Evidence map›Paper›PMID 38236605›Full record

ArticleCancer discovery2024

Sotorasib Is a Pan-RASG12C Inhibitor Capable of Driving Clinical Response in NRASG12C Cancers.

Douglas A Rubinson, Noritaka Tanaka, Ferran Fece de la Cruz, Kevin S Kapner, Michael H Rosenthal, Bryanna L Norden, Haley Barnes, Sara Ehnstrom, Alvin A Morales-Giron, Lauren K Brais and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer discovery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
8.9field-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

31 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
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  7. Review
  8. 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
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  19. Genomic landscape of clinically acquired resistance alterations in patients treated with KRASAnnals of oncology : official journal of the European Society for Medical Oncology · 2025
    Article
  20. Article
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

13 authors at 4 institutions in 1 country.

Douglas A Rubinson *Dana Farber Cancer Institute and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-5337-5231
Noritaka Tanaka *Massachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-6495-540X
Ferran Fece de la CruzMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-2694-4838
Kevin S KapnerDana Farber Cancer Institute and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-2306-2373
Michael H RosenthalDana Farber Cancer Institute and Brigham and Women's Hospital, Department of Radiology, Boston, Massachusetts.ORCID 0000-0002-5085-3904
Bryanna L NordenMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-2084-473X
Haley BarnesMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-2190-8969
Sara EhnstromMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-8520-0789
Alvin A Morales-GironMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0009-0006-0534-2634
Lauren K BraisDana Farber Cancer Institute and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-1069-0407
Christopher T LemkeThe Broad Institute of Harvard and MIT, Cambridge, Massachusetts.ORCID 0000-0001-9419-1511
Andrew J AguirreDana Farber Cancer Institute and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-0701-6203
Ryan B CorcoranMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-8173-5778
Massachusetts General Hospital · USBroad Institute · USDana-Farber Cancer Institute · USHarvard University · US

Funding

Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI BASS, ADAM JOEL · 2007 to 2023
$33.2M
Project 3: Inhibiting Oxidative Phosphorylation in Pancreatic CancerP50CA221707 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KOPETZ, SCOTT, MAITRA, ANIRBAN · 2019 to 2023
$11.0M
Circulating Biomarker Consortium for Pancreatic Cancer Early DetectionU01CA210171 · NCI · DANA-FARBER CANCER INST · PI Michael H. Rosenthal, Brian Matthew Wolpin · 2016 to 2026
$8.7M
Overcoming adaptive feedback resistance to KRAS inhibition in colorectal cancerR01CA262805 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Ryan Bruce Corcoran, Scott Kopetz · 2022 to 2026
$3.5M
Association between pre-diagnosis hepatic fat infiltration and risk of liver metastasis and mortality in a large cohort of stage I-III colorectal cancer survivorsR01CA255184 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI GIOVANNUCCI, EDWARD · 2022 to 2025
$2.7M
Mechanisms of response and resistance to KRAS inhibition in pancreatic cancerR01CA276268 · NCI · DANA-FARBER CANCER INST · PI Andrew James Aguirre · 2023 to 2026
$2.2M
NCI NIH HHS P50 CA127003NCI NIH HHS P50 CA221707NCI NIH HHS R01 CA255184NCI NIH HHS R01 CA262805NCI NIH HHS R01 CA276268NCI NIH HHS U01 CA210171
6 · The paper itself

Abstract

KRASG12C inhibitors, like sotorasib and adagrasib, potently and selectively inhibit KRASG12C through a covalent interaction with the mutant cysteine, driving clinical efficacy in KRASG12C tumors. Because amino acid sequences of the three main RAS isoforms-KRAS, NRAS, and HRAS-are highly similar, we hypothesized that some KRASG12C inhibitors might also target NRASG12C and/or HRASG12C, which are less common but critical oncogenic driver mutations in some tumors. Although some inhibitors, like adagrasib, were highly selective for KRASG12C, others also potently inhibited NRASG12C and/or HRASG12C. Notably, sotorasib was five-fold more potent against NRASG12C compared with KRASG12C or HRASG12C. Structural and reciprocal mutagenesis studies suggested that differences in isoform-specific binding are mediated by a single amino acid: Histidine-95 in KRAS (Leucine-95 in NRAS). A patient with NRASG12C colorectal cancer treated with sotorasib and the anti-EGFR antibody panitumumab achieved a marked tumor response, demonstrating that sotorasib can be clinically effective in NRASG12C-mutated tumors. SIGNIFICANCE: These studies demonstrate that certain KRASG12C inhibitors effectively target all RASG12C mutations and that sotorasib specifically is a potent NRASG12C inhibitor capable of driving clinical responses. These findings have important implications for the treatment of patients with NRASG12C or HRASG12C cancers and could guide design of NRAS or HRAS inhibitors. See related commentary by Seale and Misale, p. 698. This article is featured in Selected Articles from This Issue, p. 695.

Indexed as

Membrane ProteinsProto-Oncogene Proteins p21(ras)PyridinesAntineoplastic AgentsCell Line, TumorColorectal NeoplasmsGTP PhosphohydrolasesHumansMutationPiperazinesPyrimidinesAntineoplastic AgentsGTP PhosphohydrolasesKRAS protein, humanMembrane ProteinsNRAS protein, humanPiperazinesProto-Oncogene Proteins p21(ras)PyridinesPyrimidinessotorasib

Identifiers

PMID38236605
PMCPMC11061598
OpenAlexW4390985936

What OpenQuestion holds

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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.