Translational and Therapeutic Evaluation of RAS-GTP Inhibition by RMC-6236 in RAS-Driven Cancers

Translational and Therapeutic Evaluation of RAS-GTP Inhibition by RMC-6236 in RAS-Driven Cancers

JUNE 2024 | Jingjing Jiang, Lingyan Jiang, Benjamin J. Maldonato, Yingyun Wang, Matthew Holderfield, Ida Aronchik, Ian P. Winters, Zeena Salman, Cristina Blaj, Marie Menard, Jens Brodbeck, Zhe Chen, Xing Wei, Michael J. Rosen, Yevgeniy Gindin, Bianca J. Lee, James W. Evans, Stephanie Chang, Zhican Wang, Kyle J. Seamon, Dylan Parsons, James Cregg, Abby Marquez, Aidan C.A. Tomlinson, Jason K. Yano, John E. Knox, Elsa Quintana, Andrew J. Aguirre, Kathryn C. Arbour, Abby Reed, W. Clay Gustafson, Adrian L. Gill, Elena S. Koltun, David Wildes, Jacqueline A.M. Smith, Zhengping Wang, and Mallika Singh
RMC-6236 is a noncovalent inhibitor of the GTP-bound state of multiple RAS variants, showing potent anticancer activity in RAS-driven cancers. It effectively inhibits RAS-GTP, leading to tumor regression in preclinical models and clinical trials. RMC-6236 demonstrated significant tumor control and objective responses in patients with advanced KRAS G12X lung and pancreatic adenocarcinoma. It is well-tolerated and effective across various RAS mutations, including KRAS G12C, G12D, and G12V. RMC-6236 inhibits RAS signaling, leading to sustained pathway inhibition and tumor regression in vivo. It showed broad antitumor activity in preclinical models of RAS-driven cancers, including NSCLC, PDAC, and colorectal cancer. RMC-6236 also demonstrated the ability to penetrate the blood-brain barrier and showed synergy with immune-checkpoint inhibitors. PK/PD modeling predicted that daily doses of 100 mg and 300 mg would achieve tumor control and objective responses in patients with RAS-driven tumors. RMC-6236 is currently being evaluated in a phase I/Ib clinical trial (NCT05379985) for the treatment of advanced solid tumors with KRAS G12X mutations. The compound showed durable antitumor activity, with significant improvements in progression-free survival and tumor regression in multiple preclinical models. RMC-6236's broad-spectrum activity and tolerability make it a promising therapeutic option for RAS-driven cancers.RMC-6236 is a noncovalent inhibitor of the GTP-bound state of multiple RAS variants, showing potent anticancer activity in RAS-driven cancers. It effectively inhibits RAS-GTP, leading to tumor regression in preclinical models and clinical trials. RMC-6236 demonstrated significant tumor control and objective responses in patients with advanced KRAS G12X lung and pancreatic adenocarcinoma. It is well-tolerated and effective across various RAS mutations, including KRAS G12C, G12D, and G12V. RMC-6236 inhibits RAS signaling, leading to sustained pathway inhibition and tumor regression in vivo. It showed broad antitumor activity in preclinical models of RAS-driven cancers, including NSCLC, PDAC, and colorectal cancer. RMC-6236 also demonstrated the ability to penetrate the blood-brain barrier and showed synergy with immune-checkpoint inhibitors. PK/PD modeling predicted that daily doses of 100 mg and 300 mg would achieve tumor control and objective responses in patients with RAS-driven tumors. RMC-6236 is currently being evaluated in a phase I/Ib clinical trial (NCT05379985) for the treatment of advanced solid tumors with KRAS G12X mutations. The compound showed durable antitumor activity, with significant improvements in progression-free survival and tumor regression in multiple preclinical models. RMC-6236's broad-spectrum activity and tolerability make it a promising therapeutic option for RAS-driven cancers.
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