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BIOMARKER:

KRAS G12D

i
Other names: KRAS, KRAS1, KRAS2, Kirsten rat sarcoma viral oncogene homolog
Entrez ID:
Related biomarkers:
Related tests:
15h
BBO-11818 in Adult Subjects With KRAS Mutant Cancer (clinicaltrials.gov)
P1, N=387, Recruiting, TheRas, Inc., d/b/a BBOT (BridgeBio Oncology Therapeutics) | N=287 --> 387
Enrollment change • First-in-human
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KRAS (KRAS proto-oncogene GTPase)
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KRAS G12C • KRAS G12D • KRAS G12 • KRAS G12S
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Keytruda (pembrolizumab) • Erbitux (cetuximab) • cisplatin • carboplatin • gemcitabine • 5-fluorouracil • albumin-bound paclitaxel • pemetrexed • oxaliplatin • leucovorin calcium
23h
Selective targeting of NRF2-high pancreatic ductal adenocarcinoma with an NQO1-activatable prodrug. (PubMed, Proc Natl Acad Sci U S A)
Initial evaluations of C29h alone or together with the standard-of-care chemotherapeutic drug gemcitabine were conducted on NQO1high human and mouse PDAC cell lines and patient-derived organoids...Importantly, C29h treatment induced tumor regression and increased the survival of PDAC-bearing mice and optimal C29h-induced tumor regression was dependent on CD8+ T lymphocytes whose tumoral recruitment was enhanced by drug treatment. This study supports the use of C29h alone or as part of a drug combination as an effective and promising strategy for selective eradication of NRF2high PDAC.
Journal
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KRAS (KRAS proto-oncogene GTPase) • CD8 (cluster of differentiation 8) • NQO1 (NAD(P)H dehydrogenase, quinone 1)
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KRAS G12D • KRAS G12
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gemcitabine
1d
Differential roles of Rad18 in repressing carcinogen- and oncogene-driven mutagenesis in vivo. (PubMed, NAR Cancer)
Taken together, we demonstrate that Rad18 has context-specific tumor-suppressive activity. Given the prevalence of 4NQO-like environmental exposures, RAD18 is highly likely to shape human cancer genomes and perhaps influence other aspects of the tumorigenic process.
Preclinical • Journal
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KRAS (KRAS proto-oncogene GTPase)
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KRAS G12D • KRAS G12
1d
KRAS Neoantigen Nanovaccine as Adjuvant Therapy for Colorectal Cancer/Pancreatic Cancer (clinicaltrials.gov)
P1/2, N=49, Recruiting, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
New P1/2 trial
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KRAS (KRAS proto-oncogene GTPase) • CA 19-9 (Cancer antigen 19-9)
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KRAS mutation • KRAS G12D • KRAS G12S
1d
ELK1 promotes the progress of myeloid leukemia by hindering the differentiation of neutrophils. (PubMed, Exp Hematol Oncol)
Our study demonstrates that ELK1 is a potential therapeutic target for AML, due to its critical role in regulating neutrophils differentiation.
Journal
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KRAS (KRAS proto-oncogene GTPase) • CEACAM8 (CEA Cell Adhesion Molecule 8) • ELK1 (ETS Transcription Factor ELK1)
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KRAS mutation • KRAS G12D • KRAS G12
2d
Preclinical Characterization and Clinical Activity of RNK08954, a Highly Selective and Orally Bioavailable KRAS G12D Inhibitor. (PubMed, Cancer Discov)
In patients with non-small cell lung cancer (NSCLC), the objective response rate (ORR, unconfirmed) is 58.33%, and in patients with pancreatic ductal adenocarcinoma (PDAC) the ORR (unconfirmed) was 33.33% in the 1000-1200mg cohort. This study supports the clinical potential of RNK08954 in patients with KRAS G12D mutation either as a single agent or in combination.
Preclinical • Journal
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KRAS (KRAS proto-oncogene GTPase)
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KRAS mutation • KRAS G12D
2d
KRASG12R-Mutant Pancreatic Cancer Features Limited ERK/MAPK Transcriptional Activity and a Distinctive Tumor Microenvironment. (PubMed, Cancer Res)
Together, this study demonstrated that KRASG12R is capable of driving tumorigenesis despite the reduced ERK/MAPK nuclear translocation and transcriptional output. Although human KRASG12D and KRASG12R-mutant tumors display unexpected similarities in PI3K activity, the differential ERK/MAPK signaling activity and the extrinsic consequences on the TME provide support for using KRASG12R mutation status as a prognostic biomarker for therapeutic strategies.
Journal
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KRAS (KRAS proto-oncogene GTPase) • TP53 (Tumor protein P53)
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TP53 mutation • KRAS mutation • KRAS G12D • KRAS G12R • KRAS G12
2d
Ferritin-based nanocarrier delivery of KRAS G12D inhibitor in pancreatic adenocarcinoma cells and patient-derived organoids: A novel approach for treatment. (PubMed, Protein Sci)
While KRAS was historically considered undruggable, mutant-specific inhibitors, including non-covalent KRAS G12D inhibitor MRTX1133, have emerged...Efficacy in patient-derived organoids was comparable. This study demonstrates the potential of this nanomedicine platform for targeted delivery of KRAS mutant-specific inhibitors to human tumors.
Journal
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KRAS (KRAS proto-oncogene GTPase)
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KRAS mutation • KRAS G12D
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MRTX1133
3d
ENPP1-Regulated Extracellular Purine Metabolism Drives Pancreatitis-Mediated Pancreatic Cancer. (PubMed, Gastroenterology)
The study results identified ENPP1 as a contributor to pancreatitis-mediated pancreatic cancer and a potential therapeutic target for pancreatic carcinogenesis.
Journal
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KRAS (KRAS proto-oncogene GTPase) • CD73 (5'-Nucleotidase Ecto)
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KRAS G12D • KRAS G12
6d
LY6D identifies persistent stem-like cells driving pancreatic tumourigenesis. (PubMed, Gut)
Our work defines the LY6D+ gastric-like cell state as a key driver linking early pre-malignant heterogeneity to PDAC initiation and progression. LY6D represents a pan-stage therapeutic target and a candidate biomarker for early detection and therapeutic targeting.
Journal
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KRAS (KRAS proto-oncogene GTPase) • FOSL1 (FOS Like 1)
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KRAS G12D • KRAS G12
6d
The combination of BCL-xL PROTAC and mTOR inhibitor sensitizes pancreatic ductal adenocarcinoma to KRAS G12D inhibitor treatment by enhancing apoptosis induction. (PubMed, bioRxiv)
KRAS inhibitors, including KRAS G12D inhibitor MRTX1133, are promising therapeutics against KRAS-mutated pancreatic ductal adenocarcinoma (PDAC), but drug resistance limits their efficacy. Our study reveals that robust induction of apoptosis using a combination of BCL-xL PROTAC degrader and an mTOR inhibitor, significantly enhances MRTX1133 efficacy in PDAC models without increasing toxicity to normal tissues.
Journal
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KRAS (KRAS proto-oncogene GTPase) • BCL2L1 (BCL2-like 1) • PMAIP1 (Phorbol-12-Myristate-13-Acetate-Induced Protein 1)
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KRAS mutation • KRAS G12D
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everolimus • MRTX1133 • DT2216
7d
New P1 trial • IO biomarker
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KRAS (KRAS proto-oncogene GTPase) • HLA-C (Major Histocompatibility Complex, Class I, C)
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KRAS mutation • KRAS G12D • KRAS G12
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cyclophosphamide • fludarabine IV