Divarasib Compared with Sotorasib and Adagrasib in KRAS G12C-Mutated NSCLC: A Comprehensive Clinical and Translational Review

Highlights

  • Divarasib demonstrates significantly improved progression-free and overall survival compared to first-generation KRAS G12C inhibitors sotorasib and adagrasib in previously treated advanced NSCLC.
  • Real-world evidence confirms clinical efficacy and tolerability of sotorasib but highlights challenges related to dosing and patient frailty.
  • Matching-adjusted indirect comparisons indicate comparable efficacy between sotorasib and adagrasib, with sotorasib exhibiting a more favorable safety profile, especially in patients with brain metastases.
  • Circulating tumor DNA (ctDNA) dynamics serve as predictive biomarkers for treatment response and resistance across therapies, underscoring the importance of molecular monitoring.

Background

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