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How are you interpreting the early RASolute 302 trial findings (daraxonrasib) in metastatic PDAC?

FDA permits expanded access for daraxonrasib based on the RASolute 302 trial
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How do you manage second line treatment for patients with KRAS-mutant metastatic PDAC progressing after frontline chemotherapy?

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6 Answers
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Medical Oncology · University of Wisconsin
Answered on · Updated on

Update 6/2/2026:

Well, this plenary abstract exceeded my expectations. That p-value! The possibilities for pancreas cancer treatment, it's a dream realized for our patients. Now, we need to keep our eye on the FDA to approve this quickly, and we also need to keep pushing for RAS inhibition in all p...

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Medical Oncology · Moffitt Cancer Center
Answered on

I think the early RASolute 302 signal is very promising and could be practice-changing, but I would still interpret it with some caution until we see the full dataset.

The reported improvement in overall survival is striking—approximately 13.2 months vs 6.7 months with chemotherapy, essentially a do...

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Medical Oncology · Rutgers Cancer Institute of New Jersey
Answered on

Obviously, we must see the data and await the ASCO presentation eagerly.

But after years of gemcitabine plus “your drug here” trials (since first approved in 1996 based on an invented clinical endpoint), and seeing all those drugs fail, and after years of only improvement through chemotherapy triple...

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Medical Oncology · Mary Lanning Healthcare Morrison Cancer Center/University of Nebraska Medical Center Adjunct Faculty
Answered on

Second-line therapy for KRAS-mutant metastatic PDAC currently follows the same framework as for all-comers, as no KRAS G12D–targeted agents are yet FDA-approved or included in the guidelines for PDAC. For patients with good PS (ECOG 0–1) after prior gemcitabine-based therapy, fluorouracil/leucovorin...

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Medical Oncology · Rutgers Cancer Institute of New Jersey
Answered on

Now published on NEJM. HR for OS (all comers) = 0.45.

Game Changer! For RAS-mutated cancers of all sources.

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Medical Oncology · Mary Lanning Healthcare Morrison Cancer Center/University of Nebraska Medical Center Adjunct Faculty
Answered on

Early RASolute 302 data strongly position daraxonrasib as a new standard of care for second-line mPDAC, though longer follow-up, resistance characterization, and exploration of combination strategies and first-line integration will be critical next steps.

This is the first targeted therapy to demonst...

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