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RecruitingNCT04678648Updated Jun 23, 2026

A Trial of RSC-1255 for Treatment of Patients With Advanced Malignancies

A Phase 1 interventional study of RSC-1255 Dose Escalation and RSC-1255 Dose Expansion in Advanced Malignant Solid Neoplasm, RAS Mutation and Lung Cancer, sponsored by RasCal Therapeutics, Inc.. Recruiting at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-23.

Sponsored by RasCal Therapeutics, Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2021; still recruiting 5 years 8 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
134
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

RSC-101 is a Phase 1a/1b clinical trial of RSC-1255 in adult study participants with advanced solid tumor malignancies who are intolerant of existing therapies known to provide clinical benefit, have disease that has progressed after standard therapy, or have previously failed other therapies. The study has two phases. The purpose of Phase 1a (Dose Escalation) is to confirm the appropriate treatment dose and Phase 1b (Dose Expansion) is to characterize the safety and efficacy of RSC-1255.

Read the detailed description

RSC-1255 is an orally bioavailable, small-molecule direct pan-mutant and wild-type RAS inhibitor. RSC-101 is a Phase 1a/1b, open-label, multi-center, non-randomized, Dose Escalation and Dose Expansion study in participants with advanced solid tumor malignancies. Study enrollment is approximately 134 participants. All participants receive oral RSC-1255, twice daily as monotherapy. Following Phase 1a (Dose Escalation) to identify the Maximum Tolerated Dose and Recommended Dose for use in Phase 1b, additional participants are enrolled in the Phase 1b (Dose Expansion) to further characterize the safety, pharmacology, and the clinical efficacy of RSC-1255 as monotherapy and in combination with the autophagy inhibitor hydroxychloroquine (HCQ).

02

Conditions studied

  • Advanced Malignant Solid Neoplasm
  • RAS Mutation
  • Lung Cancer
  • Colon Cancer
  • Glioblastoma
  • Pancreatic Cancer

Keywords

  • Malignancy
  • Cancer
  • Refractory
  • RAS mutation
  • Lung
  • Colon
  • Glioblastoma
  • RSC-1255
  • Progression
  • Pancreatic
03

In context

Lung Neoplasms

5,422 studies on the registry are indexed under Lung Neoplasms; 1,346 are open to participants now.

This study's planned enrollment of 134 is above the median of 60 across 3,656 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

This is the only study on the registry with RasCal Therapeutics, Inc. as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Has confirmed advanced or characterized by one or more of the following:

    • Participant is intolerant of existing therapy(ies) known to provide clinical benefit for their condition
    • Malignancy is to existing therapy(ies) known to potentially provide clinical benefit
    • Malignancy has progressed on standard therapy
  2. Has evaluable or measurable tumor(s) in dose-escalation by standard radiological and/or laboratory assessments as applicable to their malignancy.
  3. Has adequate performance status (PS): Eastern Co-operative Oncology Group ().
  4. Is age ≥ 18 years.
  5. Has either tissue agnostic tumors and documented RAS mutations or with glioblastoma with or without mutation in RAS

Exclusion criteria

Exclusion Criteria (Key Factors):

  1. Participants receiving cancer therapy at the time of enrollment.
  2. Any disease or condition affecting a major organ system.
  3. Significant cardiovascular disease or (ECG) abnormalities.
  4. Known Gilbert's disease.
  5. Has had a previous (within 2 years) or has a current other than the target cancer.
  6. Intermittent hypokalemia
  7. Grade 1 or higher nausea, vomiting, diarrhea at baseline due to underlying disease
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
134 participants (estimated)

Study arms

  • Experimental
    RSC-1255 Treatment

    Single Arm Study. All study participants receive RSC-1255.

    Drug: RSC-1255 Dose Escalation · Drug: RSC-1255 Dose Expansion

Interventions

  • DrugRSC-1255 Dose Escalation

    Phase 1a will enroll 40-80 participants to identify the dose limiting toxicity (DLT), recommended Phase 1b dose, and the safety and tolerability of RSC-1255. RSC-1255 is administered orally twice daily, with and without food. Each cycle is 21 days.

    Also known as: Phase 1a, Dose Escalation

  • DrugRSC-1255 Dose Expansion

    Phase 1b will enroll 48-94 participants to further characterize the safety, pharmacology, and clinical efficacy of RSC-1255. RSC-1255 is administered orally twice daily alone or in combination with continuous hydroxychloroquine, with food. Each cycle is 21 days.

    Also known as: Phase 1b, Dose Expansion

06

What researchers measure

Primary outcomes

  1. Maximum Tolerated Dose (MTD) for RSC-1255 as monotherapy

    The number and type of dose-limiting toxicities (DLTs) as defined in the protocol that occur during the first 21 days of treatment and maximum grade of all treatment-related events using CTCAE V5.0 will be used to identify a safe and tolerable dose.

    Time frame: Approximately 30 months

  2. Recommended Phase 2 Dose (RP2D) for RSC-1255 as monotherapy

    The number and type of DLTs as defined in the protocol that occur during the first 21 days of treatment and maximum grade of all treatment-related adverse events using CTCAE 5.0 will be used to identify a safe and tolerable dose.

    Time frame: Approximately 12 months

Secondary outcomes

  1. Adverse event profile of RSC-1255

    Toxicities will be graded according to CTCAE V5.0.

    Time frame: Approximately 24 months

  2. Overall Survival (OS)

    Overall Survival

    Time frame: Approximately 24 months

  3. Disease Progression

    Disease Progression will be assessed using RECIST V1.1

    Time frame: Approximately 24 months

07

Study locations

3 of 3 sites recruiting
  • University of California, Los Angeles (UCLA) Department of Medicine - Hematology/Oncology
    Los Angeles, California 90404, United States
    Recruiting
  • Sarah Cannon, SCRI Oncology Partners - Health One
    Denver, Colorado 80218, United States
    Recruiting
  • Sarah Cannon, SCRI Oncology Partners
    Nashville, Tennessee 37203, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04678648
Lead sponsor
RasCal Therapeutics, Inc.
Responsible party
Sponsor
First posted
Dec 22, 2020
Start date
Mar 3, 2021
Primary completion
Dec 15, 2026 (estimated)
Completion
Jan 30, 2027 (estimated)
Last update
Jun 23, 2026

Study contacts

Michael Mann, MD
Contact
clinicaltrials@rascaltherapeutics.com
310-498-7171
Michael Mann, MD
study director · RasCal Therapeutics, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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