New Hope For Patients Battling Pancreatic Cancer
- Vicky Stinson, of Arizona, says a 13-month clinical trial of daraxonrasib helped her maintain hope and a sense of normalcy despite an initial prognosis of only months to live when she was diagnosed with stage 3 pancreatic cancer.
- Daraxonrasib, a targeted RAS-inhibiting therapy, has shown significant survival benefits over chemotherapy in late-stage trials for pancreatic cancer.
- The U.S. Food and Drug Administration (FDA) recently authorized daraxonrasib for its Expanded Access Program (also called compassionate use), meaning certain metastatic pancreatic cancer patients can try this treatment, although it’s not yet fully approved by the FDA outside of clinical trials. Here is where your physician can go to request the use of Daraxonrasib: Revolutions Medicines
- Here we offer context on how this drug doubles survival: New Targeted Drug Could Double Survival For Some With Advanced Pancreatic Cancer: What To Know About Daraxonrasib
Stinson, who pushed past a grim diagnosis of just “months” to live, recently spoke with NPR about how the drug daraxonrasib, which she took during a clinical trial for 13 months, has allowed her stay hopeful and prevail.
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She noted having minimal side effects and even felt energetic while on the treatment.
Laughing about the unexpected side effect that caused mild acne on her face, neck, and back, Stinson recounted, “Kind of brought me back to my teens.”
Stinson also described her time on the drug as giving her a “full year of normalcy.”
While on daraxonrasib, her cancer remained stable, showing now growth—however, she eventually experienced cancer recurrence, now battling stage 4 cancer in her ovaries.
The new diagnosis prompted her to discontinue the pill and begin chemotherapy.
Despite the news, Stinson maintains a “drive” to “keep going,” and is holding on to hope that other researchers could create a new treatment based on the genetic profile of her cancer, she told NPR.
“It feels like it’s so close and I kind of feel like a ripe tomato on a vine, and it’s like … if I can just keep holding on for a little bit longer, this just might work for me,” she said.
Why Daraxonrasib Is Generating Excitement in Oncology
Daraxonrasib, a targeted therapy currently under investigation, is being hailed as potentially “game‑changing” for patients with Kirsten rat sarcoma viral oncogene homolog (KRAS)‑mutated pancreatic cancer — a gene mutation present in roughly 90% of cases and historically considered nearly untreatable.
KRAS has long been a difficult target for treatment because its smooth structure lacks the pockets where most drugs typically bind to become effective.
“It’s a very smooth protein. It doesn’t have places for drugs to grab onto,” Dr. Nicholas Hornstein of Northwell’s Lenox Hill Hospital told SurvivorNet.
Daraxonrasib works differently. Acting as a kind of “molecular glue,” it binds the KRAS gene to another protein, locking it in an inactive state. This mechanism may allow it to work across multiple KRAS mutations, potentially benefiting a wider group of patients who carry the KRAS gene.
The Phase 3 RASolute 302 clinical trial tested daraxonrasib against standard chemotherapy in patients with previously treated metastatic pancreatic cancer.
For clinicians, the implications are significant.
“If I have an 81‑year‑old who doesn’t look like a candidate for chemotherapy, now I have an option that isn’t chemo,” Dr. Hornstein said.
Who Can Benefit From Daraxonrasib?
The patients included in the phase 3 study had metastatic PDAC that was refractory (non-responsive) to prior treatment, but Dr. Berkenblit predicts that the drug may have uses in earlier-stage disease as well.
“If the FDA approves the drug after reviewing the efficacy and safety data, the initial population would be patients with previously treated metastatic pancreatic cancer. That’s just the beginning,” Dr. Berkenblit explains.
Initially, patients would need to meet certain requirements to get daraxonrasib, including:
- Measurable metastatic disease
- An acceptable performance status allows them to conduct most daily activities
- Well-functioning organs
Again, in the trial, Daraxonrasib was compared to the standard chemotherapy.
Extraordinary Clinical Results: RAS Inhibitor For Metastatic Pancreatic Cancer
Current Status & Availability
While daraxonrasib has shown impressive results in clinical trials, its widespread accessibility will depend on regulatory approval. As the phase 3 trial in ongoing, it is currently in an “investigational” stage and has not been approved by the U.S. Food and Drug Administration (FDA).
It was granted Breakthrough Therapy Designation by the FDA for the treatment of patients with previously treated, metastatic PDAC with G12 mutations.
Revolution Medicines has said it plans to submit the results to the FDA and other health authorities and to present the data at the 2026 ASCO Annual Meeting, which will kick off on May 29, 2026.
Understanding Pancreatic Cancer
Pancreatic cancer is a type of cancer that forms in the pancreas. It is more challenging to treat because symptoms usually don’t present themselves until the cancer has spread or metastasized. Symptoms may include weight gain, back pain, and jaundice.
