Anyone else on Daraxonrasib (RMC-6236)?

Posted by howleegirl @howleegirl, May 8 5:59am

Waiting for the approval for my husband to start daraxonrasib. (the new and exciting drug just fast tracked by the FDA) Doc says he's a great candidate for this drug. Anyone else on this? I know about the awful rash you get from seeing the senator on TV. Doc has also styopped all treatment since April 11th. THAT kinda scares me?

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Profile picture for strongone21 @strongone21

@mcoplien try to explore nearby states as that will give you the best possibility.

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@strongone21 We were called Friday by our cancer center's Research Team. First step is to sign the consent. Will do that on Monday. Hoping to start Daraxonrasib next week!!!!

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Profile picture for owlladycpl @owlladycpl

My daughter has pancreatic cancer and has had the #2 chemo but it didn't help. Now they are waiting for the Daraxonrasib pill. Why the wait? It seems Duke would be able to get the pill when needed. Anyone have anything to say as why the wait?

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@owlladycpl I’ve heard it will be FDA approved soon

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Profile picture for scullen53 @scullen53

My brother has stage 4 pancreatic cancer, he has asked his MD about Daraxonrasib after it was granted expanded access by the FDA. He was told it still had to be approved by Mayo?! That doesn't sound correct to me. My understanding was that the oncologist needs to apply to Revolution Medicines to obtain it. Does anyone understand what the process is? Thanks

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@scullen53
from my understanding, the oncologist needs to be approved then the patient needs to be approved by Revolution Medicine.

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Profile picture for hofhope @hofhope

Thank you all for your discussions and helpful suggestions here. My fiancé was diagnosed with stage 4 pancreatic cancer on the tail but metastasized to the liver in Sept 2025. He has gone through 12 rounds of FOLFIRINOX which shrank the cancer on the tail of his pancreas from 2.9 cm to 1.1 cm after 6 rounds. His UCI oncologist then ordered radiation treatments on the pancreas tail and Y90 on his livers. However, he started to have ascites about 3 weeks ago and had 3 parenthesis already so far as the fluids are accumulating very fast causing extreme pains in his lower abdomen and inability to eat…… He is on OTC Tylenol which helps to some extent. His oncologist is processing for daraxonrasibs but it seems to be taking long. Does any one of you have similar pain experience and any suggestions? I am thinking of taking him to Emergency Room to get some help. Any suggestions are highly appreciated. He is 65 years old and was quite healthy before this was discovered by accident. God bless you all!🙏

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@hofhope, how is your husband doing? Have they managed to get his ascites and pain under control? Is he also in the care of a palliative care physician for pain management and symptom management care?

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Profile picture for mcoviello @mcoviello

@tomrennie we spoke with the nurse, and she said to continue with the Lomotil and Imodium. Her symptoms were much improved yesterday and today. We have an appointment on Thursday and hope to hear if there is anything further we can do.

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@mcoviello That is awesome that her symptoms are much improved. Imodium helps me with my pancreatic cancer and chemo. Good luck with everything on Thursday. Please keep us posted?

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Profile picture for Turkey, Volunteer Mentor @tomrennie

@mcoviello Did the doctor provide you with any suggestions?

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@tomrennie we spoke with the nurse, and she said to continue with the Lomotil and Imodium. Her symptoms were much improved yesterday and today. We have an appointment on Thursday and hope to hear if there is anything further we can do.

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Profile picture for strongone21 @strongone21

@mcoviello the side effects trickled in slowly one by one for us. Diarrhea hopefully will get controlled soon for her! Nausea and skin rash is ongoing for us (but manageable), though diarrhea, scalp rash, nails, mouth sores all came and went. No two patients are the same and many of them do not have a lot of skin rashes. Hope everything goes better for her once the diarrhea is controlled! Best wishes!

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@strongone21 Thank you for sharing this information.

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Profile picture for mcoviello @mcoviello

@tomrennie thank you! The diarrhea has been the only major side effect so far. If we can get that under control things would be better. The Lomotil and Imodium aren’t as effective so we will check in with her doctor tomorrow.

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@mcoviello Did the doctor provide you with any suggestions?

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@mcoviello the side effects trickled in slowly one by one for us. Diarrhea hopefully will get controlled soon for her! Nausea and skin rash is ongoing for us (but manageable), though diarrhea, scalp rash, nails, mouth sores all came and went. No two patients are the same and many of them do not have a lot of skin rashes. Hope everything goes better for her once the diarrhea is controlled! Best wishes!

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Profile picture for mcoviello @mcoviello

@tomrennie thank you! The diarrhea has been the only major side effect so far. If we can get that under control things would be better. The Lomotil and Imodium aren’t as effective so we will check in with her doctor tomorrow.

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@mcoviello Great idea on checking in with her doctor. Hopefully another more effective option will be discussed. Please let us know how the appointment goes ok? Since this is a new treatment, many folks are interested in learning through her experience. Thanks.

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