Revolution Medicines Begins Treating Patients in Phase 3 RASolute 303 Trial Evaluating Daraxonrasib as First Line Treatment for Patients with Metastatic Pancreatic Cancer
Rhea-AI Summary
Revolution Medicines (NASDAQ:RVMD) has begun treating patients in RASolute 303, a global Phase 3 trial of daraxonrasib for previously untreated metastatic pancreatic ductal adenocarcinoma (PDAC).
The randomized, open-label study compares daraxonrasib as monotherapy and combined with gemcitabine plus nab-paclitaxel versus standard-of-care gemcitabine and nab-paclitaxel, enrolling patients irrespective of tumor RAS genotype. Primary endpoints are progression-free survival and overall survival. Daraxonrasib is being evaluated in four global Phase 3 registrational trials, including three in PDAC and one in NSCLC.
Positive
- Phase 3 dosing started for daraxonrasib in metastatic PDAC
- Global, randomized trial design testing monotherapy and combination arms
- Primary endpoints: progression-free survival and overall survival
- Enrollment irrespective of RAS genotype broadens patient eligibility
- Daraxonrasib in four global Phase 3 registrational trials
Negative
- Open-label design may increase potential assessment bias
- No efficacy or safety results reported yet from RASolute 303
- Primary endpoints (PFS and OS) imply potentially long follow-up
Key Figures
Market Reality Check
Peers on Argus
RVMD gained 1.43% while close peers showed small, mixed moves (e.g., BPMC +0.09%, VRNA +0.06%, MDGL -0.28%, MRNA -3.12%, ROIV -1.03%). No coordinated sector momentum flagged.
Previous Clinical trial Reports
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| Jan 29 | First-in-human dosing | Positive | +0.9% | First patient dosed in RMC-5127-001 RAS(ON) G12V-selective trial. |
| Dec 18 | Phase 3 PDAC start | Positive | -1.0% | First patient randomized in RASolute 304 Phase 3 PDAC adjuvant trial. |
| Oct 27 | Orphan designation | Positive | +6.4% | FDA Orphan Drug Designation for daraxonrasib in pancreatic cancer. |
| Sep 10 | Positive PDAC data | Positive | +14.3% | New daraxonrasib PDAC data supporting initiation of RASolute 303 Phase 3. |
| May 14 | Phase 3 NSCLC start | Positive | -1.2% | First patient dosed in RASolve 301 Phase 3 NSCLC trial of daraxonrasib. |
Clinical trial milestones have often produced positive moves, but with several negative or muted reactions, indicating mixed consistency in how trial updates translate into price action.
Over the past year, clinical developments have focused on expanding RAS(ON) inhibition across pancreatic and lung cancers. Key steps included orphan drug designation for daraxonrasib in pancreatic cancer on October 27, 2025, initiation of Phase 3 trials RASolute 303 and 304 in pancreatic ductal adenocarcinoma, and RASolve 301 in RAS mutant NSCLC, plus first dosing in the RMC-5127-001 trial. Today’s launch of treatment in the global Phase 3 RASolute 303 trial continues this progression into first-line metastatic PDAC.
Historical Comparison
Clinical-trial headlines have moved RVMD by an average of 3.89%. Today’s Phase 3 RASolute 303 treatment start and its 1.43% gain sit below that typical reaction range.
Clinical news shows a steady build-out of the RAS(ON) pipeline: from early RMC-5127 first-in-human work, to orphan designation and multiple Phase 3 trials for daraxonrasib in metastatic and resectable PDAC, plus the RASolve 301 NSCLC program, now extending to first-line metastatic PDAC in RASolute 303.
Market Pulse Summary
This announcement marks the start of patient treatment in RASolute 303, a global Phase 3 trial of daraxonrasib as first-line therapy for metastatic PDAC, with primary endpoints of progression-free and overall survival. It builds on earlier data showing objective response rates up to 55% and disease control rates up to 90% in PDAC, as well as multiple ongoing Phase 3 programs. Investors may watch enrollment progress, safety findings, and eventual efficacy readouts across daraxonrasib’s four Phase 3 trials for signals of long-term impact.
Key Terms
pancreatic ductal adenocarcinoma medical
pdac medical
progression-free survival medical
overall survival medical
patient reported outcomes medical
gemcitabine medical
nab-paclitaxel medical
non-small cell lung cancer medical
AI-generated analysis. Not financial advice.
REDWOOD CITY, Calif., April 02, 2026 (GLOBE NEWSWIRE) -- Revolution Medicines, a late-stage clinical oncology company developing targeted therapies for patients with RAS-addicted cancers, today announced that it has begun treating patients in RASolute 303, a global Phase 3 clinical trial evaluating daraxonrasib as monotherapy and in combination with chemotherapy in patients with previously untreated metastatic pancreatic ductal adenocarcinoma (PDAC), a disease predominantly driven by oncogenic RAS variants. RASolute 303 is designed to enroll patients irrespective of tumor RAS genotype.
“Starting treatment of study participants in the RASolute 303 trial represents an important milestone for our daraxonrasib program and for patients with metastatic pancreatic cancer, a disease with substantial unmet medical need,” said Alan Sandler, M.D., chief development officer of Revolution Medicines. “In this trial, we are testing two biologically rational approaches—daraxonrasib as monotherapy and daraxonrasib in combination with chemotherapy—as two distinct, promising strategies to potentially improve patient outcomes. This trial underscores our commitment to advancing RAS(ON) inhibition into earlier lines of therapy, where we believe it can deliver significant benefit.”
