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Revolution Medicines Doses First Patient in Clinical Trial Evaluating RMC-5127, a RAS(ON) G12V-Selective Inhibitor

(Neutral)

Revolution Medicines (NASDAQ:RVMD) announced dosing of the first patient in the first-in-human trial RMC-5127-001 (NCT07349537), evaluating RMC-5127, a RAS(ON) G12V-selective inhibitor.

The open-label trial will assess safety, tolerability, pharmacokinetics and preliminary antitumor activity as monotherapy and in combination in patients with RAS G12V–mutated PDAC, CRC and NSCLC. RMC-5127 is the company’s fifth disclosed mutant-selective RAS(ON) inhibitor and fourth clinical-stage program, targeting an estimated ~48,000 U.S. patients diagnosed annually with RAS G12V–driven cancers.

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Positive

  • First patient dosed in first-in-human trial RMC-5127-001 (NCT07349537)
  • RMC-5127 targets the RAS G12V variant, affecting ~48,000 U.S. patients annually
  • Program is the company’s fifth mutant-selective RAS(ON) inhibitor and fourth clinical-stage program
  • Trial includes both monotherapy and combination cohorts to evaluate safety, PK, and antitumor activity

Negative

  • First-in-human, open-label trial means safety and efficacy are unproven at this stage

News Market Reaction – RVMD

+0.89%
+0.89% Session close to close

In the Jan 29 session, RVMD gained 0.89%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement marks the first-in-human trial for RMC-5127, extending RVMD’s RAS(ON) franchise in...
Analysis

This announcement marks the first-in-human trial for RMC-5127, extending RVMD’s RAS(ON) franchise into G12V-driven tumors across PDAC, CRC and NSCLC, an estimated 48,000-patient U.S. population annually. Historically, similar clinical-trial milestones have produced mixed stock reactions, averaging about 4.85% moves with both rallies and selloffs. Investors may watch upcoming safety and activity data, alongside progress in RVMD’s other Phase 3 RASolute and RASolve programs and ongoing insider trading disclosures.

Key Figures

RMC-5127 trial ID: NCT07349537 RAS G12V patients: approximately 48,000 patients Portfolio breadth: fifth mutant-selective RAS(ON) inhibitor +1 more
4 metrics
RMC-5127 trial ID NCT07349537 First-in-human RMC-5127-001 clinical trial
RAS G12V patients approximately 48,000 patients Estimated annual RAS G12V cancer patients in the U.S.
Portfolio breadth fifth mutant-selective RAS(ON) inhibitor RMC-5127 position in RVMD’s RAS(ON) portfolio
Clinical-stage count fourth clinical-stage program Number of clinical-stage RAS(ON) programs at RVMD

Previous Clinical trial Reports

5 past events · Latest: Dec 18 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Dec 18 Phase 3 PDAC trial Positive -1.0% First patient randomized in global Phase 3 RASolute 304 trial of daraxonrasib.
Oct 27 Orphan designation Positive +6.4% FDA Orphan Drug Designation for daraxonrasib in pancreatic cancer.
Sep 10 Positive PDAC data Positive +14.3% Promising daraxonrasib efficacy data supporting RASolute 303 Phase 3 initiation.
May 14 NSCLC Phase 3 start Positive -1.2% First patient dosed in Phase 3 RASolve 301 daraxonrasib NSCLC study.
Oct 21 PDAC Phase 3 start Positive -1.3% First patient dosed in Phase 3 RASolute 302 trial of RMC-6236 in PDAC.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Clinical trial headlines have produced mixed reactions: some Phase 3 and designation updates drew strong gains, while several “first patient” milestones saw mild declines.

Recent Company History

Over the past year, RVMD has repeatedly advanced its RAS(ON) pipeline with multiple Phase 3 programs in PDAC and NSCLC and first-patient dosing milestones. Prior clinical trial news, such as initiation of RASolute 302 and RASolve 301, often focused on large patient populations and survival endpoints. Same-tag events showed an average move of about 4.85%, with both positive spikes and modest selloffs. Today’s first-in-human RMC-5127 update extends this pattern of pipeline broadening in RAS-driven cancers.

