Efficacy of immunotherapy in KRAS-mutant non-small-cell lung cancer with comutations

Author:

Davis Alexander P1,Cooper Wendy A234,Boyer Michael15,Lee Jenny H16,Pavlakis Nick578,Kao Steven C159

Affiliation:

1. Department of Medical Oncology, Chris O'Brien Lifehouse, 119-143 Missenden Road, Camperdown, NSW 2050, Australia

2. Tissue Pathology & Diagnostic Oncology, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia

3. Sydney Medical School, University of Sydney, Sydney, NSW 2050, Australia

4. School of Medicine, Western Sydney University, Sydney, NSW 2571, Australia

5. Sydney Medical School, University of Sydney, NSW 2006, Australia

6. Faculty of Medicine & Health, Macquarie University, NSW 2109, Australia

7. Department of Medical Oncology, Royal North Shore Hospital, St Leonards, NSW 2065, Australia

8. Genesis Care St Leonards, St Leonards, NSW 2065, Australia

9. Asbestos Disease Research Institute, Concord, NSW 2139, Australia

Abstract

KRAS-mutant non-small-cell lung cancer is the most common molecular driver of lung adenocarcinoma in western populations. No  KRAS specific therapy has been approved by the US FDA until 2021. Despite significant heterogeneity in comutations, patients typically receive single-agent immunotherapy or chemoimmunotherapy as standard first-line therapy. It is unclear whether KRAS mutations predict outcomes with immunotherapy; however, there is emerging data suggesting improved outcomes in patients with a  TP53 comutation and worse outcomes in patients with a  STK11/LKB1 or  KEAP1 comutation.

Publisher

Future Medicine Ltd

Subject

Oncology,Immunology,Immunology and Allergy

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