Target Attractiveness Report · Oncology
This KRAS target evaluation report is generated based on structured data from PatSnap Target & Disease MCP and PatSnap Clinical Trials MCP.
Executive Summary — Target Thesis
Target Snapshot
Total Assets
759
Approved Drugs
6
Clinical Assets
106+
Total Deals
56+
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Key Strengths
- Fully validated target. Driver mutation in ~30% of all solid tumors; highest-confidence causal oncogene.
- Commercial proof. 6 approved drugs since 2021; G12C market validated across NSCLC and CRC.
- G12D frontier wide open. Zero approved drugs for G12D despite ~40% PDAC prevalence — highest unmet need in KRAS.
- Richest deal ecosystem. BMS/Mirati ~$4.8B M&A, AZ/Jacobio $2B+, RevMed $2B Royalty Pharma; sustained capital appetite.
- Modality breadth. Small molecule, PROTAC, TCR-T, vaccines, molecular glues — broadest modality diversification of any oncology target.
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Key Risks
- Pathway feedback reactivation. RAS–MAPK reactivation limits single-agent G12C inhibitor durability.
- G12C market saturated. 6 approved drugs + multiple Phase 3 assets competing for same biomarker-selected population.
- G12D/pan-KRAS druggability. Non-covalent molecular glues less characterized at scale for oral bioavailability and toxicity.
- Co-mutation complexity. STK11, KEAP1 co-mutations stratify patients and undermine ICI combinations.
Section I: Target Biology and Druggability
- UniProt
- P01116
- HGNC
- 6407
- Protein Class
- Small GTPase
- Localization
- Membrane-associated, intracellular
- Associated Diseases
- 106 direct · 142 roll-up
- Cancer Prevalence
- ~30% all solid tumors
- Patent Families
- 6,217+
Target Benchmark Snapshot
Validation
Driver mutation in ~30% of all cancers; MAPK/RAF/PI3K pathway nexus; causal driver, not bystander
Druggability
G12C: mutant-Cys12 switch-II pocket (SIIP), covalent GDP-OFF lock. G12D/G12V: requires RAS-ON molecular glues, PROTACs, or macrocycles
Approvals
6 approved drugs (2021–2026), all G12C small-molecule covalent inhibitors
Mutation Prevalence by Cancer Type
| Mutation | NSCLC | CRC | PDAC | Endometrial | Strategic Priority |
|---|---|---|---|---|---|
| G12C | ~13% | ~3–4% | ~1–2% | ~3% | Approved; crowded; 1L combo next |
| G12D | ~4% | ~12% | ~40% | ~15% | Highest unmet need; first approval imminent |
| G12V | ~7% | ~10% | ~10% | ~10% | No approved drug; PROTAC/TCR-T pursuing |
| G12R | ~1% | ~2% | ~20% | — | PDAC-enriched; early clinical programs |
| G13D | ~2% | ~10% | ~2% | — | CRC-enriched; limited dedicated programs |
KRAS Signaling Cascade
Multi-layer Mechanism of Action — KRAS Inhibition Strategies
Section II: Pipeline and Modality Landscape
Development Stage Distribution (~759 total assets)
Preclinical
414
Phase 1/2
88
Phase 3
~10
Approved
6
Discontinued
~60
Key Clinical Assets — Modality Differentiation Matrix
| Drug | Company | Modality | Target | Phase | Indication | Key Differentiator |
|---|---|---|---|---|---|---|
| Sotorasib | Amgen | SM covalent (GDP-OFF) | KRAS G12C | Approved 2021 | NSCLC, CRC | First-in-class; 800mg QD; CodeBreaK 200 |
| Adagrasib | BMS/Mirati | SM covalent (GDP-OFF) | KRAS G12C | Approved 2022 | NSCLC, CRC, multi | CNS penetration; 600mg BID; KRYSTAL series |
| Fulzerasib | Genfleet/Innovent | SM covalent (GDP-OFF) | KRAS G12C | Approved Aug 2024 | NSCLC, CRC | First China-originated G12C approval |
| Garsorasib | InventisBio | SM covalent (GDP-OFF) | KRAS G12C | Approved Nov 2024 | NSCLC | CTA Tianqing collaboration |
| Glecirasib | Jacobio/AZ | SM covalent (GDP-OFF) | KRAS G12C | Approved May 2025 | NSCLC, PDAC | Pancreatic cancer label; AZ global deal $2B+ |
| Sosimerasib | Shanghai Jiyu/Huyabio | SM covalent (GDP-OFF) | KRAS G12C | Approved Feb 2026 | NSCLC | International expansion via Huyabio |
| Olomorasib | Eli Lilly | SM covalent (GDP-OFF) | KRAS G12C | Phase 3 SUNRAY-01 | NSCLC (1L), CRC | 1L combo with pembrolizumab; next-gen potency |
| Divarasib | Roche/Genentech | SM covalent (GDP-OFF) | KRAS G12C | Phase 3 | NSCLC, CRC | Roche combination platform; atezolizumab combos |
| Zoldonrasib (RMC-9805) | Revolution Medicines | Molecular glue (RAS-ON) | KRAS G12D | Phase 3 | PDAC, NSCLC | First G12D RAS-ON inhibitor in Phase 3; PDAC first |