Key Terms

ras(on), g12v, pharmacokinetics, pancreatic ductal adenocarcinoma, +4 more
8 terms
ras(on) medical
"well-validated RAS(ON) inhibitor approach and extending it to RAS G12V"
A RAS (oncogene) is a family of genes that act like a cell’s growth switch; when they work normally they help cells respond to signals, but certain mutations can make the switch stuck in the ‘on’ position and drive uncontrolled cell growth. Investors watch RAS closely because mutations are common drivers of many cancers, and drugs that can safely target or correct RAS-driven growth can become major commercial opportunities or affect the value of companies developing such therapies.
g12v medical
"a RAS(ON) G12V-selective inhibitor"
G12V is a specific point mutation in a protein where the amino acid glycine (G) at position 12 is replaced by valine (V); this single-letter change can flip a normal cellular protein into an overactive one that drives cancer growth. For investors, G12V matters because its presence can determine whether a tumor responds to certain targeted drugs, affect the market for companion diagnostics and therapies, and influence clinical trial outcomes — think of it as a tiny recipe change that alters the whole dish and which medicines will work.
pharmacokinetics medical
"evaluating the safety, tolerability, pharmacokinetics, and preliminary antitumor activity"
Pharmacokinetics is the study of how a substance, such as a drug or chemical, moves through and is processed by the body over time. It tracks how it is absorbed, distributed, broken down, and eventually eliminated. For investors, understanding pharmacokinetics helps gauge the effectiveness, safety, and potential risks of new medications or treatments, which can influence a company’s success and valuation in the healthcare industry.
pancreatic ductal adenocarcinoma medical
"including pancreatic ductal adenocarcinoma (PDAC), colorectal cancer (CRC)"
A fast-growing cancer that starts in the cells lining the pancreas’ small ducts; it is the most common and aggressive form of pancreatic cancer. It matters to investors because its severity and limited treatment options drive high unmet medical need, large potential markets for effective drugs or diagnostics, and strong sensitivity of company valuations to clinical trial results, regulatory approvals, or changes in treatment guidelines—similar to how fixing a main leak can prevent major damage in a building.
non–small cell lung cancer medical
"and non–small cell lung cancer (NSCLC), who have progressed"
Non–small cell lung cancer (NSCLC) is the broad category of lung cancers that grow and spread more slowly than small cell lung cancer and includes several distinct types, like adenocarcinoma and squamous cell carcinoma. For investors, NSCLC matters because it represents the largest portion of the lung cancer market; advances, approvals, or setbacks in diagnostics, drugs, or screening can meaningfully affect potential sales, regulatory risk, and long‑term revenue — think of it as a major branch of the disease market tree that drives demand for treatments and services.
oncogenic medical
"inhibits the oncogenic RAS(ON) form of the RAS G12V variant"
Oncogenic describes anything—such as a gene change, virus, or chemical—that can cause normal cells to become cancerous and form tumors. Investors should care because oncogenic findings can shape a drug or product’s safety profile, regulatory approval, liability risk and marketability; think of an oncogenic factor like a stray spark that can start a costly, hard-to-control fire in a product or clinical program.
cyclophilin a medical
"RMC-5127 is an innovative inhibitor that binds to cyclophilin A"
Cyclophilin A is a small protein found inside and outside cells that helps other proteins fold and alters how cells react to stress, injury and infection — like a mechanic that tweaks machines to keep them running. Investors care because its involvement in inflammation, viral replication and cancer makes it both a potential drug target and a possible disease marker, so clinical or regulatory news about cyclophilin A–focused therapies can materially affect trial outcomes, approvals and company value.
monotherapy medical
"activity of RMC-5127 as both a monotherapy and in combination settings"
Monotherapy is a treatment approach that uses only one type of medicine or therapy to address a condition, instead of combining multiple options. For investors, understanding monotherapy matters because it can influence a company's development strategy, risk profile, and potential market size, especially if the single-treatment approach proves effective or faces limitations compared to combination therapies.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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REDWOOD CITY, Calif., Jan. 29, 2026 (GLOBE NEWSWIRE) -- Revolution Medicines, a late-stage clinical oncology company developing targeted therapies for patients with RAS-addicted cancers, today announced the first patient was dosed in its first-in-human clinical trial evaluating RMC-5127, a RAS(ON) G12V-selective inhibitor.

