Living dossier · Competitive landscape

KRAS G12C in Non-small cell lung cancer

Primary identifiers
7
Sponsors tracked
7
Evidence types
2 of 3
Last refreshed
2026-07-28 · monthly

MightyRayn panel synthesis

OmniRayn’s reading of this landscape — our interpretation, not a registry fact

Covalent KRAS G12C inhibition is past proof and into the combination era: the registry shows the field pairing these agents with checkpoint blockade, EGFR antibodies and MEK inhibition rather than pursuing monotherapy. The literature is explicit that adaptive resistance emerges through pathway rewiring, which is why nearly every active programme here is a combination rather than a single agent. A second wave aimed at other RAS alleles and at the RAS(ON) state appears alongside, suggesting the field treats G12C as a beachhead rather than the destination.

Programs and primary evidence

SponsorAssetPhaseMechanismPrimary source
Mirati TherapeuticsAdagrasib2/3covalent KRAS G12C inhibitor, with pembrolizumab
  • NCT04613596KRYSTAL-series Phase 2 monotherapy and Phase 3 with pembrolizumab in advanced KRAS G12C NSCLC
Merck Sharp & DohmeCalderasib (MK-1084)3covalent KRAS G12C inhibitor in the adjuvant setting
  • NCT07431827KANDLELIT-013 adjuvant Phase 3 with subcutaneous pembrolizumab after resection
VerastemAvutometinib + sotorasib1/2RAF/MEK clamp combined with a G12C inhibitor
  • NCT05074810Combination with or without defactinib in KRAS G12C mutant NSCLC
Revolution MedicinesRMC-6291 / RMC-6236 / RMC-98051/2RAS(ON) inhibitors across RAS-mutated disease
  • NCT06162221Platform study of RAS(ON) inhibitors in RAS-mutated NSCLC including G12C
ETOP IBCSG Partners FoundationAdagrasib2covalent KRAS G12C inhibitor in an underserved population
  • NCT05673187Phase 2 including elderly patients and those with poor performance status
Charite Universitatsmedizin Berlin / UNC Chapel Hillreviewresistance drivers and combination strategies
Germans Trias i Pujol Research Institutereviewadaptive resistance via receptor tyrosine kinase rewiring

Method and limits

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