Drug intelligence / Profile preview

zoldonrasib + pembrolizumab + platinum-based chemotherapy

Development stage
Unknown
Lead developer
REVOLUTION Medicines
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

zoldonrasib + pembrolizumab + platinum-based chemotherapy is an investigational combination regimen being developed by Revolution Medicines for the first-line treatment of patients with metastatic RAS G12D-mutant non-squamous non-small cell lung cancer (NSCLC). The regimen combines zoldonrasib (RMC-9805), an oral, G12D-selective covalent tri-complex RAS(ON) inhibitor, with pembrolizumab, an anti-PD-1 monoclonal antibody, and standard-of-care platinum-based doublet chemotherapy (typically pemetrexed combined with cisplatin or carboplatin). Zoldonrasib functions by binding to cyclophilin A to form a binary complex, which then selectively binds to and inhibits the active, GTP-bound state of the mutant KRAS G12D protein, preventing downstream oncogenic signaling. Pembrolizumab acts as an immune checkpoint inhibitor by blocking the interaction between PD-1 and its ligands, thereby restoring T-cell-mediated anti-tumor immune responses. The addition of platinum-based chemotherapy provides cytotoxic cell death, potentially releasing tumor antigens to synergize with the immunotherapy and targeted RAS inhibition. This combination is currently being evaluated in the global Phase 3 RASolve 308 clinical trial.

Other names
RMC-9805 + pembrolizumab + chemotherapy doubletRMC-9805 + pembrolizumab + pemetrexed + carboplatinRMC-9805 + pembrolizumab + pemetrexed + cisplatinRMC-9805 + pembrolizumab + pemetrexed + platinumRMC-9805 + pembrolizumab + pemetrexed + platinum chemotherapyRMC-9805 + pembrolizumab + platinum chemotherapyRMC-9805 + pembrolizumab + platinum-based chemotherapyRMC-9805 + pembrolizumab + platinum-based chemotherapy doubletzoldonrasib + pembrolizumab + chemotherapy doubletzoldonrasib + pembrolizumab + PBC doubletzoldonrasib + pembrolizumab + pemetrexed + carboplatinzoldonrasib + pembrolizumab + pemetrexed + cisplatinzoldonrasib + pembrolizumab + pemetrexed + platinumzoldonrasib + pembrolizumab + pemetrexed + platinum chemotherapyzoldonrasib + pembrolizumab + platinum chemotherapyzoldonrasib + pembrolizumab + platinum doubletzoldonrasib + pembrolizumab + platinum doublet chemotherapyzoldonrasib + pembrolizumab + platinum-based chemotherapy doublet
02

Targets

PPIA (Peptidyl-prolyl cis-trans isomerase A)DNAKRASG12D (Kirsten rat sarcoma viral oncogene homolog (KRAS) G12D mutant)PDCD1 (Programmed cell death protein 1 receptor)CD274 (Programmed cell death protein 1 ligand 1)PDCD1LG2 (Programmed cell death 1 ligand 2)

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