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

被引:13
|
作者
Davis, Alexander P. [1 ]
Cooper, Wendy A. [2 ,3 ,4 ]
Boyer, Michael [1 ,5 ]
Lee, Jenny H. [1 ,6 ]
Pavlakis, Nick [5 ,7 ,8 ]
Kao, Steven C. [1 ,5 ,9 ]
机构
[1] Chris OBrien Lifehouse, Dept Med Oncol, 119-143 Missenden Rd, Camperdown, NSW 2050, Australia
[2] Royal Prince Alfred Hosp, Tissue Pathol & Diagnost Oncol, Sydney, NSW 2050, Australia
[3] Univ Sydney, Sydney Med Sch, Sydney, NSW 2050, Australia
[4] Western Sydney Univ, Sch Med, Sydney, NSW 2571, Australia
[5] Univ Sydney, Sydney Med Sch, Sydney, NSW 2006, Australia
[6] Macquarie Univ, Fac Med & Hlth, N Ryde, NSW 2109, Australia
[7] Royal North Shore Hosp, Dept Med Oncol, St Leonards, NSW 2065, Australia
[8] Genesis Care St Leonards, St Leonards, NSW 2065, Australia
[9] Asbestos Dis Res Inst, Concord, NSW 2139, Australia
关键词
comutations; immune checkpoint inhibitors; KEAP1; KRAS; LKB1; NSCLC; STK11; TP53; COOCCURRING GENOMIC ALTERATIONS; PLATINUM-BASED CHEMOTHERAPY; CHECKPOINT INHIBITORS; KRAS(G12C) INHIBITOR; PEMBROLIZUMAB PEMBRO; TUMOR-SUPPRESSOR; GENE-ALTERATION; ATM MUTATIONS; OPEN-LABEL; AMG; 510;
D O I
10.2217/imt-2021-0090
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
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 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.
引用
收藏
页码:941 / 952
页数:12
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