Ahmet Dirican: KRAS G12D is No Longer Undruggable, But Are We Really There Yet?
Ahmet Dirican/X

Ahmet Dirican: KRAS G12D is No Longer Undruggable, But Are We Really There Yet?

Ahmet Dirican, Professor of Medical Oncology at Medicana International İzmir Hospital, shared a post on X:

KRAS G12D is no longer ‘undruggable.’ But are we really there yet?

Setidegrasib (ASP3082) – a first-in-class KRAS G12D degrader – shows promising signals in a phase 1 study:

NSCLC

  • ORR: 36%
  • mPFS: 8.3 months

Pancreatic cancer

  • ORR: 24%
  • mPFS: 3.0 months

Same biology, very different outcomes.

Pancreas still remains the real challenge.

This is not just inhibition – this is targeted protein degradation.

But the real questions begin now:

  1. Will degraders provide deeper and more durable responses than inhibitors?
  2. Could resistance mechanisms be different – or delayed – with protein degradation?
  3. Which combinations will unlock real benefit?
  4. Especially: Will IO-based combinations finally work in KRAS G12D tumors?

The era of KRAS targeting is evolving – but the real battle is just starting. What are your thoughts?”

Title: Setidegrasib in Advanced Non–Small-Cell Lung Cancer and Pancreatic Cancer

Authors: Wungki Park, Anup Kasi, Alexander I. Spira, Luis Paz-Ares Rodríguez, Benjamin O. Herzberg, Meredith S. Pelster, Anthony W. Tolcher, Jonathan W. Goldman

Read here.

Ahmet Dirican

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