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Elironrasib

Phase 1

Non-Small Cell Lung Cancer (NSCLC) | Small molecule | Oncology |Revolution Medicines, Inc.|Trials Updated: Oct 19, 2026

Elironrasib development status

Highest phase Phase 1
Registered trials 4 across 1 sponsor since Jul 2022

Elironrasib target and mechanism

Molecular targetKRAS G12C
Target classProtein
ModalitySmall molecule

Also known as RMC-6291

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials3
Total Enrollment1,372

FDA Designations

BREAKTHROUGH_THERAPY

Elironrasib clinical trials

Elironrasib · 3 trials · 10 indications

Phase 1 3
NCT06162221Study of RAS(ON) Inhibitors in Patients With Advanced RAS-mutated NSCLCNon-Small Cell Lung Cancer, NSCLC
RECRUITING616 Analytics
NCT06128551Study of Elironrasib and Daraxonrasib as Monotherapies and Combination Therapy in Participants With Advanced KRAS G12C Mutant Solid TumorsNon-Small Cell Lung Cancer (NSCLC)
RECRUITING534 Analytics
NCT05462717Dose Escalation and Dose Expansion Study of RMC-6291 Monotherapy in Subjects With Advanced KRASG12C Mutant Solid TumorsNon-Small Cell Lung Cancer (NSCLC)
ACTIVE NOT_RECRUITING222 Analytics
PHASE1RECRUITING
Study of RAS(ON) Inhibitors in Patients With Advanced RAS-mutated NSCLC
Non-Small Cell Lung Cancer, NSCLCUnlock trial analytics
PHASE1RECRUITING
Study of Elironrasib and Daraxonrasib as Monotherapies and Combination Therapy in Participants With Advanced KRAS G12C Mutant Solid Tumors
Non-Small Cell Lung Cancer (NSCLC)Unlock trial analytics
PHASE1ACTIVE NOT_RECRUITING
Dose Escalation and Dose Expansion Study of RMC-6291 Monotherapy in Subjects With Advanced KRASG12C Mutant Solid Tumors
Non-Small Cell Lung Cancer (NSCLC)Unlock trial analytics

Study Endpoints

Primary Endpoints

Adverse events
Up to 5 years

Incidence and severity of treatment-emergent Adverse Events (AEs) and serious AEs and clinically significant changes in laboratory values, ECGs and vital signs

Dose limiting toxicities
21 days

Number of participants with dose limiting toxicities

Number of patients with adverse events (AEs) in Phase 1b
Up to approximately 3 years

Incidence and severity of treatment-emergent AEs and serious AEs as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v5

Changes in vital signs in Phase 1b
Up to approximately 3 years

Number of patients with clinically significant changes in vital signs

Changes in clinical laboratory test values in Phase 1b
Up to approximately 3 years

Number of patients with clinically significant changes in clinical laboratory test values

Dose Limiting Toxicities in Phase 1b
21 days

Number of participants with dose limiting toxicities

Changes in ECGs in Phase 1b
Up to approximately 3 years

Number of patients with clinically significant changes in ECGs

Overall Response Rate (ORR) in Phase 2
Up to approximately 3 years

Overall response rate per RECIST v1.1 as assessed by blinded independent central review (BICR)

Secondary Endpoints

Drug concentrations over time
Up to 21 weeks
Cmax
Up to 21 weeks
Tmax
Up to 21 weeks
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Subprotocol A: KRAS G12C-Mutated Solid TumorsEXPERIMENTALRMC-6291 (BID), RMC-6236 (QD), and Pembrolizumab (Q3W) with or without Chemotherapy (Q3W)
Subprotocol B: RAS-mutated NSCLCEXPERIMENTALRMC-6236 (QD) and Pembrolizumab (Q3W) with or without Chemotherapy (Q3W)
Subprotocol C: RAS G12D-mutated NSCLCEXPERIMENTALRMC-9805 (QD or BID), RMC-6236 (QD), and Pembrolizumab (Q3W) with or without Chemotherapy (Q3W).
Subprotocol D: RAS G12D-mutated NSCLCEXPERIMENTALRMC-9805 (QD)
Elironrasib MonotherapyEXPERIMENTALPhase 2 only
Daraxonrasib MonotherapyEXPERIMENTALPhase 2 only
Daraxonrasib + Elironrasib CombinationEXPERIMENTALPhase 1b and 2
RMC-6291EXPERIMENTALDose Escalation and Dose Expansion

