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Expert Interview

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

Analyzing the Clinical Results of Daraxonrasib (RMC-6236) in Metastatic PDAC from Revolution Medicines

Ticker(s): RVMD

Who's the expert?

An oncologist specializing in gastrointestinal malignancies with expertise in pancreatic cancer and clinical development of targeted therapies. The expert should have experience with KRAS-mutant tumors and be familiar with trial design for PDAC, where limited treatment options and poor survival remain critical challenges.

Interview Questions
Q1.

Daraxonrasib monotherapy in second-line PDAC showed a confirmed ORR of 35% with median overall survival exceeding 13 months. How do these outcomes compare to historical second-line benchmarks, and what do they suggest about durability

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Q2.

The safety findings were consistent across both 1L and 2L PDAC cohorts with no new signals. How important is this consistency when considering daraxonrasib’s transition into earlier-line therapy?

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Q3.

In treatment-naïve patients, daraxonrasib monotherapy produced an ORR of 47% and DCR of 89%. What is the significance of these early findings, and what durability signals would you need to see in follow-up to confirm clinical value?

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Q4.

The daraxonrasib plus gemcitabine/nab-paclitaxel regimen delivered a 55% ORR with a 90% DCR. What advantages does the combination strategy offer over standard chemotherapy alone, and do you foresee it becoming competitive as a new first-line standard?

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Q5.

Daraxonrasib targets multiple KRAS G12X variants, including G12D and G12V, which are common in PDAC. How does this broad selectivity impact its potential reach compared to mutation-specific inhibitors?

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Q6.

With multiple KRAS inhibitors in development, how might daraxonrasib fit into treatment sequencing for RAS-mutant cancers, particularly in pancreatic cancer but also in NSCLC and CRC?

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Q7.

The Phase 3 RASolute 303 trial will compare daraxonrasib monotherapy and daraxonrasib plus chemotherapy against a GnP control arm. From a design standpoint, what key endpoints and patient selection criteria will be most critical for regulatory success?

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Q8.

Given PDAC’s historically poor prognosis, what would successful Phase 3 results mean not just for pancreatic cancer patients but for advancing the field of RAS-targeted oncology more broadly?

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