> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/study-of-ras-on-inhibitors-in-combination-with-ivonescimab-d33ebcb3-a493-4015-88d6-842c4501e2d0
> Record changed: 2026-10-13

# Study of RAS(ON) Inhibitors in Combination With Ivonescimab in Patients With Solid Tumors

NCT07397338

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

Phase

Phase 1/Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

Participants

370

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

Lead sponsor

Revolution Medicines, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

Start date

2026-01-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

Number of sites

9

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Title and summary

**Summary**

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of RAS(ON) inhibitors in combination with ivonescimab in adults with advanced or metastatic solid tumors with a RAS mutation.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Short title**

Study of RAS(ON) Inhibitors in Combination With Ivonescimab in Patients With Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Official title**

A Phase 1/2 Open-Label, Multicenter Study of RAS(ON) Inhibitors in Combination With Ivonescimab With or Without Other Anti-Cancer Agents in Patients With Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Phase**

Phase 1/Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Dates

**Completion date**

2029-05-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**First posted**

2026-02-09

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Registry last updated**

2026-08-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Primary completion date**

2029-05-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Start date**

2026-01-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Size and sites

**Participants**

370

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Planned participants**

370

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Protocol amendments**

0

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Number of sites**

9

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Sponsor and oversight

**Data monitoring committee**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Lead sponsor**

Revolution Medicines, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Identifiers

**Registry ID**

NCT07397338

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**ClinicalTrials.gov ID**

NCT07397338

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Study design

**Allocation**

Not randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Outcomes

### Primary outcomes

1. Number of patients with adverse events (AEs)  
Timeframe: Up to approximately 4 years  
Number of patients with AEs as assessed by CTCAE v5.
2. Changes in vital signs  
Timeframe: Up to approximately 4 years  
Number of patients with changes in vital signs.
3. Changes in clinical laboratory test values  
Timeframe: Up to approximately 4 years  
Number of patients with changes in clinical laboratory test values.
4. Dose Limiting Toxicities  
Timeframe: 28 days  
Number of patients with dose limiting toxicities

### Secondary outcomes

1. Concentration of RAS(ON) inhibitors and ivonescimab  
Timeframe: Up to Cycle 6 Day 1 (each cycle is 21 days)  
Trough and peak blood concentrations of RAS(ON) inhibitors and ivonescimab over time as applicable.
2. Objective Response Rate (ORR)  
Timeframe: Up to approximately 4 years  
ORR per response evaluation criteria in solid tumors (RECIST) v1.1
3. Duration of Response (DOR)  
Timeframe: Up to approximately 4 years  
DOR per RECIST v1.1
4. Disease Control Rate (DCR)  
Timeframe: Up to approximately 4 years  
DCR per RECIST v1.1
5. Time to response (TTR)  
Timeframe: Up to approximately 4 years  
TTR per RECIST v1.1
6. Progression free survival (PFS)  
Timeframe: Up to approximately 4 years  
PFS per RECIST v1.1
7. Anti-drug Antibody (ADA) of ivonescimab  
Timeframe: Up to approximately 4 years  
Number and percentage of patients with anti-ivonescimab antibody

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

- At least 18 years old and has provided informed consent.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Histologically confirmed, locally advanced or metastatic solid tumor malignancy with documented RAS mutation in KRAS, HRAS, or NRAS.
- Received and progressed or been intolerant to prior standard therapy (Part 1 Dose Exploration).
- Non-squamous NSCLC without a treatable driver mutation in other oncogenes that has not received prior systemic treatment (Arms A & B for Part 2 Dose Expansion).
- Solid tumor or CRC previously treated with no more than 2 prior lines of therapy for advanced disease and progressed or been intolerant to prior standard therapies (Arm C for Part 2 Dose Expansion).
- Measurable disease per RECIST v1.1
- Adequate organ function (bone marrow, liver, kidney, coagulation, endocrine).
- Able to take oral medications.

### Exclusion criteria

- Head and neck squamous cell carcinoma.
- Any conditions that may affect the ability to take or absorb study drug.
- Major surgery within 4 weeks prior to receiving study drug(s).
- Patient is unable or unwilling to comply with protocol-required study visits or procedures.
- Other inclusion/exclusion criteria may apply.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Sites

- USC Norris Comprehensive Cancer CenterLos Angeles, United StatesRecruiting
- Eastern Connecticut Hematology and Oncology AssociatesNorwich, United StatesRecruiting
- Health Partners Cancer Center at Regions HospitalSaint Paul, United StatesRecruiting
- Tennessee OncologyNashville, United StatesRecruiting
- MD Anderson Cancer CenterHouston, United StatesRecruiting
- MD Anderson Cancer CenterHouston, United StatesRecruiting
- NEXT DallasIrving, United StatesRecruiting
- NEXT OncologySan Antonio, United StatesRecruiting
- NEXT VirginiaFairfax, United StatesRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07397338)

## Related records

### Drugs (5)

- [Carboplatin](https://trialight.com/data/asset/carboplatin-91aa6947-1cbb-486a-b5c6-aaaa6868e24e.md)
- [Cetuximab](https://trialight.com/data/asset/cetuximab-a1f8c65c-bae1-4b77-9491-dca37aeeaa3c.md)
- [Cisplatin](https://trialight.com/data/asset/cisplatin-e039621a-d679-4740-88ac-94842bf4a91e.md)
- [Ivonescimab](https://trialight.com/data/asset/ivonescimab-abc25b61-44c5-4a6f-99eb-c59828f17211.md)
- [Pemetrexed](https://trialight.com/data/asset/pemetrexed-2221859e-676b-4d76-97df-e11f3f9664a1.md)

### Collaborators (1)

- [Summit Therapeutics](https://trialight.com/data/company/summit-therapeutics-90e22a13-4ed3-42cf-b081-43a343878f39.md)

### Lead sponsors (1)

- [Revolution Medicines, Inc.](https://trialight.com/data/company/revolution-medicines-inc-fb145d13-dec5-4356-b5c0-db990e1d4b8e.md)

### Conditions (4)

- [Colorectal cancer](https://trialight.com/data/condition/colorectal-cancer-09c643cf-146c-5e27-a5b7-3c891b3368c2.md)
- [Colorectal carcinoma](https://trialight.com/data/condition/colorectal-carcinoma-51401c02-7884-5c5c-bb91-90106e7d0d4a.md)
- [Colorectal neoplasm](https://trialight.com/data/condition/colorectal-neoplasm-31f0a633-3abe-5df4-9d3a-9292c6541f1d.md)
- [Non-small cell lung carcinoma](https://trialight.com/data/condition/non-small-cell-lung-carcinoma-a86c1d60-523f-5ea7-a5e1-39ed4a2296f8.md)

### Targets (4)

- [DHFR](https://trialight.com/data/target/dhfr-e77e5dcd-f4e0-5e26-b456-0a5b230a72b3.md)
- [EGFR](https://trialight.com/data/target/egfr-5c134fbe-bf90-5792-81e3-542be53c2be7.md)
- [GART](https://trialight.com/data/target/gart-01a731ec-9c88-556f-8fc6-2217fab015bc.md)
- [TYMS](https://trialight.com/data/target/tyms-8b1d20f5-3314-546a-bd58-610c1db66b0f.md)

---

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