Revolution Medicines, Inc. Common Stock 2026 Q2 Earnings Call
Review the key takeaways and the transcript of this earnings call.
- Revolution Medicines reported substantial progress in 2026, particularly in pancreatic cancer with compelling results from the resolute 302 global phase three study showing significant improvements in overall survival, progression free survival, and quality of life with Dirac's on acid monotherapy compared to chemotherapy.
- The company has approved over 90% of expanded access program requests, providing Dirac's on acid to more than 2000 eligible patients across nearly all US states and Puerto Rico.
- The FDA has accepted the new drug application for Dirac's on acid in pancreatic cancer, and the European Medicines Agency has designated it as a high priority and initiated a phase review to accelerate assessment.
- Revolution Medicines is preparing for a US launch with commercial infrastructure and patient services in place, and is expanding international launch capabilities.
- Multiple ongoing phase three trials in pancreatic cancer (resolute 303, 304, 305, and 309) are evaluating Dirac's on acid and zoledronic acid in various treatment settings including first line metastatic and adjuvant.
- Zoledronic acid combined with chemotherapy showed objective response rates of 82% and 61% in first line pancreatic cancer, with favorable safety profiles.
- The combination of Dirac's on acid plus zoledronic acid showed objective response rates of 50% and 47% in second and third line pancreatic cancer, with median progression free survival of 9.6 and 7.6 months respectively.
- MK 5127, a Ras G12 selective inhibitor, is well tolerated with early signs of anti-tumor activity in multiple tumor types.
- In non-small cell lung cancer (NSCLC), the FDA granted Breakthrough Therapy designation to Dirac's on acid for previously treated metastatic NSCLC with Kras mutations other than G12c.
- The ongoing phase three resolve 301 study in previously treated Ras mutant NSCLC is enrolling well, with plans for additional phase three trials (resolve 307 and 308) in first line NSCLC with Ras G12c and G12d mutations.
- Zoledronic acid and Aileron Racib (G12d and G12c selective inhibitors) in combination with pembrolizumab and platinum-based chemotherapy showed encouraging objective response rates of 82% and 85%, respectively, with manageable safety profiles and responses across PD-L1 expression subgroups.
- Financially, Revolution Medicines ended Q2 2026 with $3.9 billion in cash and investments, including $2.2 billion gross proceeds from public offerings and $250 million from a royalty tranche.
- R&D expenses increased to $395 million in Q2 2026 from $224 million in Q2 2025 due to clinical trial, manufacturing, and personnel costs.
- G&A expenses rose to $110 million in Q2 2026 from $41 million in Q2 2025 due to personnel, commercialization preparation, and administrative costs.
- Net loss was $644 million in Q2 2026 compared to $248 million in Q2 2025, including a $151 million non-cash charge related to warrant fair value changes.
- The company updated 2026 GAAP operating expense guidance to $2.1 billion to $2.2 billion, reflecting increased investments in manufacturing, clinical development, and commercial readiness.
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Transcript
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Thank you for standing by. Welcome to the Revolution Medicines Q2 2026 earnings conference call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there will be a question and answer session. To ask a question during the session, you will need to press star 11 on your telephone. You will then hear an automated message advising your hand is raised. To withdraw your question, please press star 11 again. Please be advised that today's conference is being recorded. I would now like to hand the conference over to your first speaker today, Ryan Asay, Senior Vice President, Corporate Affairs.
Please go ahead. Welcome everyone to the second quarter 2026 earnings call.
Joining me on today's call are Dr. Mark Goldsmith, Revolution Medicines Chairman and Chief Executive Officer, Dr. Alan Sandler, our Chief Development Officer, and Jack Anders, our Chief Financial Officer. Dr. Wei Lin, our Chief Medical Officer, and Anthony Mancini, our Chief Global Commercialization Officer, will join us for the Q&A portion of today's call. We would like to inform you that certain statements we make during this call will be forward-looking. Because such statements deal with future events and are subject to many risks and uncertainties, actual results may differ materially from those in the forward-looking statements. For a full discussion of these risks and uncertainties, please review our annual report on Form 10-K and our quarterly reports on Form 10-Q that are filed with the U.S. Securities and Exchange Commission. This afternoon, we released financial results for the quarter ended June 30, 2026, and recent corporate updates.
