Efficacy and Safety of KRASG12C Inhibitors in Advanced Solid Tumors with KRASG12C-mutated: A Single-arm Meta-analysis
10.3971/j.issn.1000-8578.2023.22.1524
- VernacularTitle:KRASG12C抑制剂在KRASG12C突变晚期实体瘤中的疗效和安全性的单臂Meta分析
- Author:
Dengxu TAN
1
;
Ke LIU
;
Yifan MA
;
Yongfeng WANG
;
Yanying ZHANG
;
Changhong SHI
Author Information
1. First School of Clinical Medicine, Gansu University of Chinese Medicine, Lanzhou 730030, China
- Publication Type:Research Article
- Keywords:
KRASG12C inhibitor;
Advanced solid tumors;
Safety;
Efficacy;
Meta-analysis
- From:
Cancer Research on Prevention and Treatment
2023;50(7):688-693
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically study the efficacy and safety of KRASG12C inhibitors in advanced solid tumors with KRASG12C-mutated. Methods Computer searches from PubMed, The Cochrane Library, Web of Science, Embase, CNKI, and CBM databases were conducted to collect clinical studies on KRASG12C inhibitors in advanced solid tumors with KRASG12C-mutated, with a search time from inception to October 12, 2022. Then, two investigators independently screened the literature, extracted information, assessed the risk of bias in included studies, and performed meta-analyses using RevMan 5.4 software. Results There were four publications included, all of which were single-arm clinical studies. The KRASG12C inhibitors that completed clinical phase Ⅰ and Ⅱ trials were sotorasib and adagrasib, with two publications each. A total of 388 and 394 patients were included in the efficacy evaluation and safety evaluation, respectively. Resultsof the Meta-analysis showed that the patients had objective response rate, overall disease control, and disease stabilization rates of 35%, 82%, and 45%, respectively. In addition, the rate of serious adverse events, general adverse events, and all adverse events in patients was 2%, 28%, and 79%, respectively. Moreover, the rate of partial remission of disease in NSCLC patients was 38%. Conclusion The KRASG12C inhibitors sotorasib and adagrasib exhibited good efficacy and high safety in advanced solid tumors.
