeauxPessacFranceNot yet recruiting
Institut De Cancerologie De L OuestSaint-Herblain CedexFranceNot yet recruiting
Assistance Publique Hopitaux De ParisVillejuifFranceNot yet recruiting
Institut Gustave RoussyVillejuifFranceNot yet recruiting
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere ScientificoBolognaItalyRecruiting
Azienda Ospedaliero-Universitaria CareggiFlorenceItalyRecruiting
Ospedale San Raffaele S.r.l.MilanItalyRecruiting
Fondazione IRCCS - Istituto Nazionale dei TumoriMilanItalyRecruiting
IRCCS Istituto Nazionale Tumori Fondazione PascaleNaplesItalyRecruiting
Istituto Oncologico VenetoPadovaItalyRecruiting
Azienda Ospedaliero Universitaria PisanaPisaItalyRecruiting
Fondazione Policlinico Universitario Agostino Gemelli IRCCSRomeItalyRecruiting
Centro Ricerche Cliniche di Verona s.r.l.VeronaItalyRecruiting
Amsterdam UMC StichtingAmsterdamNetherlandsRecruiting
Frisius MCLeeuwardenNetherlandsRecruiting
Radboud universitair medisch centrum StichtingNijmegenNetherlandsRecruiting
Vestre Viken HFDrammenNorwayNot yet recruiting
Centrum Onkologii Im. Prof. Franciszka Lukaszczyka W BydgoszczyBydgoszczPolandNot yet recruiting
Centrum Terapii Wspolczesnej J.M. Jasnorzewska S.K.A.LodzPolandNot yet recruiting
Uniwersytecki Szpital Kliniczny w PoznaniuPoznanPolandNot yet recruiting
Mazowiecki Szpital Wojewodzki Im. Sw. Jana Pawła II W Siedlcach Sp. z o.o.SiedlcePolandNot yet recruiting
Pratia S.A.WroclawPolandNot yet recruiting
Sahlgrenska University Hospital-Vaestra GoetalandsregionenGoteborgSwedenNot yet recruiting

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This page is information, not medical advice. Discuss any trial with your doctor.