| Daraxonrasib (RMC-6236) | Revolution Medicines | Molecular glue (RAS-ON) | pan-RAS | Phase 3 | PDAC, NSCLC, CRC | Broadest RAS coverage; pan-mutant potential |
| Setidegrasib | Arvinas | PROTAC | KRAS G12D | Phase 3 | Solid tumors | First G12D PROTAC in Phase 3; protein degradation |
| INCB-161734 | Incyte | Small molecule | KRAS G12D | Phase 3 | Multiple tumors | Incyte oncology expansion into KRAS G12D |
| ELI-002 | Elicio Therapeutics | Vaccine (AMP-peptide) | KRAS mutations | Phase 1/2 | NSCLC, CRC, PDAC | Immunological memory; adjuvant/preventive strategy |
| ANOC-003 | NeoTrail/HOOKIPA | TCR-T cell therapy | KRAS mutations | Phase 1/2 | Solid tumors | Neoantigen-specific TCR; cell therapy approach |
Clinical Efficacy Benchmark — Approved Assets
Olomorasib · SUNRAY-01 Ph1 (Combination)
Key Biological Risks — Resistance & Safety Considerations
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Section III: Clinical Evidence Benchmark
Key Trial Results — 216+ clinical trial results for G12C · 648 translational records
| Asset / Regimen | Trial | Population | Key Result | Confidence |
|---|---|---|---|---|
| Sotorasib | CodeBreaK 200 (Ph3) | 2L+ G12C NSCLC · n=345 | PFS 5.6m vs 4.5m (docetaxel); HR 0.66; ORR 28% vs 13% | High |
| Adagrasib | KRYSTAL-1 (Ph1/2) | 2L+ G12C NSCLC · n=116 | ORR 43%; mPFS 6.5m; mOS 12.6m | High |
| Adagrasib + cetuximab | KRYSTAL-10 (Ph3) | 2L G12C CRC | ORR ~34% vs 2% cetuximab alone — statistically significant | High |
| Garsorasib + ifebemtinib | Ph1b/2 | G12C CRC | Combination improves ORR over G12C monotherapy | Medium |
| Olomorasib + pembrolizumab | SUNRAY-01 (Ph3 ongoing) | 1L G12C NSCLC, PD-L1 0–49% | Ph1 cohorts: ORR 50–70%+; Ph3 primary endpoint pending | Medium · Ph3 pending |
| Zoldonrasib | Phase 3 | G12D PDAC, NSCLC | Registration-enabling Phase 3 ongoing — first RAS-ON G12D inhibitor | Pending |
| Daraxonrasib | Phase 3 | pan-KRAS PDAC, NSCLC, CRC | Pan-RAS breadth across all KRAS mutations; Phase 3 ongoing | Pending |
Evidence Watch — Key Upcoming Readouts
→SUNRAY-01 Ph3 primary endpoint — Olomorasib + pembrolizumab 1L NSCLC; potential practice-changing 1L approval
→Zoldonrasib Ph3 PDAC readout — Could be first approved KRAS G12D drug in oncology’s most underserved cancer
→Daraxonrasib Ph3 PDAC results — First proof for pan-RAS efficacy at registration scale
→Setidegrasib Ph3 — First G12D PROTAC proof-of-concept in registration-enabling study
Section IV: Competitive Ranking
Competitive Ranking — Phase 3 & Approved Leaders
| Rank | Asset | Tier | Strength | Key Risk | Next Catalyst |
|---|---|---|---|---|---|
| #1 | Daraxonrasib (RevMed) pan-RAS · Molecular glue |
Tier 2 · Phase 3 | Pan-RAS breadth covers all KRAS + NRAS/HRAS; $2B Royalty Pharma deal; durable IP moat | WT RAS toxicity; oral bioavailability at scale | Ph3 PDAC primary endpoint (~2026/27) |
| #2 | Zoldonrasib (RevMed) KRAS G12D · Molecular glue |
Tier 2 · Phase 3 | First RAS-ON G12D inhibitor in Phase 3; PDAC massive unmet need; no approved competitor | PDAC stroma/immunosuppression; single-agent activity limitations | Ph3 PDAC readout; NDA filing |
| #3 | Olomorasib (Lilly) KRAS G12C · SM covalent |
Tier 2 · Phase 3 | 1L combination-first design; early ORR 50–70%+; Lilly clinical platform | Must beat chemo+pembro standard; OS data maturation needed | SUNRAY-01 Ph3 primary PFS readout |
| #4 | Adagrasib (BMS/Mirati) KRAS G12C · SM covalent |
Tier 1 · Approved | CNS penetrant; broadest approved indication set; KRYSTAL-10 combo positive | Competition intensifying in 1L; comparable outcomes vs sotorasib in RW | KRYSTAL-12 1L combination readout |
| #5 | Sotorasib (Amgen) KRAS G12C · SM covalent |
Tier 1 · Approved | First-in-class; CodeBreaK 200 Ph3 positive vs docetaxel | Market share pressure from next-gen G12C; lower CNS penetration | CodeBreaK 202 combination data |
| #6 | Glecirasib (Jacobio/AZ) KRAS G12C · SM covalent |
Tier 2 · Approved + Global deal | First G12C inhibitor approved for PDAC (China); AZ global exclusive validates broader pipeline | China-first; global regulatory pathway pending; RevMed PDAC competition | Global regulatory filing for NSCLC/PDAC |
Section V: Deal and Capital Flow
Total Deals
56+
Deal Chronology — Selected Significant Transactions