Pancreatic cancer often comes with a slim chance of survival due to difficulty detecting it when it is more treatable.
RELATED: What You Need to Know About Pancreatic Cancer
Although pancreatic cancer survival rates have been improving, it’s still considered to be largely incurable. An exception to this is if the tumor is still small enough and localized enough to be operated on.
WATCH: Pancreatic cancer and early detection.
In a previous interview with SurvivorNet, Dr. Anirban Maitra, the co-leader of the Pancreatic Cancer Moon Shot at MD Anderson Cancer Center, explains what he typically sees when patients develop this disease.
“Because the pancreas is inside the abdomen often doesn’t have symptoms that would tell you that something is wrong with your pancreas,” he says.
“By the time individuals walk into the clinic with symptoms like jaundice, weight loss, back pain or diabetes, it’s often very late in the stage of the disease.”
More Resources On Daraxonrasib & Pancreatic Cancer
- New Targeted Drug Could Double Survival For Some With Advanced Pancreatic Cancer: What To Know About Daraxonrasib
- The Science Behind Former U.S. Senator Ben Sasse’s ‘Miracle’ Drug Daraxonrasib That’s Shrinking His Tumors & Offering Hope Amid Late-Stage Pancreatic Cancer
- For Advanced Pancreatic Cancer Patients Running Out of Treatments, a New Pathway Offers Renewed Hope Thanks to the FDA Granting ‘Compassionate Use’ Access to Daraxonrasib
- Detecting Pancreatic Cancer Early Is Crucial
- Pancreatic Cancer Rates are Rising In Women Aged 15 to 34, According to New Research; How To Recognize Symptoms
Meanwhile, parents, siblings and children of someone with pancreatic cancer are considered high risk for developing the disease because they are first-degree relatives of the individual. PGVs (pathogenic germline variants) are changes in reproductive cells (sperm or egg) that become part of the DNA in the cells of the offspring. Germline variants are passed from parents to their children, and are associated with increased risks of several cancer types, including pancreatic, ovarian and breast cancers. Germline mutations in ATM, BRCA1, BRCA2, CKDN2A, PALB2, PRSS1, STK11 and TP53 are associated with increased risk of pancreatic cancer.
Jessica Everett, a genetic counselor at NYU Langone’s Perlmutter Cancer Center, encourages people in this category to look into possible screening options.
“If you’re concerned about pancreatic cancer in your family, start by talking to a genetic counselor to learn more about your risk and what options you have,” Everett told SurvivorNet in an earlier interview.
Additionally, note that up to ten percent of pancreatic cancer cases are caused by inherited genetic syndromes. So, if two or more members of your family have had pancreatic cancer, or if you have pancreatic cysts, it’s worth asking your doctor to check for pancreatic cancer since you’re at high risk.
The National Cancer Institute identifies pancreatic cancer symptoms to include:
- Dark urine
- Pain in the abdomen
- Unexplained weight loss
- Light-colored stools
- Loss of appetite and fatigue
Treatment options for pancreatic cancer may include surgery, radiation, chemotherapy, and targeted therapy.
More Progress in Pancreatic Cancer
Progress has been made over the last few years in the world of pancreatic cancer treatments. One clinical trial recently found that the drug Onivyde, in combination with chemotherapy in the so-called Nalirifox regimen, helped patients live longer compared with chemotherapy in previously untreated patients with metastatic pancreatic ductal adenocarcinoma (mPDAC), according to Ipsen, the pharmaceutical company that bought the drug.
“The prognosis for people diagnosed with pancreatic cancer is extremely poor and we plan to submit these new findings to the regulatory authority as, if approved, we believe this regimen could offer up an important new treatment option for people living with an aggressive and hard-to-treat cancer,” Howard Mayer, Executive Vice President and Head of Research and Development for Ipsen, previously said. “We thank the patients who participated in the study, their families and their healthcare teams.”
The drug is currently approved in the U.S., Europe, and Asia in combination with fluorouracil and leucovorin as a treatment for mPDAC after disease progression and following gemcitabine-based therapy.
Another example of progress being made comes in the form of immunotherapy, a type of cancer treatment that uses your own immune system to fight cancer.
“Up until now, immunotherapy hasn’t had a big role,” Dr. Allyson Ocean, a medical oncologist at Weill Cornell Medical Center, previously told SurvivorNet.
Dr. Allyson Ocean explains why pancreatic cancer is so hard to treat.
A clinical trial led by researchers at the Perelman School of Medicine at the University of Pennsylvania, and sponsored by the Parker Institute for Cancer Immunotherapy, found “combination of chemotherapy with an immunotherapy meant to unleash the anticancer capacity of the immune system was effective against one of the hardest targets in cancer care, pancreatic cancer,” said Penn Medicine.
