Selective Inhibition of KRASG13C Reveals an Increased Dependence on Wild-Type RAS Isoforms in Codon 13 RAS-Mutant

Kyle J Seamon1, Yongxian Zhuang2, Yu Chi Yang1

  • 1Revolution Medicines (United States) Redwood City, CA United States.

Cancer Discovery
|June 22, 2026
PubMed

Insights

New covalent KRAS G13C inhibitors show promise for treating cancers. Combining RMC-8839 with other inhibitors may overcome resistance by targeting wild-type RAS(ON) signaling in KRAS G13C-mutant tumors.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Covalent KRAS G12C inhibitors have advanced cancer therapy, but targeted treatments for many RAS-mutant cancers remain limited.
  • KRAS G13C mutations represent a distinct subset of RAS alterations lacking specific targeted therapies.

Purpose of the Study:

  • To investigate RMC-8839, a novel covalent inhibitor targeting RAS(ON) G13C.
  • To explore the mechanisms of resistance to KRAS G13C inhibitors, including the role of wild-type RAS(ON).

Main Methods:

  • In vitro studies using KRAS G13C-mutant cancer cell lines.
  • Xenograft models of KRAS G13C-mutant cancers.
  • Biochemical analysis of KRAS G13C protein stability and nucleotide exchange.
  • Combination therapy studies with RMC-8839 and a multi-selective RAS(ON) inhibitor.

Main Results:

  • RMC-8839 demonstrated tumor regressions in KRAS G13C-mutant xenografts.
  • Incomplete RAS pathway suppression was observed in some cell lines, indicating potential resistance mechanisms.
  • KRAS G13C mutations exhibit unique biochemical properties including decreased stability and altered nucleotide exchange.
  • Co-occurring mutations enhancing wild-type RAS activation were found in codon 13 mutant tumors.
  • Combination therapy significantly enhanced tumor growth inhibition compared to single-agent treatment.

Conclusions:

  • RMC-8839 is a potent inhibitor of KRAS G13C.
  • Wild-type RAS(ON) signaling contributes to resistance in KRAS G13C-mutant cancers.
  • Combination strategies targeting both mutant and wild-type RAS are crucial for effective treatment of KRAS G13C-mutant cancers.

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