Scientific article
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Long-Term Outcomes and Molecular Correlates of Sotorasib Efficacy in Patients With Pretreated KRAS G12C-Mutated Non-Small-Cell Lung Cancer : 2-Year Analysis of CodeBreaK 100

Published inJournal of clinical oncology, vol. 41, no. 18, p. 3311-3317
Publication date2023-06-20
First online date2023-04-25
Abstract

Clinical trials frequently include multiple end points that mature at different times. The initial report, typically based on the primary end point, may be published when key planned co-primary or secondary analyses are not yet available. Clinical Trial Updates provide an opportunity to disseminate additional results from studies, published inJCOor elsewhere, for which the primary end point has already been reported. In the longest follow-up, to our knowledge, for a KRASG12Cinhibitor, we assessed the long-term efficacy, safety, and biomarkers of sotorasib in patients withKRASG12C-mutated advanced non-small-cell lung cancer (NSCLC) from the CodeBreaK 100 clinical trial (ClinicalTrials.gov identifier: NCT03600883). This multicenter, single-group, open-label phase I/phase II trial enrolled 174 patients withKRASG12C-mutated, locally advanced or metastatic NSCLC after progression on prior therapies. Patients (N = 174) received sotorasib 960 mg once daily with the primary end points for phase I of safety and tolerability and for phase II of objective response rate (ORR). Sotorasib produced an ORR of 41%, median duration of response of 12.3 months, progression-free survival (PFS) of 6.3 months, overall survival (OS) of 12.5 months, and 2-year OS rate of 33%. Long-term clinical benefit (PFS ≥ 12 months) was observed in 40 (23%) patients across PD-L1 expression levels, in a proportion of patients with somaticSTK11and/orKEAP1alterations, and was associated with lower baseline circulating tumor DNA levels. Sotorasib was well tolerated, with few late-onset treatment-related toxicities, none of which led to treatment discontinuation. These results demonstrate the long-term benefit of sotorasib, including in subgroups with poor prognosis.

Keywords
  • Humans
  • Carcinoma, Non-Small-Cell Lung / drug therapy
  • Carcinoma, Non-Small-Cell Lung / genetics
  • Kelch-Like ECH-Associated Protein 1
  • Lung Neoplasms / drug therapy
  • Lung Neoplasms / genetics
  • NF-E2-Related Factor 2
  • Proto-Oncogene Proteins p21(ras) / genetics
Citation (ISO format)
DY, Grace K et al. Long-Term Outcomes and Molecular Correlates of Sotorasib Efficacy in Patients With Pretreated KRAS G12C-Mutated Non-Small-Cell Lung Cancer : 2-Year Analysis of CodeBreaK 100. In: Journal of clinical oncology, 2023, vol. 41, n° 18, p. 3311–3317. doi: 10.1200/JCO.22.02524
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Additional URL for this publicationhttps://ascopubs.org/doi/pdf/10.1200/JCO.22.02524
Journal ISSN0732-183X
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Creation16/07/2024 10:21:37
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