The press release and updated corporate presentation are available on the investors section of our website at revmed.com. With that, I'll turn the call over to Dr. Mark Goldsmith, Revolution Medicines' Chairman and Chief Executive Officer.
Mark? Thank you, Ryan, and thanks to everyone for joining us this afternoon.
I'll begin today's call with initial remarks focused primarily on pancreatic cancer, Dr. Sandler will provide highlights of recent results and plans in non-small cell lung cancer. Jack Anders will then summarize our second quarter financial results before I share some closing comments and open the call to questions and answers. 2026 is proving to be a transformational year for Revolution Medicines, with substantial progress in many dimensions, supporting our mission to revolutionize treatment for patients with RAS-addicted cancers globally through the discovery, development, and delivery of innovative targeted medicines. We've continued to build on strong momentum in pancreatic cancer, reinforced by compelling results from RASolute 302, our recently completed global phase III study in patients with previously treated metastatic disease.
Catalyzed by the unprecedented clinical results, we quickly expanded availability to patients through our FDA-cleared expanded access program, advanced regulatory activities in support of potential approvals, strengthened our commercial readiness globally, and continued to expand our broad pioneering R&D pipeline targeting RAS-driven cancers. I'd like to spend a few more minutes reviewing some of these activities in more detail. First at the American Society of Clinical Oncology, or ASCO, Dr. Brian Wolpin presented the full results from RASolute 302, which were also published simultaneously in the New England Journal of Medicine. The data demonstrated paradigm-changing clinical outcomes with daraxonrasib monotherapy in patients with previously treated metastatic pancreatic cancer, including statistically significant and clinically meaningful improvements in overall survival, progression-free survival, and patient-reported quality-of-life indicators compared to chemotherapy, along with a manageable safety and tolerability profile.
Based on these and earlier results, we believe daraxonrasib represents a major advance for patients facing one of the most difficult to treat cancers, and we are moving with urgency to make this potential new treatment available to eligible patients as quickly as possible. In particular, since announcing our expanded access program shortly after disclosing top-line results from RASolute 302, we've made significant progress establishing access through healthcare providers across the U.S. It has been deeply gratifying to activate sites participating in the program in almost all 50 U.S. states and Puerto Rico, including both academic cancer centers and community oncology practices, with many additional sites still coming online to begin treating patients through the program. To date, our team has approved greater than 90% of reviewed requests and has provided daraxonrasib on behalf of more than 2,000 eligible patients.
Our teams continue working closely with investigators, healthcare providers, patient advocacy organizations, and regulators to make this possible. We're proud of the progress so far on behalf of patients. I'm also very pleased to note that our new drug application for daraxonrasib in pancreatic cancer has been accepted for review by the U.S. Food and Drug Administration. We continue to engage constructively with the FDA as they review this application. We're also making progress with additional regulatory authorities around the world. The European Medicines Agency, or EMA, recently announced that it had designated daraxonrasib as a high priority under EMA's Cancer Medicines Pathfinder based on its potential to address a high unmet medical need. That it has started a phased review of daraxonrasib with the goal of accelerating assessment by evaluating the data as they become available ahead of the submission of a full Marketing Authorisation Application.
We look forward to continuing collaborative interactions with the EMA and other health authorities around the world as we work to bring daraxonrasib to patients as quickly as possible. We continue preparing for a successful launch. In the U.S., our medical affairs organization has been in the field for over a year and continues to actively engage the oncology community through scientific exchange. We have also built the commercial infrastructure needed to support launch. Our sales organization is in place, our field access team is operational, and our OnPath patient services program, commercial supply, and distribution network are ready. We are well-positioned to serve patients with pancreatic cancer from day one. Internationally, we continue to build our launch capabilities at an accelerating pace, positioning us to support future commercialization across key markets.
