KRAS (Kirsten rat sarcoma viral oncogene homolog), also known as KRAS2, RASK2, or NS3, is a small GTPase encoded by the KRAS gene on chromosome 12p12.1. As a member of the RAS superfamily, KRAS functions as a molecular switch cycling between active GTP-bound and inactive GDP-bound states to regulate cell proliferation, differentiation, and survival. KRAS is ubiquitously expressed but exhibits high mutation frequency in non-small cell lung cancer (NSCLC), colorectal cancer (CRC), and pancreatic ductal adenocarcinoma (PDAC). The G12V mutation (glycine to valine at codon 12) impairs intrinsic GTP hydrolysis, locking KRAS in a constitutively active state, and accounts for approximately 29% of PDAC and 10% of CRC cases. While G12C-targeted inhibitors like sotorasib and adagrasib are FDA-approved, G12V has historically been considered undruggable. However, RMC-5127, a RAS(ON) G12V-selective inhibitor, entered Phase 1 clinical trial in 2026 for advanced solid tumors harboring G12V, representing a major advance for this common mutation.