Evidence map›Paper›PMID 38587856›Full record

Trial reportCancer discovery2024

Efficacy and Safety of Adagrasib plus Cetuximab in Patients with KRASG12C-Mutated Metastatic Colorectal Cancer.

Rona Yaeger, Nataliya V Uboha, Meredith S Pelster, Tanios S Bekaii-Saab, Minal Barve, Joel Saltzman, Joshua K Sabari, Julio A Peguero, Andrew Scott Paulson, Pasi A Jänne and 7 more

Abstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer discovery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

88 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Overall Survival Analysis of the Phase III CodeBreaK 300 Study of Sotorasib Plus Panitumumab Versus Investigator's Choice in ChemorefractoryJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
  6. Trial
  7. Trial
  8. Onvansertib in Combination With Chemotherapy and Bevacizumab in Second-Line Treatment ofJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
  9. Glecirasib in KRASNature medicine · 2025
    Trial
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. The SOS1 Inhibitor BI 1701963 as Monotherapy or in Combination with Trametinib in Patients with KRAS Mutation-Positive Solid Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  19. Article
  20. Review

28 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

17 authors.

Rona YaegerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-7233-5454
Nataliya V UbohaDivision of Hematology and Oncology, Department of Medicine, University of Wisconsin, Madison, Wisconsin.ORCID 0000-0003-3449-1680
Meredith S PelsterSarah Cannon Research Institute, Tennessee Oncology, Nashville, Tennessee.ORCID 0009-0005-2448-3478
Tanios S Bekaii-SaabDepartment of Medical Oncology and Hematology, Mayo Clinic, Scottsdale, Arizona.ORCID 0000-0001-7721-1699
Minal BarveMary Crowley Cancer Research Center, Dallas, Texas.ORCID 0009-0007-4259-7457
Joel SaltzmanDepartment of Hematology and Medical Oncology, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0003-1869-9887
Joshua K SabariDivision of Medical Oncology, Perlmutter Cancer Center, New York University Langone Health, New York, New York.ORCID 0000-0002-1556-1543
Julio A PegueroDepartment of Research, Oncology Consultants PA, Houston, Texas.ORCID 0000-0002-9464-4901
Andrew Scott PaulsonDepartment of Medical Oncology, Texas Oncology - Baylor Charles A. Sammons Cancer Center, Dallas, Texas.ORCID 0009-0000-6023-670X
Pasi A JänneDana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-7821-4928
Marcia Cruz-CorreaPanOncology Trials, San Juan, Puerto Rico.ORCID 0000-0001-8147-7457
Kenna AnderesMirati Therapeutics, a wholly owned subsidiary of Bristol Myers Squibb Company, San Diego, California.ORCID 0000-0002-4515-2011
Karen VelasteguiMirati Therapeutics, a wholly owned subsidiary of Bristol Myers Squibb Company, San Diego, California.ORCID 0009-0005-9909-6288
Xiaohong YanMirati Therapeutics, a wholly owned subsidiary of Bristol Myers Squibb Company, San Diego, California.ORCID 0000-0002-1945-0453
Hirak Der-TorossianMirati Therapeutics, a wholly owned subsidiary of Bristol Myers Squibb Company, San Diego, California.ORCID 0000-0002-9902-5712
Samuel J Klempner *Division of Hematology-Oncology, Massachusetts General Cancer Center, Boston, Massachusetts.ORCID 0000-0002-4062-0808
Scott E Kopetz *Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-9647-3416

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
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
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
Mirati Therapeutics (Mirati Therapeutics Inc)NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA221707NCI NIH HHS R01 CA262805
6 · The paper itself

Abstract

Adagrasib, an irreversible, selective KRASG12C inhibitor, may be an effective treatment in KRASG12C-mutated colorectal cancer, particularly when combined with an anti-EGFR antibody. In this analysis of the KRYSTAL-1 trial, patients with previously treated KRASG12C-mutated unresectable or metastatic colorectal cancer received adagrasib (600 mg twice daily) plus cetuximab. The primary endpoint was objective response rate (ORR) by blinded independent central review. Ninety-four patients received adagrasib plus cetuximab. With a median follow-up of 11.9 months, ORR was 34.0%, disease control rate was 85.1%, and median duration of response was 5.8 months (95% confidence interval [CI], 4.2-7.6). Median progression-free survival was 6.9 months (95% CI, 5.7-7.4) and median overall survival was 15.9 months (95% CI, 11.8-18.8). Treatment-related adverse events (TRAEs) occurred in all patients; grade 3-4 in 27.7% and no grade 5. No TRAEs led to adagrasib discontinuation. Exploratory analyses suggest circulating tumor DNA may identify features of response and acquired resistance. SIGNIFICANCE: Adagrasib plus cetuximab demonstrates promising clinical activity and tolerable safety in heavily pretreated patients with unresectable or metastatic KRASG12C-mutated colorectal cancer. These data support a potential new standard of care and highlight the significance of testing and identification of KRASG12C mutations in patients with colorectal cancer. This article is featured in Selected Articles from This Issue, p. 897.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCetuximabColorectal NeoplasmsMutationProto-Oncogene Proteins p21(ras)AcetonitrilesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm MetastasisPiperazinesPyrimidinesAcetonitrilesadagrasibCetuximabKRAS protein, humanPiperazinesProto-Oncogene Proteins p21(ras)Pyrimidines

Identifiers

PMID38587856
PMCPMC11152245

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.