Interventions

NameTypeDescription
RMC-6291DRUGOral tablet
RMC-6236DRUGOral tablet
PembrolizumabDRUGIV Infusion
CisplatinDRUGIV Infusion
CarboplatinDRUGIV Infusion
PemetrexedDRUGIV infusion
RMC-9805DRUGOral Tablet
ElironrasibDRUGoral tablets
DaraxonrasibDRUGoral tablets
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites98

Inclusion criteria: All Patients (unless otherwise noted): * ≥ 18 years of age * ECOG PS is 0 to 1 * Adequate organ function as outlined by the study * Received prior standard therapy appropriate for tumor type and stage * Must have pathologically documented, locally advanced or metastatic KRAS G1...

Countries:United StatesAustraliaAustriaCzechiaDenmarkFranceGermanyGreeceItalyNetherlandsSouth KoreaSpainTaiwanPuerto RicoMalaysiaPolandSerbiaSingaporeThailand
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Recent Changes (Last 90 Days)

LOWOct 19, 2026NCT06162221lastUpdatePostDate: changed
LOWOct 19, 2026NCT06162221lastUpdatePostDate: changed
LOWOct 19, 2026NCT06162221lastUpdatePostDate: changed
LOWSep 22, 2026NCT06128551lastUpdatePostDate: changed
LOWSep 22, 2026NCT06128551lastUpdatePostDate: changed
LOWAug 3, 2026NCT06128551lastUpdatePostDate: changed

Frequently asked questions about Elironrasib

What is Elironrasib used for?

Elironrasib is an investigational oral therapy being studied for advanced KRAS G12C-mutated solid tumors, with non-small cell lung cancer (NSCLC) as its lead indication. It is also being evaluated in colorectal cancer and pancreatic ductal adenocarcinoma. It has not been approved for any use and remains in clinical development.

What does Elironrasib target?

Elironrasib targets KRAS G12C, a mutant form of the KRAS protein. It is a small molecule designed to inhibit the RAS(ON) active state of this mutant protein. Targeting the active, GTP-bound form distinguishes it from earlier KRAS G12C inhibitors that bind the inactive state.

Who is developing Elironrasib?

Elironrasib is being developed by Revolution Medicines, Inc., a clinical-stage oncology company that trades on the Nasdaq under the ticker RVMD. The company is running the Phase 1 program for the drug both as a monotherapy and in combination with its other RAS(ON) inhibitor, daraxonrasib.

What phase is Elironrasib in?

Elironrasib is in Phase 1 clinical development. It is investigational and has not received FDA approval. The FDA has granted it Breakthrough Therapy designation, a status intended to expedite development and review of drugs for serious conditions where preliminary clinical evidence suggests substantial improvement over available therapies.

What clinical trials is Elironrasib in?

Elironrasib is being studied in three Phase 1 trials: NCT06162221 in advanced RAS-mutated NSCLC, NCT06128551 testing it with daraxonrasib in advanced KRAS G12C mutant solid tumors, and NCT05462717, a monotherapy dose escalation and expansion study in advanced KRAS G12C mutant solid tumors. All three are recruiting or active.

Is Elironrasib the same as RMC-6291?

Yes, Elironrasib and RMC-6291 refer to the same investigational drug. RMC-6291 is the earlier research code used by Revolution Medicines, while Elironrasib is the international nonproprietary name. Both names appear in the clinical trial listings for the same KRAS G12C-targeted compound.