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
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.
- Diseases
- Pancreatic cancer
- 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
Sites (64)
Sites in registry order. Save your city in your profile to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Ordensklinikum Linz GmbH | Linz | Austria | Recruiting |
| Gemeinnuetzige Salzburger Landeskliniken Betriebsgesellschaft mbH | Salzburg | Austria | Recruiting |
| Medical University of Vienna | Vienna | Austria | Recruiting |
| Klinikum Wels-Grieskirchen GmbH | Wels | Austria | Recruiting |
| Noe LGA Gesundheit Thermenregion GmbH | Wiener Neustadt | Austria | Recruiting |
| Universitair Ziekenhuis Antwerpen | Edegem | Belgium | Not yet recruiting |
| Az Maria Middelares Gent | Gent | Belgium | Not yet recruiting |
| Universitair Ziekenhuis Gent | Gent | Belgium | Not yet recruiting |
| UZ Leuven | Leuven | Belgium | Not yet recruiting |
| Centre Hospitalier Universitaire de Liège | Liège | Belgium | Not yet recruiting |
| Algemeen Ziekenhuis Delta | Roeselare | Belgium | Not yet recruiting |
| Cliniques Universitaires Saint-Luc | Sint-Lambrechts-Woluwe | Belgium | Not yet recruiting |
| Fakultni nemocnice Brno | Brno | Czechia | Not yet recruiting |
| University Hospital Olomouc | Olomouc | Czechia | Not yet recruiting |
| Všeobecná fakultní nemocnice v Praze | Praha 2 | Czechia | Not yet recruiting |
| Charite Universitaetsmedizin Berlin KöR | Berlin | Germany | Not yet recruiting |
| Sana Kliniken Berlin-Brandenburg GmbH | Berlin | Germany | Not yet recruiting |
| Katholisches Klinikum Bochum gGmbH | Bochum | Germany | Not yet recruiting |
| Technische Universitaet Dresden | Dresden | Germany | Not yet recruiting |
| Krankenhaus Nordwest GmbH | Frankfurt am Main | Germany | Not yet recruiting |
| Asklepios Kliniken Hamburg GmbH | Hamburg | Germany | Not yet recruiting |
| Haematologisch Onkologische Praxis Eppendorf / Norddeutsches Studienzentrum für Innovative Onkologie | Hamburg | Germany | Not yet recruiting |
| Universitaetsklinikum Heidelberg AöR | Heidelberg | Germany | Not yet recruiting |
| SLK-Kliniken Heilbronn GmbH | Heilbronn | Germany | Not yet recruiting |
| Klinikum der Technischen Universitaet Muenchen (TUM Klinikum) | Munich | Germany | Not yet recruiting |
| LMU Klinikum Muenchen AöR | Munich | Germany | Not yet recruiting |
| Universitaetsklinikum Ulm AoR | Ulm | Germany | Not yet recruiting |
| Region Hovedstaden | Herlev | Denmark | Not yet recruiting |
| Hospital Universitari Vall d'Hebron | Barcelona | Spain | Not yet recruiting |
| Hospital Clinic de Barcelona | Barcelona | Spain | Not yet recruiting |
| Hospital Universitario Fundación Jiménez Díaz | Madrid | Spain | Not yet recruiting |
| Clinica Universidad de Navarra | Madrid | Spain | Not yet recruiting |
| Hospital General Universitario Gregorio Marañón | Madrid | Spain | Not yet recruiting |
| Hospital Universitario Virgen de la Victoria | Málaga | Spain | Not yet recruiting |
| Clínica Universidad de navarra | Pamplona | Spain | Not yet recruiting |
| Hospital Universitario Virgen De La Macarena | Sevilla | Spain | Not yet recruiting |
| Institut Bergonie | Bordeaux | France | Not yet recruiting |
| Centre Hospitalier Universitaire Grenoble Alpes | Grenoble Cedex 9 | France | Not yet recruiting |
| Centre Hospitalier Universitaire De Lille | Lille Cedex | France | Not yet recruiting |
| Centre Leon Berard | Lyon | France | Not yet recruiting |
| Institut Paoli-Calmettes | Marseille | France | Not yet recruiting |
| Centre Hospitalier Universitaire de Bordeaux | Pessac | France | Not yet recruiting |
| Institut De Cancerologie De L Ouest | Saint-Herblain Cedex | France | Not yet recruiting |
| Assistance Publique Hopitaux De Paris | Villejuif | France | Not yet recruiting |
| Institut Gustave Roussy | Villejuif | France | Not yet recruiting |
| Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico | Bologna | Italy | Recruiting |
| Azienda Ospedaliero-Universitaria Careggi | Florence | Italy | Recruiting |
| Ospedale San Raffaele S.r.l. | Milan | Italy | Recruiting |
| Fondazione IRCCS - Istituto Nazionale dei Tumori | Milan | Italy | Recruiting |
| IRCCS Istituto Nazionale Tumori Fondazione Pascale | Naples | Italy | Recruiting |
| Istituto Oncologico Veneto | Padova | Italy | Recruiting |
| Azienda Ospedaliero Universitaria Pisana | Pisa | Italy | Recruiting |
| Fondazione Policlinico Universitario Agostino Gemelli IRCCS | Rome | Italy | Recruiting |
| Centro Ricerche Cliniche di Verona s.r.l. | Verona | Italy | Recruiting |
| Amsterdam UMC Stichting | Amsterdam | Netherlands | Recruiting |
| Frisius MC | Leeuwarden | Netherlands | Recruiting |
| Radboud universitair medisch centrum Stichting | Nijmegen | Netherlands | Recruiting |
| Vestre Viken HF | Drammen | Norway | Not yet recruiting |
| Centrum Onkologii Im. Prof. Franciszka Lukaszczyka W Bydgoszczy | Bydgoszcz | Poland | Not yet recruiting |
| Centrum Terapii Wspolczesnej J.M. Jasnorzewska S.K.A. | Lodz | Poland | Not yet recruiting |
| Uniwersytecki Szpital Kliniczny w Poznaniu | Poznan | Poland | Not yet recruiting |
| Mazowiecki Szpital Wojewodzki Im. Sw. Jana Pawła II W Siedlcach Sp. z o.o. | Siedlce | Poland | Not yet recruiting |
| Pratia S.A. | Wroclaw | Poland | Not yet recruiting |
| Sahlgrenska University Hospital-Vaestra Goetalandsregionen | Goteborg | Sweden | Not yet recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.