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Resolution Bioscience (a part of Agilent) Investigated Acquired Resistance to KRAS G12C Inhibition

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Agilent Technologies Inc. (NYSE: A) announced a significant study in partnership with Resolution Bioscience and Dana-Farber Cancer Institute, published in the New England Journal of Medicine. The study explores the clinical utility of liquid biopsy techniques for detecting resistance to KRAS G12C inhibitors like adagrasib in cancer treatment. It reveals diverse mutations leading to resistance, emphasizing the need for new therapeutic strategies. Notably, cfDNA analysis enabled more effective genotyping, improving patient outcomes in targeted therapies.

Positive
  • Study highlights the potential of cfDNA analysis in detecting KRAS G12C mutations, improving patient genotyping.
  • Collaborative research could lead to innovative therapeutic strategies against drug resistance in cancer.
Negative
  • Acquired resistance mechanisms to KRAS inhibitors are still largely unknown, creating challenges in treatment.
  • Findings indicate a persistent issue with cancer resistance, questioning the long-term efficacy of current therapies.

Agilent Technologies Inc. (NYSE: A) today announced the publication of a study carried out in partnership with Resolution Bioscience (a part of Agilent) and Dana-Farber Cancer Institute. The paper was published in the New England Journal of Medicine (NEJM) on June 24 and is titled "Acquired Resistance to KRAS G12C Inhibition in Cancer." It demonstrates the clinical utility of liquid biopsy techniques to detect resistance to targeted therapies, including inhibitors of KRAS, one of the most commonly mutated oncogenes in cancer.

KRAS G12C inhibitors, such as adagrasib, have shown promising efficacy in clinical trials, however, mechanisms of acquired resistance are not yet fully understood. Leveraging cell-free DNA (cfDNA) analysis, this study was conducted to investigate mutations that arise that may confer resistance to patients treated with KRAS inhibitors, including adagrasib and to better understand the process of acquired resistance and to identify new strategies to combat acquired resistance.

The results of the study showed KRAS G12C cancers have diverse genomic and histologic mechanisms, including point mutations, copy number changes, and fusions, that appear to impart resistance to KRAS G12C inhibitors. Developing therapeutic strategies to delay and overcome drug resistance will be an essential component in improving therapeutic outcomes in cancer patients.

“While results from these early clinical trials are encouraging, the cancer usually becomes resistant to these drugs,” said Dana-Farber’s Mark Awad, MD, Ph.D., the co-first author of the paper with Shengwu Liu, Ph.D., also of Dana-Farber. “The mechanisms of resistance – the genomic and other changes that occur that allow the cancer to begin growing again – are largely unknown. This study sought to identify them.”

“Given the high prevalence of KRAS driven cancers and resulting unmet medical need, elucidating the genetic underpinnings of acquired resistance to KRAS inhibitors at the time of progression is critical,” Mark Li, CEO of Resolution Bioscience, said. "Importantly, in this study, more than three times as many patients were able to be genotyped by cfDNA compared to tissue alone at the time of progression. Furthermore, this study highlights the importance for cfDNA assays to accurately detect all major types of genetic aberrations, including gene fusions and copy number variations.”

Agilent's Resolution Bioscience team has partnered with Mirati Therapeutics Inc. (NASDAQ: MRTX) to use the Resolution ctDx FIRST assay as a companion diagnostic (CDx) in support of adagrasib for identifying patients with non-small cell lung cancer patients that harbor a KRAS G12C mutation. Liquid biopsy biomarker testing of patients in the adagrasib registrational clinical trial is being performed in Resolution’s clinical lab based in Kirkland, Washington.

About Agilent Technologies

Agilent is a leader in life sciences, diagnostics, and applied chemical markets, delivering innovative technology solutions that provide trusted answers to researchers’ most challenging scientific questions. The company generated revenue of $5.34 billion in fiscal year 2020 and employs 16,400 people worldwide. Information about Agilent is available at www.agilent.com. To receive the latest Agilent news, please subscribe to the Agilent Newsroom. Follow Agilent on LinkedIn, Twitter, and Facebook.

FAQ

What is the focus of Agilent's recent study published in the New England Journal of Medicine?

The study focuses on the clinical utility of liquid biopsy techniques for detecting resistance to KRAS G12C inhibitors.

How does the study improve patient outcomes in cancer treatment?

It demonstrates that cfDNA analysis allows for more effective genotyping, identifying patients who may benefit from targeted therapies.

What are the implications of finding resistance mechanisms in KRAS G12C cancers?

Identifying resistance mechanisms is crucial for developing new strategies to improve treatment efficacy and patient outcomes.

Who are the collaborators in Agilent's published study?

The study was conducted in partnership with Resolution Bioscience and Dana-Farber Cancer Institute.

What treatment does the study relate to and what is its significance?

The study relates to the use of adagrasib, a KRAS G12C inhibitor, emphasizing its role in treating KRAS-driven cancers.

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