OnCo
drugsProductUnder review

Daraxonrasib

The first drug that blocks all active RAS variants, approved by the FDA in August 2026 for metastatic pancreatic cancer, where KRAS drives 90% of tumours.

Daraxonrasib is Revolution Medicines' tri-complex inhibitor. Phase 1/2: median OS ~14.5 months in second-line pancreatic cancer versus historical ~6 months. RASolute 302 (second-line PDAC) supported FDA approval on 26 August 2026 as Rasonque for metastatic pancreatic cancer; RASolute 303 (first-line) and the NSCLC phase 3 (RASolve 301) continue. Rash and stomatitis are the main toxicities.

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Daraxonrasib (RMC-6236) · 2D coordinates (no PubChem conformer)
PubChem
Mechanism, step by step
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1.Drug binds cyclophilin A inside the cell

Modality
Small-molecule pan-RAS(ON) inhibitor
Mechanism
Binds cyclophilin A to form a tri-complex that sterically blocks RAS(ON) from engaging effectors, across G12X/G13X/Q61X and wild-type RAS.
Brand / code
Rasonque · RMC-6236
Dosing & schedule
Route
Oral
Schedule
300 mg once daily (phase 3 dose; 200 mg in some cohorts)
Dose modifications
Reduce for grade 3 rash or stomatitis
Monitoring
Skin, oral mucosa, LFTs

Source: clinicaltrials.gov/study/NCT06625320. Doses are for orientation; the current label governs.

Not appraisedSearch NICE
Notes
No UK marketing authorisation as of September 2026, so no NICE appraisal. Access only through a clinical trial or a company early access scheme.
NHS England
Not routinely funded

Sources: NICE search: daraxonrasib. Funding decisions are indication-specific and change monthly; verify with NICE and your treating team.

Regulatory

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  1. Jun 2024DesignationUS

    Breakthrough Therapy designation, previously treated metastatic PDAC source

  2. Dec 2025Filing / dealUS

    RASolute 302 phase 3 fully enrolled; topline 2026 source

Approvals

RegionYearIndication
US2026Metastatic pancreatic cancer (previously treated)Rasonque, 26 August 2026

Safety

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Toxicity profile
Adverse event
Rash
Stomatitis
Nausea
Diarrhoea
Fatigue

Most common; mostly grade 1-2 per phase 1/2 reports. Events listed without rates were not read from a primary source; see the label. Blank cells mean the figure was not sourced, not that it is zero.

Cost & access

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Cost & access
CountryReimbursement
United StatesInvestigational; NDA expected after RASolute 302

List prices are manufacturer or Medicare figures where publicly disclosed; net prices after rebates are usually lower. Reimbursement changes; check the payer.

Trials

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ClinicalTrials.gov · phase 2/3
refreshed 2026-09-06
8 studies6 recruiting4 Phase 24 Phase 3
Search “Daraxonrasib” on ClinicalTrials.gov →
Counts are from a name search and may include unrelated studies; up to 100 studies are summarised.

Recruiting now (live from ClinicalTrials.gov)

Recruiting trials near you · live from ClinicalTrials.gov
Daraxonrasib
intervention: Daraxonrasib
Open on ClinicalTrials.gov →

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Key papers

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Latest papers

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Literature trend83 papers in the last 12 months+655% vs prior 12How this is computed
Latest papers · live from Europe PMC
Open in Europe PMC

Query for this drug: (TITLE:"Daraxonrasib" OR ABSTRACT:"Daraxonrasib" OR TITLE:"Rasonque" OR ABSTRACT:"Rasonque" OR TITLE:"RMC-6236" OR ABSTRACT:"RMC-6236") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about Daraxonrasib, not a curated reading list.

Connected

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