Adagrasib's Efficacy Sustained in KRASG12C NSCLC

    Cancer Discovery
    |September 13, 2023
    PubMed

    Insights

    Adagrasib demonstrates lasting effectiveness and manageable safety in patients with advanced KRASG12C non-small cell lung cancer. This KRASG12C inhibitor offers durable efficacy, with about a third of patients alive at two years.

    Area of Science:

    • Oncology
    • Pharmacology

    Background:

    • Non-small cell lung cancer (NSCLC) remains a leading cause of cancer-related mortality worldwide.
    • KRAS mutations, particularly KRASG12C, are common drivers in NSCLC but historically lacked targeted therapies.

    Purpose of the Study:

    • To evaluate the long-term efficacy and safety of adagrasib, a KRASG12C inhibitor, in patients with previously treated advanced KRASG12C-mutated NSCLC.
    • To report on outcomes from the KRYSTAL-1 trial at a 2-year follow-up point.

    Main Methods:

    • KRYSTAL-1 is an ongoing clinical trial investigating adagrasib in patients with KRASG12C-mutated NSCLC.
    • Data presented are based on a 2-year follow-up, assessing overall survival and emergent toxicities.

    Main Results:

    • Adagrasib demonstrated durable efficacy in patients with advanced, previously treated KRASG12C NSCLC.
    • At the 2-year mark, approximately one-third of patients remained alive, indicating sustained treatment benefit.
    • No new unexpected toxicities were observed, suggesting a manageable long-term safety profile for adagrasib.

    Conclusions:

    • Adagrasib provides durable clinical benefit in patients with advanced KRASG12C NSCLC.
    • The long-term safety profile of adagrasib appears manageable, supporting its continued use in this patient population.