Evidence map›Paper›PMID 25323927›Full record

ReviewNature reviews. Drug discovery2014

Drugging the undruggable RAS: Mission possible?

Adrienne D Cox, Stephen W Fesik, Alec C Kimmelman, Ji Luo, Channing J Der

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Drug discovery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07004244 (Safety and Efficacy of KRAS Vaccine in the Treatment of KRAS-mutant Malignancies), which is not on this map. Cited by 1,101 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,101citing papers in PubMed, 1 pooled it
49.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07004244 phase1recruitingnot on this mapstarted 2025, after this paper: background citation

Safety and Efficacy of KRAS Vaccine in the Treatment of KRAS-mutant Malignancies

TypeinterventionalSponsorSichuan UniversityRan2025 to 2027Enrolled20ConditionsMalignant TumorsArmsKRAS-mutated mRNA vaccine, TORIPALIMAB, Pemetrexed+carboplatin
3 · Its place in the literature

Who cites it

1,101 citing papers in PubMed, 1 synthesis or guideline pooled it, 1,963 citations in OpenAlex.

  1. Efficacy and toxicity of KRASWorld journal of surgical oncology · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Design, synthesis and biological evaluation of novel KRAS-G12D inhibitors.Journal of enzyme inhibition and medicinal chemistry · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. RAS-targeted therapies for pancreatic cancer.ESMO gastrointestinal oncology · 2026
    Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

1,041 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Adrienne D CoxLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Stephen W FesikVanderbilt University School of Medicine, Nashville, Tennessee 37232, USA.
Alec C KimmelmanDana-Farber Cancer Institute, Boston, Massachusetts 02215, USA.
Ji LuoNational Cancer Institute, Bethesda, Maryland, 20892, USA.
Channing J DerLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
University of North Carolina at Chapel Hill · USDana-Farber Cancer Institute · USNational Cancer Institute · USVanderbilt University · US

Funding

Understanding and Controlling p120 Dysfunction in CRCP50CA095103 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COFFEY, ROBERT J. · 2002 to 2017
$33.6M
Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI BASS, ADAM JOEL · 2007 to 2023
$33.2M
BIOLOGICAL ACTIVITY OF RAS ONCOGENESR01CA042978 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DER, CHANNING J. · 1986 to 2017
$5.9M
The Vanderbilt Molecular Target Discovery and Development CenterRC2CA148375 · NCI · VANDERBILT UNIVERSITY · PI MARNETT, LAWRENCE J. · 2009 to 2010
$4.7M
Investigating the Role of Autophagy in Pancreatic Cancer Radiation ResistanceR01CA157490 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI KIMMELMAN, ALEC · 2011 to 2018
$2.5M
Expanding the druggable genomeDP1CA174419 · NCI · VANDERBILT UNIVERSITY · PI FESIK, STEPHEN W. · 2012 to 2014
$2.3M
Mechanisms of PAK1 activation, signaling and tumor resistanceR01CA175747 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DER, CHANNING J., HAHN, KLAUS M. · 2014 to 2018
$1.8M
Expanding the druggable genomeDP1OD006933 · OD · VANDERBILT UNIVERSITY · PI FESIK, STEPHEN W. · 2010 to 2011
$1.5M
ERK inhibitor resistance and ERK isoform-dependent growth in pancreatic cancerR21CA179193 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DER, CHANNING J. · 2014 to 2015
$407k
Intramural NIH HHSNCI NIH HHS CA042978NCI NIH HHS CA175747NCI NIH HHS CA179193NCI NIH HHS DP1 CA174419NCI NIH HHS DP1CA174419NCI NIH HHS P50 CA095103NCI NIH HHS P50 CA127003NCI NIH HHS R01 CA042978NCI NIH HHS R01 CA157490NCI NIH HHS R01CA157490NCI NIH HHS R01 CA175747NCI NIH HHS R21 CA179193NCI NIH HHS RC2 CA148375NCI NIH HHS RC2CA148375NIH HHS DP1 OD006933NIH HHS DP1OD006933PHS HHS P50A095103‑12
6 · The paper itself

Abstract

Despite more than three decades of intensive effort, no effective pharmacological inhibitors of the RAS oncoproteins have reached the clinic, prompting the widely held perception that RAS proteins are 'undruggable'. However, recent data from the laboratory and the clinic have renewed our hope for the development of RAS-inhibitory molecules. In this Review, we summarize the progress and the promise of five key approaches. Firstly, we focus on the prospects of using direct inhibitors of RAS. Secondly, we address the issue of whether blocking RAS membrane association is a viable approach. Thirdly, we assess the status of targeting RAS downstream effector signalling, which is arguably the most favourable current approach. Fourthly, we address whether the search for synthetic lethal interactors of mutant RAS still holds promise. Finally, RAS-mediated changes in cell metabolism have recently been described and we discuss whether these changes could be exploited for new therapeutic directions. We conclude with perspectives on how additional complexities, which are not yet fully understood, may affect each of these approaches.

Indexed as

AnimalsAntineoplastic AgentsHumansOncogene Proteinsras ProteinsSignal TransductionAntineoplastic AgentsOncogene Proteinsras Proteins

Identifiers

PMID25323927
PMCPMC4355017
OpenAlexW2081990599

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.