HomeQuestion
For patients with KRAS G12C mutated NSCLC, how would you decide between using targeted therapy with sotorasib vs adagrasib?
2 Answers
Mednet Member
Medical Oncology · Yale School of Medicine
Sotorasib is currently my drug of choice for now, since it is FDA approved. The KRYSTAL-1 results for adagrasib were presented at ASCO 2022, and the efficacy is very similar vs sotorasib, 43% vs 37% ORR, 80% DCR for both, 6.5 vs 6.8 mo mPFS, and 12.6 vs 12.5 mo mOS. Adagrasib does seem to have more ...
Mednet Member
Medical Oncology · Mary Lanning Healthcare Morrison Cancer Center/University of Nebraska Medical Center Adjunct Faculty
The incidence of CNS metastases in KRASG12Cmutated NSCLC is approximately 27 to 42% at diagnosis and is associated with a poor prognosis. The current standard of care for this group of patients is docetaxel plus ramucirumab which is associated with a median PFS of approximately 3 to 5 months. (Furuy...