The first-in-human trial, RMC-5127-001 [NCT07349537], is an open-label trial evaluating the safety, tolerability, pharmacokinetics, and preliminary antitumor activity of RMC-5127 as both a monotherapy and in combination settings. The trial will enroll patients with RAS G12V–mutated solid tumors, including pancreatic ductal adenocarcinoma (PDAC), colorectal cancer (CRC), and non–small cell lung cancer (NSCLC), who have progressed on or are intolerant to prior standard therapies, including targeted treatments.

“By bringing RMC-5127 to the clinic, we are building on our well-validated RAS(ON) inhibitor approach and extending it to RAS G12V, the second most common RAS mutation driving human cancers, where there are no approved targeted treatment options,” said Alan Sandler, M.D., chief development officer of Revolution Medicines. “As our fifth disclosed mutant-selective RAS(ON) inhibitor and fourth clinical-stage program, RMC-5127 broadens the RAS variant coverage of our growing portfolio and opens a suite of development opportunities aimed at improving outcomes for patients with RAS-driven cancers.”

RMC-5127 is an innovative inhibitor that binds to cyclophilin A, creating a complex that selectively recognizes and inhibits the oncogenic RAS(ON) form of the RAS G12V variant. RAS G12V is the second most common driver of RAS-addicted human cancers with approximately 48,000 patients diagnosed in the U.S.1 each year, predominantly among patients with PDAC, CRC, or NSCLC.

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; the potential impact of RMC-5127 for patients with KRAS G12V mutations; and the ability of the company to transform outcomes for patients with RAS-driven cancers. 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’ Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission (the “SEC”) on November 5, 2025, 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 Estimated using tumor mutation frequencies from Foundation Medicine Insights March 2022 and scaled to estimated patient numbers using cancer incidence from ACS Cancer Facts and Figures 2023


FAQ

What is Revolution Medicines announcing about RMC-5127 and RVMD on January 29, 2026?

They dosed the first patient in the first-in-human trial RMC-5127-001 (NCT07349537). According to the company, the open-label study will evaluate safety, tolerability, pharmacokinetics and preliminary antitumor activity in RAS G12V–mutated solid tumors.

What cancers does the RMC-5127 (RVMD) trial enroll and why?

The trial enrolls patients with RAS G12V–mutated PDAC, CRC, and NSCLC. According to the company, these tumor types represent the majority of the estimated ~48,000 U.S. patients diagnosed annually with RAS G12V–driven cancers.

What will RMC-5127-001 (NCT07349537) evaluate for RMC-5127 (RVMD)?

The study will assess safety, tolerability, pharmacokinetics and preliminary antitumor activity as monotherapy and in combination. According to the company, both single-agent and combination cohorts are included to explore clinical activity and PK profiles.

How does RMC-5127 fit into Revolution Medicines’ RAS inhibitor portfolio (RVMD)?

RMC-5127 is described as the company’s fifth disclosed mutant-selective RAS(ON) inhibitor and fourth clinical-stage program. According to the company, it broadens the portfolio’s RAS variant coverage to include G12V.

What is RMC-5127’s mechanism of action as described by Revolution Medicines (RVMD)?

RMC-5127 binds to cyclophilin A to form a complex that selectively recognizes and inhibits the oncogenic RAS(ON) G12V form. According to the company, this design aims to selectively target the RAS G12V variant while sparing other forms.