Drug intelligence / Profile preview

RMC-9805 + RMC-6236 + 5-fluorouracil

Development stage
Unknown
Lead developer
REVOLUTION Medicines
Modality
Small Molecules
Administration
Oral, Intravenous
01

Overview

A **combination therapy** being investigated primarily for cancers harboring KRAS G12D mutations. **RMC-9805** is a selective, oral, covalent inhibitor that targets the active, GTP-bound state of KRAS G12D mutant proteins (a RAS(ON) inhibitor). **RMC-6236** is a multi-selective pan-RAS(ON) inhibitor that targets multiple active RAS isoforms. **5-fluorouracil** is a well-established cytotoxic antimetabolite that inhibits thymidylate synthase, disrupting DNA and RNA synthesis. The rationale for this combination is to enhance the antitumor effect by simultaneously inhibiting oncogenic signaling (KRAS) and DNA synthesis, with ongoing early-phase trials in KRAS G12D-mutant solid tumors, including pancreatic and non-small cell lung cancer.

Other names
fluorouracil
02

Targets

KRASG12D (Kirsten rat sarcoma viral oncogene homolog (KRAS) G12D mutant)NRAS (Neuroblastoma RAS viral oncogene homolog)TS (Thymidylate synthase)

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