The Food and Drug Administration approved daraxonrasib, sold as Rasonque by Revolution Medicines, Wednesday for advanced pancreatic cancer, granting expedited review and clearing the first pill that directly targets mutated RAS proteins that drive more than 90 percent of pancreatic tumors. In a company-funded randomized trial of 500 patients whose metastatic disease had stopped responding to prior treatment, patients receiving daraxonrasib lived a median 13.2 months versus 6.7 months for those given chemotherapy, with side effects that included skin rash, mouth sores, diarrhea and other digestive issues. Revolution Medicines set the list cost for a one-month supply at about $39,800. Regulators approved the drug more than six months ahead of their target date, after the FDA had allowed expanded access earlier this year following public attention including former Sen. Ben Sasse describing symptom improvement on television. Fred Hutch Cancer Center oncologist Dr. Andrew Coveler called the approval a significant improvement rather than a cure, and Dr. Pashtoon Kasi of City of Hope said the drug could open doors for other companies pursuing RAS-targeted therapies. U.S. incidence and mortality context cited by the FDA noted roughly 67,000 new U.S. pancreatic cancer diagnoses and more than 52,000 deaths expected this year, underscoring why clinicians see the approval as a major development for a cancer that is hard to detect before it spreads. The agency and oncologists said the approval is likely to accelerate development and testing of additional RAS-directed drugs across cancers.