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Expert Interview

Slingshot members are talking to an expert! The topic is:

Analyzing Phase 1/1b Results for Revolution Medicines' (RVMD) RMC-6236 in PDAC and NSCLC

Ticker(s): RVMD

Who's the expert?

An oncologist specializing in targeted therapies for RAS-driven cancers with experience in clinical trials and an understanding of the challenges in treating PDAC, NSCLC, and other RAS-mutant solid tumors.

Interview Questions
Q1.

Patients with PDAC harboring KRAS mutations treated with RMC-6236 achieved a median PFS of 8.5 months. How does this compare to outcomes with existing therapies for this aggressive cancer?

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Q2.

The study reported 100% six-month overall survival (OS) for patients with KRAS G12X-mutant PDAC. How promising is this outcome for future RMC-6236 studies, especially in comparison to standard-of-care treatments?

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Q3.

The 120–220 mg dose range of RMC-6236 demonstrated a favorable safety profile, while the 300 mg dose showed higher toxicity. What strategies can optimize RMC-6236  dosing to balance efficacy and safety?

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Q4.

Initial results for RMC-6236 combined with pembrolizumab in NSCLC showed a tolerable safety profile. What is the potential for this combination to become a first-line treatment option?

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Q5.

The combination of RMC-6236 and RMC-6291 in colorectal cancer showed a 25% ORR and 92% DCR. How does this doublet strategy expand therapeutic options for patients who have progressed on KRAS(OFF) inhibitors?

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Q6.

With Phase 3 trials RASolute 302 for PDAC and RASolve 301 for NSCLC on the horizon, what are the key challenges and opportunities in transitioning RMC-6236 from early- to late-stage clinical development?

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Q7.

Revolution Medicines is pioneering the RAS(ON) inhibitor approach. How might these therapies reshape the broader landscape for RAS-addicted cancers, and what are the implications for tumor types beyond PDAC and NSCLC?

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Q8.


In previously treated NSCLC, RMC-6236 achieved a median PFS of 9.8 months and an ORR of 38%. How does this efficacy position RMC-6236 as a potential second- or third-line therapy in the NSCLC treatment landscape?

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