> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/study-of-rmc-5127-in-patients-with-advanced-kras-g12v-mutant-9d2ab2bb-dcfc-42f5-9793-912ad08f70c3
> Record changed: 2026-10-13

# Study of RMC-5127 in Patients With Advanced KRAS G12V-Mutant Solid Tumors

NCT07349537

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

Phase

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

Participants

574

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

Lead sponsor

Revolution Medicines, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

Start date

2026-01-08

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

Number of sites

9

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## Title and summary

**Summary**

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of RMC-5127 as a monotherapy and in combination with either daraxonrasib or cetuximab in adults with KRAS G12V-mutant solid tumors.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Short title**

Study of RMC-5127 in Patients With Advanced KRAS G12V-Mutant Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Official title**

Phase 1/1b, Multicenter, Open-Label, Study of RMC-5127 in Patients With Advanced KRAS G12V-Mutant Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Phase**

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## Dates

**Completion date**

2028-10-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**First posted**

2026-01-16

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Registry last updated**

2026-07-10

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Primary completion date**

2028-04-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Start date**

2026-01-08

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## Size and sites

**Participants**

574

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Planned participants**

574

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Protocol amendments**

0

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Number of sites**

9

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Lead sponsor**

Revolution Medicines, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## Identifiers

**Registry ID**

NCT07349537

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**ClinicalTrials.gov ID**

NCT07349537

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## Study design

**Allocation**

Not randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## Outcomes

### Primary outcomes

1. Number of patients with adverse events (AEs)  
Timeframe: Up to approximately 3 years  
Number of patients with AEs as assessed by Common Terminology Criteria for Adverse Events CTCAE v5
2. Changes in vital signs  
Timeframe: Up to approximately 3 years  
Number of patients with changes from baseline in vital signs
3. Changes in electrocardiogram (ECG) test values  
Timeframe: Up to approximately 3 years  
Number of patients with changes from baseline in ECG test values
4. Changes in clinical laboratory test values  
Timeframe: Up to approximately 3 years  
Number of patients with changes from baseline in clinical laboratory test values
5. Dose Limiting Toxicities  
Timeframe: Up to 28 days  
Number of patients with dose limiting toxicities

### Secondary outcomes

1. Cmax concentrations of RMC-5127 and daraxonrasib  
Timeframe: Up to Cycle 5 Day 1 (each cycle is up to 28 days)  
Maximum blood concentration (Cmax) of RMC-5127 as monotherapy and in combination with daraxonrasib or cetuximab, and Cmax of daraxonrasib in combination with RMC-5127 over time as applicable
2. Tmax concentration of RMC-5127 and daraxonrasib  
Timeframe: Up to Cycle 5 Day 1 (each cycle is up to 28 days)  
Time to reach maximum blood concentration (Tmax) of RMC-5127 as monotherapy and in combination with daraxonrasib or cetuximab, and Tmax of daraxonrasib in combination with RMC-5127 over time as applicable
3. AUC concentrations of RMC-5127 and daraxonrasib  
Timeframe: Up to Cycle 5 Day 1 (each cycle is up to 28 days)  
Area under the blood concentration time curve (AUC) of RMC-5127 as monotherapy and in combination with daraxonrasib or cetuximab, and AUC of daraxonrasib in combination with RMC-5127 over time as applicable
4. Ratio of accumulation of RMC-5127  
Timeframe: Up to Cycle 5 Day 1 (each cycle is up to 28 days)  
Ratio of accumulation of RMC-5127 from a single dose to steady state with repeated dosing as monotherapy and in combination with darabxrasib or cetuximab over time as applicable
5. Half-Life of RMC-5127 and daraxonrasib  
Timeframe: Up to Cycle 5 Day 1 (each cycle is up to 28 days)  
Elimination Half-Life (t1/2) of RMC-5127 as monotherapy and in combination with daraxonrasib or cetuximab, and t1/2 of daraxonrasib in combination with RMC-5127 over time as applicable
6. Objective Response Rate (ORR)  
Timeframe: Up to approximately 3 years  
ORR per response evaluation criteria in solid tumors (RECIST) v1.1
7. Duration of Response (DOR)  
Timeframe: Up to approximately 3 years  
DOR per RECIST v1.1

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## 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.
- Pathologically documented, locally advanced or metastatic KRAS G12V-mutated solid tumor malignancy.
- Received and progressed or been intolerant to prior standard therapy (including targeted therapy) appropriate for tumor type and stage.
- Measurable per RECIST v1.1
- Adequate organ function (bone marrow, liver, kidney, coagulation).
- Able to take oral medications.

### Exclusion criteria

- Primary central nervous system (CNS) tumors
- Prior therapy with KRAS G12V inhibitor or direct RAS-targeted therapy (eg. degraders and/or inhibitors).
- Any conditions that may affect the ability to take or absorb study drug.
- Major surgery within 28 days prior to receiving study drug(s).
- Patient is unable or unwilling to comply with protocol-required study visits or procedures.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## Sites

- Yale Cancer CenterNew Haven, United StatesRecruiting
- Johns HopkinsBaltimore, United StatesRecruiting
- Dana-Farber Cancer InstituteBoston, United StatesRecruiting
- START MidwestGrand Rapids, United StatesRecruiting
- Laura and Isaac Perlmutter Cancer Center at NYU Langone HealthNew York, United StatesRecruiting
- NEXT - DallasDallas, United StatesRecruiting
- NEXTSan Antonio, United StatesRecruiting
- START - San AntonioSan Antonio, United StatesRecruiting
- NEXT - VirginiaFairfax, United StatesRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07349537)

## Related records

### Drugs (1)

- [Cetuximab](https://trialight.com/data/asset/cetuximab-a1f8c65c-bae1-4b77-9491-dca37aeeaa3c.md)

### Lead sponsors (1)

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

### Conditions (9)

- [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)
- [Lung cancer](https://trialight.com/data/condition/lung-cancer-c4ca1fe0-9b3d-5957-a668-2d6cf26bd16a.md)
- [Lung neoplasm](https://trialight.com/data/condition/lung-neoplasm-d4ce75ac-7517-5ab7-9f47-34c0f7b81786.md)
- [Non-small cell lung carcinoma](https://trialight.com/data/condition/non-small-cell-lung-carcinoma-a86c1d60-523f-5ea7-a5e1-39ed4a2296f8.md) Primary condition
- [Pancreatic adenocarcinoma](https://trialight.com/data/condition/pancreatic-adenocarcinoma-fd65444c-0bc5-53ed-8c6a-62d9809145d0.md)
- [Pancreatic ductal adenocarcinoma](https://trialight.com/data/condition/pancreatic-ductal-adenocarcinoma-77c1c5a8-638b-51d0-b18e-2c881b8902e5.md)
- [Pancreatic neoplasm](https://trialight.com/data/condition/pancreatic-neoplasm-de300cc3-339a-5c06-97d8-2d9155fc3a7b.md)

### Targets (1)

- [EGFR](https://trialight.com/data/target/egfr-5c134fbe-bf90-5792-81e3-542be53c2be7.md)

---

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