Evidence map›Paper›PMID 31534020›Full record

ArticleScience translational medicine2019

Development of combination therapies to maximize the impact of KRAS-G12C inhibitors in lung cancer.

Miriam Molina-Arcas, Christopher Moore, Sareena Rana, Febe van Maldegem, Edurne Mugarza, Pablo Romero-Clavijo, Eleanor Herbert, Stuart Horswell, Lian-Sheng Li, Matthew R Janes and 2 more

Abstract read
In one paragraph

Article in Science translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 134 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 1 pooled it
10.7field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 1 synthesis or guideline pooled it, 220 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Targeting the NF-κB pathway represents a potential strategy to attenuate HGF-induced resistance to KRAS G12C inhibitors in lung adenocarcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. RETRACTED: The Impact ofInternational journal of molecular sciences · 2025
    Review
  12. Review
  13. Article
  14. Article
  15. Tumor-Infiltrating Clonal Hematopoiesis.The New England journal of medicine · 2025
    Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. JCO precision oncology · 2024
    Article

74 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

12 authors at 4 institutions in 2 countries.

Miriam Molina-ArcasOncogene Biology, Francis Crick Institute, London NW1 1AT, UK.ORCID 0000-0002-8176-8948
Christopher MooreOncogene Biology, Francis Crick Institute, London NW1 1AT, UK.ORCID 0000-0002-4653-1427
Sareena RanaOncogene Biology, Francis Crick Institute, London NW1 1AT, UK.
Febe van MaldegemOncogene Biology, Francis Crick Institute, London NW1 1AT, UK.ORCID 0000-0002-2544-544X
Edurne MugarzaOncogene Biology, Francis Crick Institute, London NW1 1AT, UK.
Pablo Romero-ClavijoOncogene Biology, Francis Crick Institute, London NW1 1AT, UK.
Eleanor HerbertExperimental Histopathology, Francis Crick Institute, London NW1 1AT, UK.ORCID 0000-0002-2216-7771
Stuart HorswellComputational Biology Laboratories, Francis Crick Institute, London NW1 1AT, UK.ORCID 0000-0003-2787-1933
Lian-Sheng LiWellspring Biosciences, San Diego, CA 92121, USA.ORCID 0000-0002-8187-2876
Matthew R JanesWellspring Biosciences, San Diego, CA 92121, USA.ORCID 0000-0003-2848-1697
David C HancockOncogene Biology, Francis Crick Institute, London NW1 1AT, UK.ORCID 0000-0003-4507-5279
Julian DownwardOncogene Biology, Francis Crick Institute, London NW1 1AT, UK. julian.downward@crick.ac.uk.ORCID 0000-0002-2331-4729
The Francis Crick Institute · GBInstitute of Cancer Research · GBWellspring Biosciences (United States) · USRoyal Veterinary College · GB

Funding

Cancer Research UK 20265Cancer Research UK FC001070Medical Research Council FC001070Wellcome Trust 103799Wellcome Trust 103799/Z/14/ZWellcome Trust FC001070
6 · The paper itself

Abstract

KRAS represents an excellent therapeutic target in lung cancer, the most commonly mutated form of which can now be blocked using KRAS-G12C mutant-specific inhibitory trial drugs. Lung adenocarcinoma cells harboring KRAS mutations have been shown previously to be selectively sensitive to inhibition of mitogen-activated protein kinase kinase (MEK) and insulin-like growth factor 1 receptor (IGF1R) signaling. Here, we show that this effect is markedly enhanced by simultaneous inhibition of mammalian target of rapamycin (mTOR) while maintaining selectivity for the KRAS-mutant genotype. Combined mTOR, IGF1R, and MEK inhibition inhibits the principal signaling pathways required for the survival of KRAS-mutant cells and produces marked tumor regression in three different KRAS-driven lung cancer mouse models. Replacing the MEK inhibitor with the mutant-specific KRAS-G12C inhibitor ARS-1620 in these combinations is associated with greater efficacy, specificity, and tolerability. Adding mTOR and IGF1R inhibitors to ARS-1620 greatly improves its effectiveness on KRAS-G12C mutant lung cancer cells in vitro and in mouse models. This provides a rationale for the design of combination treatments to enhance the impact of the KRAS-G12C inhibitors, which are now entering clinical trials.

Indexed as

AnimalsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungCell SurvivalImidazolesLung NeoplasmsMice, NudeMitogen-Activated Protein Kinase KinasesMutationPhosphatidylinositol 3-KinasesProtein Kinase InhibitorsProto-Oncogene Proteins c-aktProto-Oncogene Proteins p21(ras)PyrazinesPyridonesPyrimidinones3-(8-amino-1-(2-phenylquinolin-7-yl)imidazo(1,5-a)pyrazin-3-yl)-1-methylcyclobutanolImidazolesMitogen-Activated Protein Kinase KinasesPhosphatidylinositol 3-KinasesProtein Kinase InhibitorsProto-Oncogene Proteins c-aktProto-Oncogene Proteins p21(ras)PyrazinesPyridonesPyrimidinonesReceptor, IGF Type 1RNA, Small InterferingTOR Serine-Threonine Kinasestrametinib

Identifiers

PMID31534020
PMCPMC6764843
OpenAlexW2973796265

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.