RASolute 303 (NCT07491445) is a global, randomized, open-label Phase 3 trial evaluating daraxonrasib as monotherapy or in combination with gemcitabine and nab-paclitaxel versus standard-of-care gemcitabine and nab-paclitaxel in patients with previously untreated metastatic PDAC. In this trial, the company is enrolling patients who have not received prior systemic therapy for metastatic disease. The primary endpoints are progression-free survival and overall survival. Key secondary endpoints include additional measures of antitumor activity, safety and tolerability, and patient reported outcomes.
Daraxonrasib is currently being evaluated in four global Phase 3 registrational trials, including three trials in patients with PDAC and one in patients with non-small cell lung cancer (NSCLC).
About Pancreatic Cancer and Pancreatic Ductal Adenocarcinoma
Pancreatic cancer is one of the most lethal malignancies, characterized by its typically late-stage diagnosis, resistance to standard chemotherapy, and high mortality rate. In the U.S., recent estimates indicate that approximately 60,000 people are diagnosed annually with pancreatic cancer, and about 50,000 people will die from this aggressive disease.1
Due to the lack of early symptoms and detection methods, approximately
About Daraxonrasib
Daraxonrasib (RMC-6236) is an oral, direct RAS(ON) multi-selective inhibitor with the potential to help address a broad range of cancers driven by oncogenic RAS, including PDAC, NSCLC and colorectal cancer. Daraxonrasib suppresses RAS signaling by blocking the interaction of wild-type and mutant RAS(ON) with its downstream effectors.
About Revolution Medicines, Inc.
Revolution Medicines is a late-stage clinical oncology company developing novel targeted therapies for patients with RAS-addicted cancers. The company’s R&D pipeline comprises RAS(ON) inhibitors designed to suppress diverse oncogenic variants of RAS proteins. The company’s RAS(ON) inhibitors daraxonrasib (RMC-6236), a RAS(ON) multi-selective inhibitor; elironrasib (RMC-6291), a RAS(ON) G12C-selective inhibitor; zoldonrasib (RMC-9805), a RAS(ON) G12D-selective inhibitor; and RMC-5127, a RAS(ON) G12V-selective inhibitor, are currently in clinical development. Additional development opportunities in the company’s pipeline focus on RAS(ON) mutant-selective inhibitors, including RMC-0708 (Q61H) and RMC-8839 (G13C). For more information, please visit www.revmed.com and follow us on LinkedIn.
Forward Looking Statements
This press release contains forward-looking statements within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. Any statements in this press release that are not historical facts may be considered "forward-looking statements," including without limitation statements regarding progression of clinical studies and findings from these studies, including the safety, tolerability and antitumor activity of the company’s candidates being studied and the durability of these results; dosing and enrollment in the company’s clinical trials; and the company’s ability to improve patient outcomes or advance RAS(ON) inhibition into earlier lines of therapy. Forward-looking statements are typically, but not always, identified by the use of words such as "may," "will," "would," "believe," "intend," "plan," "anticipate," "estimate," "expect," and other similar terminology indicating future results. Such forward-looking statements are subject to substantial risks and uncertainties that could cause the company’s development programs, future results, performance or achievements to differ materially from those anticipated in the forward-looking statements. Such risks and uncertainties include without limitation risks and uncertainties inherent in the drug development process, including the company’s programs’ current stage of development, the process of designing and conducting preclinical and clinical trials, risks that the results of prior clinical trials may not be predictive of future clinical trials, clinical efficacy, or other future results, the regulatory approval processes, the timing of regulatory filings, the challenges associated with manufacturing drug products, the company’s ability to successfully establish, protect and defend its intellectual property, other matters that could affect the sufficiency of the company’s capital resources to fund operations, reliance on third parties for manufacturing and development efforts, changes in the competitive landscape, and the effects on the company’s business of the global events, such as international conflicts or global pandemics. For a further description of the risks and uncertainties that could cause actual results to differ from those anticipated in these forward-looking statements, as well as risks relating to the business of Revolution Medicines in general, see Revolution Medicines’ Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”) on February 25, 2026, and its future periodic reports to be filed with the SEC. Except as required by law, Revolution Medicines undertakes no obligation to update any forward-looking statements to reflect new information, events or circumstances, or to reflect the occurrence of unanticipated events.
Revolution Medicines Media & Investor Contact:
media@revmed.com
investors@revmed.com
1 Siegel RL, Giaquinto AN, Jemal A. Cancer statistics, 2024. CA Cancer J Clin. 2024;74(1):12-49. doi:10.3322/caac.21820
2 Lee JK, Sivakumar S, Schrock AB, et al. Comprehensive pan-cancer genomic landscape of KRAS altered cancers and real-world outcomes in solid tumors. NPJ Precis Oncol. 2022;6(1);91. doi:10.1038/s41698-022-00334-z
3 Halbrook CJ, Lyssiotis CA, Pasca di Magliano M, Maitra A. Pancreatic cancer: Advances and challenges. Cell. 2023;186(8):1729-1754. doi:10.1016/j.cell.2023.02.014
4 American Cancer Society. Survival rates for pancreatic cancer. Available at: https://www.cancer.org/cancer/types/pancreatic-cancer/detection-diagnosis-staging/survival-rates.html. Accessed February 2026.
FAQ
What is RASolute 303 and what does RVMD (RVMD) aim to study?
When did Revolution Medicines (RVMD) begin treating patients in RASolute 303?
What are the primary endpoints of the RASolute 303 trial (RVMD)?
Who is eligible for enrollment in RASolute 303 (RVMD)?
How many Phase 3 registrational trials is daraxonrasib currently involved in for RVMD?