RMC-6236 is a reversible, GTP-binding RAS (ON) multi-selective inhibitor. RMC-6236 inhibits the active, GTP-bound state of both mutant and wild-type canonical RAS isoforms and has broad therapeutic potential in cancers driven by the RAS signaling pathway. RMC-6236 acts by forming a ternary complex: it first binds cyclophilin A (CypA; Kd=55.3nM) to form a binary complex, which then associates with RAS proteins, including KRAS (wild-type, G12V, and G12D), with Kd values of 131, 364, and 154nM, respectively[1][2].
In vitro, RMC-6236 significantly inhibits the growth of RAS-mutant cancer cell lines harboring KRAS G12X and NRAS Q61X mutations, with EC50 values of 8 and 22nM, respectively[2]. Treatment of GP2D colorectal cancer cells with 10nM RMC-6236 for 4-48 hours did not sustain suppression of mTOR pathway activity, whereas combination with KO-2806 prevented its rebound[3].
In vivo, a single oral gavage dose of RMC-6236 at 10 or 25mg/kg reduced tumor Dual Specificity Phosphatase 6 (DUSP6) levels by more than 95% at 8 hours and maintained more than 90% inhibition at 24 hours; at 25mg/kg, it also sustained more than 80% inhibition of pERK levels at 24 hours post-dose in mouse xenograft models[2]. RMC-6236 administered orally at 10-25mg/kg once daily for 4 weeks showed dose-dependent antitumor activity in KRAS-mutant human tumor xenograft models, including Capan-2, NCI-H441, HPAC, and NCI-H358[2]. RMC-6236, administered orally at 25mg/kg once daily for 28 days, inhibited tumor growth in xenograft models of KRASG12C-mutant NCI-H2122 non-small cell lung cancer and KRASG12D-mutant GP2D colorectal cancer[3].
References:
[1] Long SA, Amparo AM, Goodhart G, Ahmad SA, Waters AM. Evaluation of KRAS inhibitor-directed therapies for pancreatic cancer treatment. Front Oncol. 2024;14:1402128.
[2] Jiang J, Jiang L, Maldonato BJ, et al. Translational and Therapeutic Evaluation of RAS-GTP Inhibition by RMC-6236 in RAS-Driven Cancers. Cancer Discov. 2024;14(6):994-1017.
[3] Patel H V, et al. The farnesyl transferase inhibitor KO-2806 re-sensitizes relapsing tumors to RAS inhibition. BioRxiv, 2024: 2024.12. 20.629824.
















