Evidence map›Paper›PMID 41820335›Full record

ArticleNature communications2026

Pan-tumor activity of olomorasib, a next-generation KRAS G12C inhibitor in KRAS G12C-mutant advanced solid tumors: a first-in-human study.

Yonina R Murciano-Goroff, Antoine Hollebecque, Rebecca S Heist, Philippe A Cassier, Ji-Youn Han, So Yeon Kim, Joshua K Sabari, Diego Tosi, Adrian Sacher, Timothy F Burns and 17 more

Registry-linked trialAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04956640 (A Phase 1/2 Study of LY3537982 in Patients With KRAS G12C-Mutant Advanced Solid Tumors), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT04956640 phase1 / phase2active not recruitingnot on this map

A Phase 1/2 Study of LY3537982 in Patients With KRAS G12C-Mutant Advanced Solid Tumors

TypeinterventionalSponsorEli Lilly and CompanyRan2021 to 2027Enrolled540ConditionsCarcinoma, Non-Small-Cell Lung, Colorectal Neoplasms, Endometrial Neoplasms, Ovarian NeoplasmsArmsLY3537982, Pembrolizumab, Cetuximab, Pemetrexed, Cisplatin
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. RAS-targeted therapies for pancreatic cancer.ESMO gastrointestinal oncology · 2026
    Review
  3. Antitumor Activity of a Synthetic Small RNA Based on aInternational journal of molecular sciences · 2026
    Article
  4. Review
  5. Review
  6. Precision Targeting ofInternational journal of molecular sciences · 2026
    Review
  7. Review
  8. Review
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

27 authors.

Yonina R Murciano-GoroffDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA. murciany@mskcc.org.ORCID http://orcid.org/0000-0001-9027-2891
Antoine HollebecqueDépartement d'Innovation Thérapeutique et Essais Précoces (DITEP), Gustave Roussy, Villejuif, France.
Rebecca S HeistDepartment of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Philippe A CassierCentre Léon Bérard, Medical Oncology, Lyon, France.ORCID http://orcid.org/0000-0003-3857-1688
Ji-Youn HanNational Cancer Center, Goyang, South Korea.ORCID http://orcid.org/0000-0001-5033-0006
So Yeon KimYale University School of Medicine, New Haven, CT, USA.
Joshua K SabariPerlmutter Cancer Center, NYU Langone Health, Long Island, New York, NY, USA.
Diego TosiInstitut régional du Cancer de Montpellier, Montpellier, France.ORCID http://orcid.org/0000-0003-0401-7400
Adrian SacherDepartment of Medical Oncology, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-7865-2701
Timothy F BurnsDepartment of Medicine, Division of Hematology Oncology, University of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-8685-3762
Toshio ShimizuDepartment of New Experimental Therapeutics, International Cancer New Drug Development Center, Kansai Medical University Hospital, NEXT Oncology KMU, Osaka, Japan.
Natraj Reddy AmmakkanavarCommunity Health Network, Indianapolis, IN, USA.
Alexander SpiraVirginia Cancer Specialists, Fairfax, VA, USA.
Carlos Gomez-RocaInstitut Universitaire Du Cancer De Toulouse-Oncopole, Toulouse, France.
Amita PatnaikDepartment of Phase I Research, The START Center for Cancer Research, San Antonio, TX, USA.
Rasha CosmanThe Kinghorn Cancer Centre, St. Vincent's Hospital, Darlinghurst, NSW, Australia.
J Nicholas BodorFox Chase Cancer Center, Philadelphia, PA, USA.
Misako NagasakaUniversity of California, Irvine, Orange, CA, USA.
Arthur Xintian YouEli Lilly and Company, Indianapolis, IN, USA.
Samuel C McNeelyEli Lilly and Company, Indianapolis, IN, USA.
Raimund PeterEli Lilly and Company, Indianapolis, IN, USA.ORCID http://orcid.org/0009-0005-7175-0858
Aaron FinkEli Lilly and Company, Indianapolis, IN, USA.
Aaron ChenEli Lilly and Company, Indianapolis, IN, USA.
Geoffrey R OxnardEli Lilly and Company, Indianapolis, IN, USA.
Melinda D WillardEli Lilly and Company, Indianapolis, IN, USA.
Yasutoshi KubokiDepartment of Experimental Therapeutics, National Cancer Center Hospital East, Kashiwa, Japan.ORCID http://orcid.org/0000-0003-3675-953X
Takafumi KoyamaExperimental Therapeutics, National Cancer Center Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0001-5807-8458

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
MSK Paul Calabresi Career Development Award for Clinical OncologyK12CA184746 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Omar Abdel-Wahab, Simon N. Powell · 2015 to 2026
$8.3M
NCI NIH HHS K12 CA184746NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

This multicenter, first-in-human Phase 1 study (NCT04956640) evaluated olomorasib (LY3537982), a next-generation KRAS G12C inhibitor designed to enhance target occupancy at low absolute exposures. In total, data from 195 patients are reported: Phase 1a dose escalation (n = 112) assessed olomorasib monotherapy at 50, 100, 150 or 200 mg BID across KRAS G12C-mutant advanced solid tumors; the primary objective was to determine the recommended Phase 2 dose (RP2D) based on dose-limiting toxicities (DLTs). No DLTs occurred, and 150 mg BID was selected as the RP2D. The primary objective for the Phase 1b dose expansion (n = 83) was to evaluate the safety and tolerability of olomorasib in specific KRAS G12C-mutant tumor types. Olomorasib was well tolerated, with predominantly grade 1-2 treatment-related adverse events (TRAEs) and infrequent grade 3 TRAEs; no grade 4/5 TRAEs occurred. Secondary objectives evaluated the antitumor activity of olomorasib. Among 168 efficacy-evaluable patients, the ORR and median PFS were both higher in non-CRC solid tumors compared to CRC, including in patients with NSCLC who previously received a KRAS G12C inhibitor. Intracranial responses were observed in patients with untreated, active brain metastases. This may support the potential of next-generation KRAS G12C inhibitors to overcome limitations of earlier agents and justify further investigation of combination therapy.

Indexed as

Antineoplastic AgentsBenzimidazolesNeoplasmsProto-Oncogene Proteins p21(ras)AdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedMutationPiperazinesPyridinesPyrimidinesAntineoplastic AgentsBenzimidazolesKRAS protein, humanPiperazinesProto-Oncogene Proteins p21(ras)PyridinesPyrimidinessotorasib

Identifiers

PMID41820335
PMCPMC13121619

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Registered trials

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.