Evidence map›Paper›PMID 39914665›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2025

Genomic landscape of clinically acquired resistance alterations in patients treated with KRAS

J M Riedl, F Fece de la Cruz, J J Lin, C Parseghian, J E Kim, H Matsubara, H Barnes, B Caughey, B L Norden, A A Morales-Giron and 14 more

Abstract read
In one paragraph

Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing 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

36 citing papers in PubMed.

  1. Trial
  2. A Phase II Trial of an Extended-Release siRNA Implant Targeting KRASG12D/V in Locally Advanced Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  3. Article
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  7. Article
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  9. Article
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  12. Article
  13. Article
  14. Article
  15. Article
  16. Overcoming Adaptive Resistance to KRASG12D Blockade in Pancreatic Cancer through Vertical Pathway Inhibition.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  17. Review
  18. Review
  19. 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

24 authors.

J M RiedlMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA; Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
F Fece de la CruzMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
J J LinMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
C ParseghianDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
J E KimMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA; Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
H MatsubaraMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
H BarnesMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
B CaugheyMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
B L NordenMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
A A Morales-GironMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
E W KushnerMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
S EhnstromMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
H NakamuraMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
P S PatelMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
H EllisMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
L PappasMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
A VakarisMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
J F GainorMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
S KopetzDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
S J KlempnerMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
A R ParikhMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
A N HataMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
R S HeistMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA.
R B CorcoranMassachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA. Electronic address: rbcorcoran@mgb.org.

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
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
NCI NIH HHS P50 CA127003NCI NIH HHS P50 CA221707NCI NIH HHS R01 CA262805
6 · The paper itself

Abstract

backgroundMutant-selective inhibitors of KRAS

methodsTo assess clinical frequencies of acquired resistance alterations, we evaluated genomic sequencing data from postprogression cell-free DNA samples in patients treated with KRAS

resultsA total of 143 patients were analyzed. Most patients had non-small-cell lung cancer (NSCLC, n = 68) or colorectal cancer (CRC, n = 58) and were treated with single-agent KRAS

conclusionsAcquired RAS/MAPK alterations are recurrent drivers of resistance to KRAS

Indexed as

Carcinoma, Non-Small-Cell LungColorectal NeoplasmsDrug Resistance, NeoplasmLung NeoplasmsProto-Oncogene Proteins p21(ras)AdultAgedAged, 80 and overCell Line, TumorFemaleGenomicsHumansMaleMiddle AgedMutationKRAS protein, humanProto-Oncogene Proteins p21(ras)acquired resistancecell-free DNAgenomic sequencingKRAS G12C inhibitorsRMC-7977

Identifiers

PMID39914665
PMCPMC12097956

What OpenQuestion holds

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Registered trials

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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.