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RMC-6236

Phase 3

Pancreatic Cancer | Small molecule | Oncology |Revolution Medicines, Inc.|Last Updated: Jul 29, 2026

Target and mechanism

Molecular targetRAS
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment500

FDA Designations

No designations recorded

Clinical trial landscape

RMC-6236 · 3 trials · 12 indications

Phase 3 1Phase 1 2
NCT06625320Phase 3 Study of Daraxonrasib (RMC-6236) in Patients With Previously Treated Metastatic Pancreatic Ductal Adenocarcinoma (PDAC)Pancreatic Cancer
ACTIVE NOT_RECRUITING500 Analytics
PHASE3ACTIVE NOT_RECRUITING
Phase 3 Study of Daraxonrasib (RMC-6236) in Patients With Previously Treated Metastatic Pancreatic Ductal Adenocarcinoma (PDAC)
Pancreatic CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression free survival (PFS) in the RAS G12-mutant population
Up to approximately 3 years

PFS is defined as the time from randomization until disease progression or death from any cause, whichever occurs first. Progression is per response evaluation criteria in solid tumors (RECIST) v1.1 and as assessed by blinded independent central review (BICR)

Overall survival (OS) in the RAS G12-mutant population
Up to approximately 3 years

OS is defined as the time from randomization until death from any cause.

Adverse events
Up to 3 years

Evaluate the safety and tolerability in the study population characterized by incidence, abnormal laboratory assessments, severity, and seriousness of adverse events in relation to the study treatment.

Dose limiting toxicities
28 days

Number of participants with dose limiting toxicities

Incidence and severity of treatment-emergent Adverse Events (AEs) and serious AEs, including incidence and severity of findings in laboratory values and vital signs
up to 2.5 years
Number of Participants with Dose-Limiting Toxicity (DLT)
21 days

Secondary Endpoints

PFS in the all-patient population
Up to approximately 3 years
OS in the all-patient population
Up to approximately 3 years
Objective response in the RAS G12 and all-patient populations
Up to approximately 3 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RMC-6236EXPERIMENTALStudy drug
Investigator's choice of standard of care therapyACTIVE_COMPARATORPatients randomized to Investigator's choice of standard of care chemotherapy will receive one of the following four treatments: * Gemcitabine and nab-paclitaxel (GnP) * Oxaliplatin, leucovorin, irinotecan, and 5-FU (Modified FOLFIRINOX: mFOLFIRINOX) * Liposomal irinotecan (Nal-IRI + 5-FU/LV) * Oxaliplatin, leucovorin and 5-FU IV (FOLFOX)
Subprotocol A: RAS-mutated unresectable or metastatic CRC or metastatic PDACEXPERIMENTALRMC-6236 (QD) and Bevacizumab with 5-fluorouracil-based regimens
Subprotocol B: RAS-mutated unresectable or metastatic CRC or metastatic PDACEXPERIMENTALRMC-6236 (QD) and Cetuximab with or without mFOLFOX6
Subprotocol C: metastatic PDACEXPERIMENTALRMC-6236 (QD) and Gemcitabine with Nab-paclitaxel
Subprotocol D: RAS G12D-mutated unresectable or metastatic CRC or metastatic PDACEXPERIMENTALRMC-9805 (QD or BID) with or without RMC-6236 (QD), and Bevacizumab with 5-fluorouracil- based regimens
Subprotocol E: RAS G12D-mutated unresectable or metastatic CRC or metastatic PDACEXPERIMENTALRMC-9805 (QD or BID) with or without RMC-6236 (QD), and Cetuximab with or without mFOLFOX6
Subprotocol F: RAS G12D-mutated metastatic PDACEXPERIMENTALRMC-9805 (QD or BID) with or without RMC-6236 (QD), and Gemcitabine with Nab-paclitaxel
Experimental: RMC-6236EXPERIMENTALEnrollment into dose exploration may be from any advanced solid tumor type with KRAS p.G12 mutations. Enrollment into dose expansion/optimization may be from groups consisting of patients with a single histotype/genotype (for example, KRAS G12-mutated NSCLC, PDAC, CRC, RAS mutant NSCLC, Melanoma, gynecological cancer or other solid tumors not previously specified). RAS mutant is defined as any nonsynonymous mutation of KRAS, NRAS, or HRAS at codons 12, 13, or 61 (G12, G13, or Q61)

Interventions

NameTypeDescription
RMC-6236DRUGOral Tablets
GemcitabineDRUGintravenous (IV) infusion
nab-paclitaxelDRUGIV infusion
IrinotecanDRUGIV infusion
Liposomal irinotecanDRUGIV infusion
5-fluorouracilDRUGIV infusion
leucovorinDRUGIV infusion
OxaliplatinDRUGIV infusion
mFOLFOX6 regimenDRUGIV infusion
bevacizumabDRUGIV infusion
mFOLFIRINOX regimenDRUGIV infusion
cetuximabDRUGIV infusion
RMC-9805DRUGOral Tablet
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites60

Inclusion Criteria: * At least 18 years old and has provided informed consent. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. * Histologically or cytologically confirmed PDAC with metastatic disease. * Measurable disease per RECIST 1.1. * Adequate organ function (bone mar...

