September 2, 2026 · The New England journal of medicine · DOI: 10.1056/NEJMoa2504059

Daraxonrasib for Previously Treated <em>RAS</em>-Mutant Non-Small-Cell Lung Cancer

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The authors aimed to evaluate the safety and efficacy of daraxonrasib, a multiselective inhibitor targeting RAS mutations, in patients with previously treated RAS-mutant non-small-cell lung cancer (NSCLC). In a phase 1-2 study involving 136 patients, they found that 54% experienced grade 3 or higher adverse events, while over 30% showed objective antitumor responses at doses of 300 mg or less. These findings suggest that daraxonrasib has potential therapeutic activity, albeit with significant safety concerns.

Kathryn C Arbour, Salman Punekar, Jia Luo, Melissa Johnson, Alexander Spira, Benjamin Herzberg, Alexander Starodub, David Sommerhalder, Joel Randolph Hecht, Ignacio Garrido-Laguna, Minal Barve, Sai-Hong Ignatius Ou, Sumit Kar, Lei Bao, Lin Tao, Rashmi Vora, Aparna Hegde, Andreas Saltos, Nilofer S Azad, David S Hong, RMC-6236-001 Investigators

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