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Table 1 Clinical trials assessing the efficacy of combinations with immunotherapies in cancers with RAS mutations

From: Cancer immune evasion through KRAS and PD-L1 and potential therapeutic interventions

Trial

Disease

Pathway/Target

Treatment

Status

Checkmate 568 (NCT02659059)

NSCLC

PD-1

CTLA-4

DNA cross-linking

Nivolumab

Ipilimumab

Platinum Doublet Chemotherapy (Carboplatin + Paclitaxel and Cisplatin + Pemetrexed)

Complete

NCT03581487

NSCLC

MAPK/MEK

PD-1

CTLA-4

Selumetinib

Durvalumab

Tremelimumab

Recruiting

NCT03600701

NSCLC

PD-L1

MAPK/MEK

Atezolizumab

Cobimetinib

Recruiting

KRYSTAL-1 (NCT03785249)

KRAS G12C Advanced/Metastatic solid tumours

KRAS G12C

PD-1

MAPK/EGFR

ErbB family protein kinases

MRTX849 (adagrasib)

Pembrolizumab

Cetuximab

Afatinib

Recruiting

KRYSTAL-7 (NCT04613596)

Advanced/Metastatic NSCLC

KRAS G12C

PD-1

MRTX849 Monotherapy

MRTX849 in Combination with Pembrolizumab

Recruiting

CodeBreak 100 (NCT03600883)

KRAS G12C Advanced solid tumours

KRAS G12C

PD-1/L1

Sotorasib

Anti-PD-1/PD-L1

Midazolam

Active, not recruiting

CodeBreak 101 (NCT04185883)

KRAS G12C Advanced solid tumours

KRAS G12C

PD-1

MAPK/MEK

MAPK/SHP2

ErbB family protein kinases

MAPK/EGFR

DNA cross-linking

Purine synthesis /Thymidylate synthase

Microtubular depolymerization and bcl-2 gene expression

PD-L1

PI3K/mTOR

CDK4/6

MAPK/VEGF

Sotorasib

AMG-404

Trametinib

RMC-4630

Afatinib

Pembrolizumab

Panitumumab

Carboplatin

Pemetrexed

Docetaxel

Atezolizumab

Everolimus

Palbociclib

MVASI (bevacizumab-awwb)

TNO155

FOLFIRI

FOLFOX

Loperamide

Recruiting

NCT05389514

KRAS G12V Mutant Advanced Epithelial Cancers

Cross-linking of DNA

DNA synthesis inhibition

PD-1

Cyclophosphamide

Gemcitabine

Pembrolizumab

Cell Infusion of T cells expressing HLA-DRB1*07:01-restricted KRAS G12V reactive T-cell receptors

Recruiting/ Available

NCT04620330

NSCLC with KRAS G12V and BRAF Activating Mutation

MAPK/Dual RAF and MEK inhibitor

p53 pathway/FAK Inhibitor

VS-6766 Monotherapy

VS-6766 and Defactinib in combination

Recruiting

NCT03146962

RAS or BRAF driven Colorectal, Pancreatic and Lung Cancers

Oxidative stress pathway/ NRF2

High dose Ascorbic Acid infusion

Recruiting

NCT04919369

Metastatic Lung Non-Small Cell Carcinoma

Recurrent Lung Non-Small Cell Carcinoma

Stage IV Lung Cancer AJCC v8

Stage IVA Lung Cancer AJCC v8

Stage IVB Lung Cancer AJCC v8

KEAP1-NRF2/tBHQ-ARE

PD-L1

Tretinoin/ All-Trans Retinoic Acid (ATRA)

Atezolizumab

Recruiting

NCT01347866

Advanced cancer

PI3K/mTOR

MAPK/MEK

Topoisomerase I

PF-05212384

PD-0325901

Irinotecan

Active, not recruiting

NCT03514121

Advanced Solid Tumours

Breast Cancer

Ovarian Cancer

Endometrial Cancer

B7-H4

PD-1

FPA150

Pembrolizumab

Complete

NCT05082610

Metastatic and Advanced Solid Tumours in

Non-small Cell Lung Cancer

Triple Negative Breast Cancer

Malignant Neoplasm

VISTA

PD-1

HMBD-002

Pembrolizumab

Recruiting

NCT02908672

Melanoma

PD-L1

MAPK/MEK

BRAF

Atezolizumab

Cobimetinib

Vemurafenib

Active, not recruiting

  1. For each trial, the disease, pathway/target, treatment, and trial status are indicated