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sotorasib + chemotherapy is a combination therapy regimen developed by Amgen for the treatment of advanced solid tumors characterized by the KRAS G12C mutation. This therapeutic approach combines sotorasib (AMG 510), a first-in-class small molecule that selectively and irreversibly binds to the KRAS G12C protein in its inactive GDP-bound state, with various standard-of-care chemotherapy agents. The chemotherapy components evaluated in clinical trials like CodeBreaK 101 include platinum-based agents (carboplatin, oxaliplatin), antimetabolites (5-fluorouracil, pemetrexed), taxanes (docetaxel, paclitaxel), and topoisomerase inhibitors (irinotecan). By combining targeted KRAS G12C inhibition with the broad cytotoxic effects of chemotherapy, the regimen aims to enhance anti-tumor efficacy, achieve deeper responses, and delay the emergence of resistance in patients with KRAS G12C-mutated cancers such as non-small cell lung cancer and colorectal cancer.
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