Evidence map›Paper›PMID 39642212›Full record

ArticleCancer discovery2025

Discovery of BBO-8520, a First-In-Class Direct and Covalent Dual Inhibitor of GTP-Bound (ON) and GDP-Bound (OFF) KRASG12C.

Anna E Maciag, James P Stice, Bin Wang, Alok K Sharma, Albert H Chan, Ken Lin, Devansh Singh, Marcin Dyba, Yue Yang, Saman Setoodeh and 25 more

Abstract read
In one paragraph

Article in Cancer discovery, 2025. 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
–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

31 citing papers in PubMed.

  1. Review
  2. Chemical Genetic Targeting of the LRRK2 GTPase Domain.bioRxiv : the preprint server for biology · 2026
    Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Dual inhibition of GTP-bound (ON) and GDP-bound (OFF) KRASbioRxiv : the preprint server for biology · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Systematic and precise interventions for KRAS-mutant cancers.Experimental hematology & oncology · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. KRAS Inhibition in Pancreatic Ductal Adenocarcinoma.Journal of clinical medicine · 2026
    Review
  19. Review
  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

35 authors.

Anna E Maciag *NCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0003-2641-4212
James P Stice *BridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0009-0005-8311-3119
Bin Wang *BridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0009-0006-5275-8691
Alok K SharmaNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0001-8011-1074
Albert H ChanNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0001-5809-8483
Ken LinBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0000-0001-9643-5858
Devansh SinghBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0009-0005-2629-4347
Marcin DybaNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0001-6311-6877
Yue YangPhysical and Life Sciences (PLS) Directorate, Lawrence Livermore National Laboratory, Livermore, California.ORCID 0000-0001-5670-9551
Saman SetoodehBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0009-0008-5840-5525
Brian P SmithNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0009-0002-7666-7517
Jin Hyun JuBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0009-0002-1247-8055
Stevan JeknicBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0009-0001-3352-5386
Dana RabaraNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0009-0008-7411-3418
Zuhui ZhangBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0009-0002-2994-2352
Erik K LarsenNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0002-7553-212X
Dominic EspositoNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0002-9987-1687
John-Paul DensonNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0009-0004-1191-5641
Michela RanieriPerlmutter Cancer Center, New York University, New York, New York.ORCID 0000-0002-3833-3594
Mary MeynardiePerlmutter Cancer Center, New York University, New York, New York.ORCID 0000-0002-8791-9137
Sadaf MehdizadehBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0009-0003-1579-3760
Patrick A AlexanderNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0001-8601-1760
Maria Abreu BlancoNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0003-0074-4563
David M TurnerNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0009-0000-6885-0309
Rui XuBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0000-0003-2017-6145
Felice C LightstonePhysical and Life Sciences (PLS) Directorate, Lawrence Livermore National Laboratory, Livermore, California.ORCID 0000-0003-1465-426X
Kwok-Kin WongPerlmutter Cancer Center, New York University, New York, New York.ORCID 0000-0001-6323-235X
Andrew G StephenNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0002-8259-621X
Keshi WangBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0009-0000-7576-6447
Dhirendra K SimanshuNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0002-9717-4618
Kerstin W SinkeviciusBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0000-0002-4000-6277
Dwight V NissleyNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0001-7523-116X
Eli WallaceBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0009-0006-1692-7160
Frank McCormickNCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.ORCID 0000-0002-6619-7120
Pedro J BeltranBridgeBio Oncology Therapeutics, South San Francisco, California.ORCID 0000-0002-4103-6494

Funding

WORK ORDER 126643 B539 EXPAND IC SUITE75N91019D00024 · NIAID · LEIDOS BIOMEDICAL RESEARCH, INC. · PI PENDLETON, RICHARD · 2019 to 2025
$3932.6M
User Training and OutreachP30GM124165 · NIGMS · CORNELL UNIVERSITY · PI MALCOLM S. CAPEL · 2018 to 2026
$34.2M
Pixel Array Detector for X-ray CrystallographyS10RR029205 · NCRR · CORNELL UNIVERSITY · PI EALICK, STEVEN E · 2010 to 2010
$1.8M
National Cancer Institute (NCI) 75N91019D00024 (Contract)NCI NIH HHS 75N91019D00024NCRR NIH HHS S10 RR029205NIGMS NIH HHS P30 GM124165
6 · The paper itself

Abstract

Approved inhibitors of KRASG12C prevent oncogenic activation by sequestering the inactive, GDP-bound (OFF) form rather than directly binding and inhibiting the active, GTP-bound (ON) form. This approach provides no direct target coverage of the active protein. Expectedly, adaptive resistance to KRASG12C (OFF)-only inhibitors is observed in association with increased expression and activity of KRASG12C(ON). To provide optimal KRASG12C target coverage, we have developed BBO-8520, a first-in-class, direct dual inhibitor of KRASG12C(ON) and (OFF) forms. BBO-8520 binds in the Switch-II/Helix3 pocket, covalently modifies the target cysteine, and disables effector binding to KRASG12C(ON). BBO-8520 exhibits potent signaling inhibition in growth factor-activated states, in which current (OFF)-only inhibitors demonstrate little measurable activity. In vivo, BBO-8520 demonstrates rapid target engagement and inhibition of signaling, resulting in durable tumor regression in multiple models, including those resistant to KRASG12C(OFF)-only inhibitors. BBO-8520 is in phase 1 clinical trials in patients with KRASG12C non-small cell lung cancer. Significance: BBO-8520 is a first-in-class direct, small molecule covalent dual inhibitor that engages KRASG12C in the active (ON) and inactive (OFF) conformations. BBO-8520 represents a novel mechanism of action that allows for optimal target coverage and delays the emergence of adaptive resistance seen with (OFF)-only inhibitors in the clinic. See related commentary by Zhou and Westover, p. 455.

Indexed as

Antineoplastic AgentsCarcinoma, Non-Small-Cell LungGuanosine DiphosphateGuanosine TriphosphateLung NeoplasmsProto-Oncogene Proteins p21(ras)AnimalsCell Line, TumorHumansMiceXenograft Model Antitumor AssaysAntineoplastic AgentsGuanosine DiphosphateGuanosine TriphosphateKRAS protein, humanProto-Oncogene Proteins p21(ras)

Identifiers

PMID39642212
PMCPMC11873722

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.