Quantitative Assessment of the Target Engagement of a KRAS G12C Inhibitor in Formalin-Fixed Paraffin-Embedded Tumor

Aiying Yu1, Jintang He1, Lingyao Meng1

  • 1Genentech Inc., 1 DNA Way, South San Francisco 94080, California, United States.

Analytical Chemistry
|November 13, 2025
PubMed

Insights

This study adapted a method to measure KRAS G12C covalent inhibitor engagement in formalin-fixed, paraffin-embedded (FFPE) tissues. The optimized workflow enables precise target engagement assessment in standard clinical samples, crucial for cancer therapy evaluation.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • KRAS G12C mutations drive cancer progression, necessitating evaluation of covalent inhibitor efficacy.
  • Assessing target engagement is vital for understanding drug mechanisms and patient response.
  • Previous methods required frozen tissues, limiting clinical applicability.

Purpose of the Study:

  • To adapt and optimize a method for quantifying KRAS G12C target engagement in formalin-fixed, paraffin-embedded (FFPE) tissues.
  • To address analytical challenges posed by FFPE sample processing for covalent inhibitor assessment.
  • To enable reliable target engagement measurement in standard clinical specimens.

Main Methods:

  • Developed a workflow integrating deparaffinization, antigen retrieval, and immunoaffinity enrichment.
  • Utilized targeted 2D-LC-MS/MS for precise quantification of free and bound KRAS G12C.
  • Validated the method on FFPE tissues, requiring minimal protein input (5 μg).

Main Results:

  • Successfully quantified KRAS G12C target engagement in FFPE tissues.
  • Demonstrated a strong correlation between target engagement measurements in FFPE and frozen tissues.
  • The method is suitable for limited clinical sample quantities, such as core biopsies.

Conclusions:

  • The optimized workflow reliably assesses KRAS G12C covalent inhibitor engagement in FFPE tissues.
  • This method extends target engagement analysis to the standard clinical specimen type.
  • The workflow may be applicable to evaluating other covalent inhibitors in FFPE samples.

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