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An updated overview of K-RAS G12C inhibitors in advanced stage non-small cell lung cancer
Ates Kutay Tenekeci1, Ahmet Arda Unal1, Furkan Ceylan2
1Hacettepe University School of Medicine, Ankara, Turkey.
Abstract:
The discovery of KRAS mutations, particularly the KRASG12C variant, has been a milestone in understanding the molecular underpinnings of non-small cell lung cancer (NSCLC). These mutations are associated with aggressive tumor behavior and resistance to conventional therapies, highlighting the urgent need for targeted interventions. In this comprehensive review, we analyze the advancements in KRAS G12C inhibitors for the treatment of non-small cell lung cancer. Literature search is made from PubMed, Medline ASCO and ESMO Annual Meetings abstracts by using the following search keywords: "sotorasib", "adagrasib", "divarasib" and "KRAS G12C inhibitors." The last search was on 5 June 2024. This review highlights the importance of pharmacokinetics, pharmacodynamics and potential adverse effects for treating individual patients and ensuring the best outcomes. Additionally, the review discusses research identifying biomarkers that can predict therapy responses and mentions the combination strategies to overcome resistance. Results of the studies and ongoing clinical trials are also briefly summarized in this review. KRASG12C inhibitors sotorasib, adagrasib and the newer divarasib, has revolutionized treating patients harboring this mutation. Ongoing studies and future clinical trials will refine our understandings with the ultimate goal of improving survival and quality of life for patients with this challenging disease.
Insights
KRAS G12C inhibitors like sotorasib and adagrasib represent a breakthrough in treating non-small cell lung cancer (NSCLC). These targeted therapies offer improved outcomes for patients with this specific KRAS mutation.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- KRAS mutations, especially KRAS G12C, are key drivers in non-small cell lung cancer (NSCLC).
- These mutations correlate with aggressive disease and resistance to standard treatments, necessitating targeted therapies.
Purpose of the Study:
- To comprehensively review advancements in KRAS G12C inhibitors for NSCLC treatment.
- To analyze pharmacokinetics, pharmacodynamics, adverse effects, biomarkers, and combination strategies for these inhibitors.
Main Methods:
- Literature search of PubMed, Medline, ASCO, and ESMO abstracts up to June 5, 2024.
- Keywords included "sotorasib", "adagrasib", "divarasib", and "KRAS G12C inhibitors".
Main Results:
- KRAS G12C inhibitors, including sotorasib, adagrasib, and divarasib, have transformed NSCLC treatment.
- Understanding drug properties and identifying predictive biomarkers are crucial for patient outcomes.
Conclusions:
- KRAS G12C inhibitors offer a revolutionary approach to treating NSCLC patients with this mutation.
- Ongoing research and clinical trials aim to further optimize survival and quality of life.
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