Subject to regulatory approvals, we believe we are well-positioned to execute a strong launch and deliver daraxonrasib to patients quickly and broadly. Fourth, with our commitment to pancreatic cancer extending well beyond previously treated disease, we continue prosecuting a comprehensive development strategy involving multiple RAS(ON) inhibitors across lines of treatment. With daraxonrasib, enrollment continues in the RASolute 303 and 304 Phase III programs in the first-line metastatic and adjuvant settings respectively. With zoldonrasib, our RAS(ON) G12D selective covalent inhibitor, the RASolute 305 Phase III trial in first-line metastatic pancreatic cancer is also enrolling and treating patients. Further, we recently initiated RASolute 309, evaluating the novel RAS(ON) inhibitor doublet of daraxonrasib plus zoldonrasib in the first-line treatment setting.
These trials are supported by strong clinical data and continue to generate significant interest from investigators and patients around the world who recognize both the unmet needs and the underlying scientific rationale for these treatment strategies. At last month's European Society for Medical Oncology's Gastrointestinal Cancers Congress, or ESMO GI, we presented new pancreatic cancer data for zoldonrasib that reinforced its compelling profile and the breadth of our development strategy in pancreatic cancer specifically, including the differentiated first-line treatment approaches underlying the RASolute 305 and 309 trials. In one study reported at ESMO GI, zoldonrasib, combined with standard of care chemotherapy, showed compelling preliminary antitumor activity in first-line treatment of patients with RAS G12D pancreatic cancer, including objective response rates of 82% and 61%, and disease control rates of 96% and 90% in combination with modified FOLFIRINOX or gemcitabine plus nab-paclitaxel, respectively.
Longer follow-up will further establish the durability profiles for these regimens. These combinations also demonstrated favorable safety and tolerability profiles with treatment-related adverse events broadly consistent with the established profiles of each respective chemotherapy component. These encouraging findings strongly support the global pivotal Phase III RASolute 305 study of zoldonrasib plus chemotherapy in first-line treatment of patients with RAS G12D pancreatic cancer. In a second study reported at ESMO GI, the RAS(ON) inhibitor doublet of daraxonrasib plus zoldonrasib demonstrated compelling preliminary clinical activity in second and third line or later treatment of patients with RAS G12D pancreatic cancer, including objective response rates of 50% and 47%, and disease control rates of 97% and 90%, respectively, observations that are consistent with earlier preclinical studies.
Earlier indicators of durability for this combination are also compelling, showing median progression-free survival of 9.6 months and 7.6 months in patients in second and third line treatment or later, respectively. Median overall survival in the second line setting was not yet reached, while the median overall survival in the third line or later setting was 10.5 months. The combination also showed a favorable safety and tolerability profile. Treatment-related adverse events were broadly consistent with the established profile of daraxonrasib monotherapy. These encouraging preliminary results support the planned global pivotal Phase III RASolute 309 study evaluating the combination of daraxonrasib plus zoldonrasib as first-line treatment in patients with RAS G12D pancreatic cancer. Our RAS(ON) inhibitors are also being evaluated in combination with other investigational approaches, including with MTA-cooperative PRMT5 inhibitors through clinical collaborations with Tango Therapeutics and Bristol Myers Squibb.
I'd also like to note that RMC-5127, our RAS(ON) G12V-selective inhibitor, continues in the ongoing first in human study. To date, RMC-5127 has been well tolerated at all dose levels evaluated, with no dose limiting toxicities reported so far. Encouraging early signs of anti-tumor activity have been seen across multiple tumor types, including objective responses starting at dose level 1. Overall, we are increasingly confident in our ability to help redefine the standard of care for patients with pancreatic cancer across the continuum of disease, from early-stage settings to advanced metastatic disease and across RAS tumor genotypes. With these opportunities comes a profound responsibility for Revolution Medicines that we take very seriously.
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