“The researchers found that in 34 patients with advanced pancreatic cancer randomized to receive the immunotherapy nivolumab with two chemotherapy drugs, nab-paclitaxel and gemcitabine, had a one-year survival rate of 57.7 percent, significantly greater than the historical average of 35 percent with chemotherapy alone,” the institution said.
Dr. Benjamin Musher, the director of medical oncology at the Dan L Duncan Comprehensive Cancer at Baylor St. Luke’s Medical Center, recently said there were currently multiple “home-grown clinical trials testing novel immunotherapies in all stages of pancreatic cancer studies underway at Baylor St. Luke’s.” But only about 5 percent of patients with pancreatic cancer participate in such studies.
“We know that we are not going to improve outcomes without more patients enrolling,” Musher said.
Hope In Clinical Trials
In addition, there are immunotherapy clinical trial innovations being made to allow for multiple immunotherapeutic approaches to be tested and compared to one or several standard-of-care options within trials. In other words, “investigational treatments can be added or dropped from the trial over time, depending on preclinical and clinical evidence.”
“We’re encouraged by the trend toward more innovative clinical trial designs to improve the drug development process and ultimately lead to better patient outcomes,” PanCAN Chief Science Officer Lynn Matrisian said in a recent article from the Pancreatic Cancer Action Network.
Clinical trials, in general, are research studies that compare the most effective known treatment for a specific type or stage of a disease with a new approach.
Dr. Beth Karlan, a gynecologic oncologist with UCLA Health, previously told SurvivorNet that clinical trials can play an important role for some patients’ treatment, but they also serve a larger purpose.
“Clinical trials hopefully can benefit you, but it’s also providing very, very vital information to the whole scientific community about the effectiveness of these treatments,” Dr. Karlan said. “We need everyone to be partners with us if we’re ever going to truly cure cancer or prevent people from having to die from cancer.”
That being said, there is no guarantee you’ll receive more effective treatment than the standard of care, and clinical trials certainly aren’t right for everyone. You should always talk with your doctor(s) before getting involved in one. Some risks to consider are:
- The risk of harm and/or side effects due to experimental treatments
- Researchers may be unaware of some potential side effects for experimental treatments
- The treatment may not work for you, even if it has worked for others
But if you’ve already decided that a clinical trial is right for you or you’re just beginning to explore your treatment options, you should know that SurvivorNet has a tool for you. The SurvivorNet Clinical Trial Finder: an A.I. driven tool for patients to find clinical trial options for treatment.
The tool is built on top of clinicaltrials.gov, a database maintained by the U.S. government that compiles privately and publicly funded clinical trials conducted around the world, and gives access to more than 100,000+ individual clinical trials, updated daily.
“Clinical trials are critical to the development of new therapies, and as we live through this extraordinary revolution in genomics, immunotherapy and targeted therapy, it’s clear that one of the most pressing needs for patients, clinical trials sponsors, and researchers is simply a better way to find patients,” SurvivorNet CEO Steve Alperin said.
“Even one percent more people successfully enrolled in clinical trials can change the world.”
Understanding Clinical Trials
Clinical trials are available for eligible cancer patients if other treatment options don’t seem to work. A clinical trial can be defined as a research study that compares the most effective known treatment for a specific type or stage of a disease with a new approach.
Participating in one does not guarantee you will get the most effective treatment and they are certainly not for everyone, but it does give you the chance to potentially access new, cutting-edge treatments while advancing science.
Before getting involved in a clinical trial, talk with your doctor(s) and consider the following general risks of enrolling:
- The risk of harm and/or side effects due to experimental treatments
- Researchers may be unaware of some potential side effects for experimental treatments
- The treatment may not work for you, even if it has worked for others
“Clinical trials are critical to the development of new therapies, and as we live through this extraordinary revolution in genomics, immunotherapy and targeted therapy, it’s clear that one of the most pressing needs for patients, clinical trials sponsors, and researchers is simply a better way to find patients,” SurvivorNet CEO Steve Alperin said.
“Even one percent more people successfully enrolled in clinical trials can change the world.”
Why I’d Choose a Clinical Trial For Myself
Your doctor may have spoken with you about possibly enrolling in a trial if you have advanced disease or if there’s a drug that’s currently considered investigational that may work better than the standard for you.
A lot of patients may feel uncomfortable about the thought of participating in a trial, but the trials can provide amazing opportunities for patients. For one thing, they give patients access to a bevy of new drugs that are currently being developed by pharmaceutical companies.
If participating in a clinical trial is something you think you may be interested in, the government has a list of trials that are currently ongoing. SurvivorNet also has a tool to help you find trials for your particular disease.
Your doctor may have spoken with you about possibly enrolling in a trial if you have advanced disease or if there’s a drug that’s currently considered investigational that may work better than the standard for you.
Contributing: SurvivorNet Staff
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