Countries:United StatesFranceGermanyItalyJapanPuerto RicoSpain
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Competitive Landscape -Pancreatic Cancer 178 trials

Top 20 of 67 competitors

CompanyTickerTrialsLead PhaseDrugs
Revolution Medicines, Inc.RVMD9PHASE3RMC-6236, Gemcitabine, nab-paclitaxel, Irinotecan, Liposomal irinotecan
Arcus Biosciences, Inc.RCUS3PHASE3Quemliclustat, Nab-paclitaxel, Gemcitabine
Pfizer Inc.PFE7PHASE2tisotumab vedotin, pembrolizumab, carboplatin, cisplatin
AstraZeneca PLCAZN9PHASE2AZD0901, 5-Fluorouracil, Leucovorin, l-leucovorin, Irinotecan
AbbVie, Inc.ABBV4PHASE2TTX-030, nab-paclitaxel and gemcitabine, Nab-Paclitaxel and gemcitabine
AngioDynamics, Inc.ANGO2PHASE3Modified FOLFIRINOX Regimen
Bristol-Myers Squibb CompanyBMY4PHASE2Navlimetostat, Gemcitabine, Nab-paclitaxel
Immuneering Corp. Class AIMRX2PHASE3Atebimetinib, GnP, mGnP
RenovoRx, Inc.RNXT1PHASE3Gemcitabine, nab-paclitaxel
BioNTech SE Sponsored ADRBNTX2PHASE2Pumitamig, Nab-paclitaxel, Gemcitabine, mFOLFIRINOX
Veracyte, Inc.VCYT1PHASE3Tislelizumab
ArriVent BioPharma, Inc.AVBP3PHASE2JAB-21822
Merck & Co., Inc.MRK2PHASE2Belzutifan
Eli Lilly and CompanyLLY7PHASE1LY4101174
Exelixis, Inc.EXEL1PHASE2Zanzalintinib, Everolimus
Agenus Inc.AGEN4PHASE2AGEN1423, Botensilimab, Gemcitabine, Nab-paclitaxel
HUTCHMED (China) Limited Sponsored ADRHCM1PHASE2Surufatinib Combined With Camrelizumab, Nab-paclitaxel, and Gemcitabine, Nab-paclitaxel Plus Gemcitabine, Surufatinib with Nab-paclitaxel, and Gemcitabine
Incyte CorporationINCY3PHASE2Ruxolitinib, Capecitabine, Regorafenib
Jazz Pharmaceuticals Public Limited CompanyJAZZ1PHASE2Zanidatamab
ImmunityBio IncIBRX1PHASE2N-803, Aldoxorubicin, PD-L1 t-haNK, Nab-paclitaxel, Gemcitabine
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Recent Changes (Last 90 Days)

LOWJul 29, 2026NCT06445062lastUpdatePostDate: changed
LOWJul 29, 2026NCT06445062lastUpdatePostDate: changed

Frequently asked questions about RMC-6236

What is RMC-6236 used for?

RMC-6236 is an investigational small molecule being studied for the treatment of RAS-mutant cancers, including colorectal cancer, pancreatic cancer, and non-small cell lung cancer (NSCLC). It is also being evaluated in pancreatic ductal adenocarcinoma (PDAC) and other advanced solid tumors harboring specific RAS mutations.

What does RMC-6236 target?

RMC-6236 targets RAS, a protein that regulates cell growth and division. Mutations in RAS can drive uncontrolled cell proliferation, contributing to cancer development. By inhibiting RAS, RMC-6236 aims to block this oncogenic signaling in tumors with specific RAS mutations.

Who makes RMC-6236?

RMC-6236 is being developed by Revolution Medicines, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol RVMD. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with RAS-mutant cancers.

What phase is RMC-6236 in?

RMC-6236 is in Phase 1 clinical development. It is being studied in early-stage trials for advanced solid tumors with RAS mutations, including a Phase 1 study in gastrointestinal cancers. The drug is investigational and has not yet been approved by regulatory authorities.

What clinical trials is RMC-6236 in?

RMC-6236 is being evaluated in three clinical trials. NCT05379985 is a Phase 1 study in advanced solid tumors with RAS mutations. NCT06445062 is a Phase 1 study of RAS(ON) inhibitors in gastrointestinal tumors. NCT06625320 is a Phase 3 study in previously treated metastatic pancreatic ductal adenocarcinoma.

Is RMC-6236 the same as daraxonrasib?

Yes, RMC-6236 is also known as daraxonrasib. In clinical trials, it is referred to by both names, with daraxonrasib used in the Phase 3 study for pancreatic cancer. This alternative name helps identify the drug across different research contexts.