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Would you consider using sotorasib first line in patient with metastatic KRAS G12C NSCLC who declines chemotherapy?

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Would you use first line targeted therapy in a patient with metastatic KRAS G12C NSCLC who declines chemotherapy?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · The Ohio State University School of Medicine
Answered on

This would be outside the scope of available data and current FDA approval. Both CodeBreaK100 and CodeBreaK 200 (presented at ESMO) included only patients previously treated with either chemotherapy, immunotherapy, or both. I would generally stick to standard first line options for these patients, e...

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Georgetown University Hospital
Answered on

I would not. Immunotherapy (in some form) remains the standard first-line treatment for KRAS G12C.

In other subsets, like EGFR and ALK, targeted therapy is the first-line standard because immunotherapy is largely ineffective, and targeted therapy after immunotherapy is more toxic (at least for smal...

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