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Global Exclusive License — Bayer ← Kumquat BiosciencesPrecision oncology (KRAS-related)Up to $1.3B · Bayer entering KRAS space via external innovation
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Global Exclusive License — AstraZeneca ← Yousen JianhengKRAS G12D inhibitor (preclinical)$24M upfront + $395M milestones · Preclinical-stage G12D commands $400M+ potential — signals G12D strategic value
Section VI: Intellectual Property Landscape
Total Patent Families
6,217+
Densest IP estate in targeted oncology
Patent Milestone Timeline — Key Filing & Strategy Events
- F
- A
-
P
Quinazoline, azaquinazoline, tetrahydropyridopyrimidine pan-KRAS scaffold strategies
- T
- B
Densest patent
estate in precision
oncology
estate in precision
oncology
IP Thematic Clusters — Status & FTO Signal
G12C Covalent Core
Active
Core CoM expiring 2034–2040; combination patents extend exclusivity. Dense — high FTO risk for new G12C monotherapy.
G12C Combination Therapy
Active + Pending
SHP2+G12C co-patent well-crowded. Densest patent activity area; limited FTO for common combinations.
G12D Inhibitor Scaffolds
PCT Pending · Aggressive
Biomarker / CDx Patents
Pending
Foundation Medicine/Genentech · NCI
Section VII: White Space, Risk, and Strategic Matrix
- ~2026/27 · First G12D PDAC approval (Zoldonrasib Ph3) — zero approved drugs for highest-mortality KRAS mutation
- 2025–2026 · SUNRAY-01 Ph3 readout — 1L NSCLC combination could dominate larger patient population than 2L
- Ongoing · Pan-KRAS/RAS-ON platform (Daraxonrasib) covers all KRAS + NRAS/HRAS — first truly universal RAS inhibitor
- Emerging · CNS-penetrant G12D/pan-KRAS inhibitor could secure distinct label with limited competition
- Emerging · PROTAC G12D/G12V with novel E3 ligase creates new IP moat, addresses mutation types without covalent handle
- Biological · Feedback reactivation (RTK → KRAS re-activation) limits single-agent durability; combination strategies needed
- Commercial · G12C market saturated with 6 approved drugs; new entrant differentiation requires compelling 1L story
- Regulatory/Clinical · PDAC stromal barrier and immunosuppressive microenvironment may limit single-agent RAS-ON activity
- Technical · Pan-RAS on-target toxicity (WT KRAS inhibition) — therapeutic window characterization at scale incomplete
- Competitive · Failed SOS1 combination (BI-1701963) signals that not all combination hypotheses translate
Risk Matrix — Severity × Probability
HIGH
R3
R1
MED
R2
R4
LOW
LOW
MED
HIGH
← Probability →
Clinical/Regulatory/IP Risk
Commercial/Market Risk
R1
Pathway Feedback Reactivation
RTK-mediated KRAS re-activation upon G12C inhibitor treatment limits single-agent durability. High probability, high severity for monotherapy programs.
R2
G12D/Pan-KRAS Druggability at Scale
Non-covalent molecular glues less characterized at scale for oral bioavailability and WT KRAS on-target toxicity. Medium probability, medium-high severity.
Mitigation: Larger Phase 2 safety cohorts; narrow therapeutic window monitoring; PROTAC parallel development as backup modality.
R3
G12C Market Saturation
6 approved G12C drugs competing for same biomarker-selected population. Commercial differentiation in G12C monotherapy increasingly difficult. High probability for new entrants.
Mitigation: Combination-first 1L design; CNS penetration differentiation; resistance-focused sequencing strategies.
KRAS+STK11 and KRAS+KEAP1 co-mutations stratify patient outcomes and undermine ICI combination efficacy. Medium probability; high severity for immunotherapy-combination strategies.
Mitigation: Prospective co-mutation biomarker panel in trial design; biomarker-stratified enrollment; companion diagnostic development.
Strategic White Space Map
Zero approved drugs for PDAC’s most common driver mutation. Zoldonrasib Ph3 ongoing. PDAC 5-year survival ~13%. First-mover commands premium pricing and strong IP moat.
Priority 2
1L Combination NSCLC
Olomorasib early 1L data (ORR 50–70%+); larger patient population vs 2L; SUNRAY-01 is the critical catalyst. Wins in 1L would be commercially dominant.
Change trigger: SUNRAY-01 negative PFS primary endpoint; safety interaction issues with pembrolizumab.
Priority 3
KRAS G12V Programs
Bottom Line — R&D and BD Implications
BD Implication
R&D Decision
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