Evidence map›Paper›PMID 34903582›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

FDA Approval Summary: Sotorasib for KRAS G12C-Mutated Metastatic NSCLC.

Erica C Nakajima, Nicole Drezner, Xiaoxue Li, Pallavi S Mishra-Kalyani, Yajun Liu, Hong Zhao, Youwei Bi, Jiang Liu, Atiqur Rahman, Emily Wearne and 6 more

Open access · greenAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 186 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
186citing papers in PubMed, 2 pooled it
18.4field-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

186 citing papers in PubMed, 2 syntheses or guidelines pooled it, 294 citations in OpenAlex.

  1. Targeting KRASFrontiers in oncology · 2026
    Pooled it
  2. Pooled it
  3. Sotorasib inThe New England journal of medicine · 2023
    Trial
  4. Design, synthesis and biological evaluation of novel KRAS-G12D inhibitors.Journal of enzyme inhibition and medicinal chemistry · 2026
    Article
  5. Applications of circulating tumor DNA in unresectable and advanced non-small cell lung cancer immunotherapy: from stratification to therapeutic guidance.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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  19. Sotorasib in AdvancedJTO clinical and research reports · 2026
    Article
  20. Article

126 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

16 authors at 1 institution in 1 country.

Erica C NakajimaCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Nicole DreznerCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Xiaoxue LiCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Pallavi S Mishra-KalyaniCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Yajun LiuCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Hong ZhaoCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Youwei BiCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Jiang LiuCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Atiqur RahmanCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Emily WearneCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Idara OjofeitimiCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Lauren Tesh HotakiOncology Center of Excellence, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0001-9674-8424
Dianne SpillmanOncology Center of Excellence, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0001-6127-4759
Richard PazdurCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Julia A BeaverOncology Center of Excellence, U.S. Food and Drug Administration, Silver Spring, Maryland.
Harpreet SinghCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
United States Food and Drug Administration · US

Funding

Intramural FDA HHS FD999999
6 · The paper itself

Abstract

On May 28, 2021, the FDA granted accelerated approval to sotorasib (Lumakras, Amgen) for the treatment of adults with advanced non-small cell lung cancer (NSCLC) with a Kirsten rat sarcoma proto-oncogene (KRAS) G12C mutation who have received at least one prior systemic therapy. The approval was based on CodeBreaK 100 (Study 20170543), a dose-escalation and dose-expansion trial in patients with an advanced, KRAS G12C-mutated, solid tumor. The overall response rate (ORR) observed in patients with KRAS G12C-mutated NSCLC treated with sotorasib (n = 124) was 36% [95% confidence interval (CI), 28-45]. The median duration of response was 10.0 months (95% CI, 6.9-not estimable). The most common adverse reactions (≥20%) were diarrhea, musculoskeletal pain, nausea, fatigue, hepatotoxicity, and cough. This is the first approval of a targeted therapy for KRAS G12C-mutated NSCLC. Because of pharmacokinetic data and ORRs of patient cohorts who took sotorasib at lower doses in the dose-escalation portion of CodeBreaK 100, a dose comparison study is being conducted as a post-marketing requirement.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsClinical Trials, Phase I as TopicHumansMutationPiperazinesProto-Oncogene Proteins p21(ras)PyridinesPyrimidinesKRAS protein, humanPiperazinesProto-Oncogene Proteins p21(ras)PyridinesPyrimidinessotorasib

Identifiers

PMID34903582
PMCPMC9012672
OpenAlexW4200034683

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.