Evidence map›Paper›PMID 42688109›Full record

SynthesisFrontiers in oncology2026

Targeting KRAS

Julia Piekarz, Natalia Picheta, Jakub Pobideł, Natalia Gierulska, Karolina Kłodnicka, Jacek Januszewski, Katarzyna Szklener, Magdalena Skórzewska

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Julia PiekarzStudent Academic Group, Department of Clinical Oncology and Chemotherapy, Medical University, Lublin, Poland.
Natalia PichetaStudent Academic Group, Department of Clinical Oncology and Chemotherapy, Medical University, Lublin, Poland.
Jakub PobidełStudent Academic Group, Department of Clinical Oncology and Chemotherapy, Medical University, Lublin, Poland.
Natalia GierulskaStudent Academic Group, Department of Clinical Oncology and Chemotherapy, Medical University, Lublin, Poland.
Karolina KłodnickaStudent Academic Group, Department of Clinical Oncology and Chemotherapy, Medical University, Lublin, Poland.
Jacek JanuszewskiDoctoral School, Medical University of Lublin, Lublin, Poland.
Katarzyna SzklenerDepartment of Clinical Oncology and Chemotherapy, Medical University, Lublin, Poland.
Magdalena SkórzewskaDepartment of Clinical Oncology and Chemotherapy, Medical University, Lublin, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Kirsten rat sarcoma viral oncogene homolog Methods: The systematic review was registered in the PROSPERO database and conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. PubMed, Scopus, and ClinicalTrials.gov were searched for phase III randomized controlled trials (RCTs) conducted between 2023 and 2026. The analysis included the CodeBreaK 200 and KRYSTAL-12 registration programs (including subanalyses), which evaluated monotherapy with sotorasib or adagrasib compared with docetaxel in patients with advanced NSCLC harboring the KRAS Results: Both inhibitors significantly prolonged the median progression-free survival (PFS) and increased the objective response rate (ORR) compared with chemotherapy. Adagrasib demonstrated promising intracranial efficacy but was associated with greater gastrointestinal toxicity and frequent dose reductions. Sotorasib was characterized by a better safety profile and more favorable quality-of-life outcomes for patients, although the assessment of its impact on overall survival (OS) was confounded by a high crossover rate in the registration trial. However, the rapid development of secondary mutations and bypass resistance mechanisms remains the main clinical limitation of both drugs when used as monotherapy. Conclusion: Sotorasib and adagrasib provide clinical benefit in advanced NSCLC with the KRAS Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD420261427962.

Indexed as

adagrasibKRASG12CKRAS mutationNSCLCsotorasib

Identifiers

PMID42688109
PMCPMC13533771

What OpenQuestion holds

Textmetadata
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.