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Updated: Aug 23, 2025

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Sotorasib: A Review in KRAS G12C Mutation-Positive Non-small Cell Lung Cancer
1Springer Nature, Mairangi Bay, Private Bag 65901, Auckland, 0754, New Zealand. demail@springer.com.
Abstract:
Sotorasib (LUMAKRAS™ in the USA and LUMYKRAS™ in the EU) is an orally active, first-in-class G12C-mutant KRAS (KRASG12C) inhibitor. By binding irreversibly to KRASG12C, sotorasib inhibits downstream signalling pathways which are associated with cell growth and differentiation. Sotorasib is indicated for the treatment of adults with advanced, previously treated, KRAS G12C mutation-positive non-small cell lung cancer (NSCLC) in multiple countries, including the countries of the EU and the USA. A clinically relevant objective response rate was observed in patients with KRAS G12C mutation-positive NSCLC during the primary analysis and in an updated analysis of the phase I/II CodeBreaK 100 trial. Furthermore, a clinically relevant response duration was reported in updated analyses of the trial. Sotorasib has a manageable tolerability profile, with permitted dose modifications to manage toxicity. In summary, sotorasib is a promising KRASG12C inhibitor that increases the available treatment options for patients with KRAS G12C mutation-positive NSCLC who were previously treated with platinum-based chemotherapy and/or immunotherapy.
Insights
Sotorasib is a new oral medication that targets KRAS G12C mutations in non-small cell lung cancer (NSCLC). This first-in-class KRAS G12C inhibitor shows promising response rates and duration in previously treated patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- KRAS G12C mutations are common drivers in non-small cell lung cancer (NSCLC).
- Targeted therapies for KRAS G12C-mutated NSCLC have been limited.
- Sotorasib represents a novel therapeutic approach for this patient population.
Purpose of the Study:
- To evaluate the efficacy and safety of sotorasib in patients with advanced KRAS G12C-mutated NSCLC.
- To assess the objective response rate (ORR) and response duration (DoR) of sotorasib.
- To determine the tolerability profile and dose modification strategies for sotorasib.
Main Methods:
- Phase I/II CodeBreaK 100 trial.
- Oral administration of sotorasib.
- Evaluation of clinical response and adverse events.
Main Results:
- Sotorasib demonstrated a clinically relevant objective response rate in patients with KRAS G12C-mutated NSCLC.
- Updated analyses confirmed a clinically relevant response duration.
- Sotorasib exhibited a manageable tolerability profile with dose modification options.
Conclusions:
- Sotorasib is an effective and well-tolerated KRAS G12C inhibitor for previously treated NSCLC patients.
- It offers a new treatment option for patients with KRAS G12C-mutated NSCLC.
- Sotorasib advances targeted therapy in NSCLC treatment.
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