Promising results for a new bowel cancer treatment

Embargoed until: Publicly released:
Peer-reviewed: This work was reviewed and scrutinised by relevant independent experts.

Randomised controlled trial: Subjects are randomly assigned to a test group, which receives the treatment, or a control group, which commonly receives a placebo. In 'blind' trials, participants do not know which group they are in; in ‘double blind’ trials, the experimenters do not know either. Blinding trials helps removes bias.

People: This is a study based on research using people.

A new tablet treatment called divarasib has shown it is very effective in treating a challenging type of bowel (colorectal) cancer associated with the KRAS G12C mutation. Research, published in Nature Medicine today, has shown remarkable results with 62 percent of people with KRAS G12C mutated bowel cancer achieving a positive response to treatment when given divarasib in combination with another cancer treatment called cetuximab.

Journal/conference: Nature Medicine

Link to research (DOI): 10.1038/s41591-023-02696-8

Organisation/s: Peter MacCallum Cancer Centre

Funder: Genentech Inc

Media release

From: Peter MacCallum Cancer Centre

Promising results for a new bowel cancer treatment

A new tablet treatment called divarasib has shown it is very effective in treating a challenging type of bowel (colorectal) cancer associated with the KRAS G12C mutation.

Research, published in Nature Medicine today, has shown remarkable results with 62 percent of people with KRAS G12C mutated bowel cancer achieving a positive response to treatment when given divarasib in combination with another cancer treatment called cetuximab.

Professor Jayesh Desai, Medical Oncologist, Associate Director of Clinical Research and Head of Early Drug Development Trials at the Peter MacCallum Cancer Centre, explained that these results are incredibly impressive. Although the KRAS G12C mutation only occurs in approximately four percent of patients with colorectal cancer, it is routinely tested for, so our ability to identify the right patients to offer such trial treatment to is straightforward.

“The median progression free survival for patients in the study was just over eight months and the treatment was well tolerated with manageable side effects,” Professor Desai said.

“While this is not a head-to-head trial the response rates are better than what we have seen with other treatments that work on the KRAS G12C mutation pathway.

“We are very hopeful that this combination of divarasib with cetuximab will translate into better outcomes for our colorectal cancer patients,” he said.

Professor Desai emphasised the important role of the Parkville Cancer Clinical Trials Early Drug Development team in recruiting, supporting and managing patients through these challenging early phase clinical trials.

“Early drug development trials require a very experienced team with specialised skills and the team we have at Peter Mac really are extraordinary at ensuring the best for the patients and trial compliance,” said Professor Desai.

KRAS is a key protein that controls how cancer cells divide and survive and when the KRAS-G12C protein mutates it makes cells, including cancer cells, more likely to divide uncontrollably leading to the development of tumours.

As world leaders in first in human trials, Peter Mac was also heavily involved in the design and conduct of a global phase I trial using divarasib on its own in advanced metastatic cancer that published in the New England Journal of Medicine earlier this year.

News for:

Australia
VIC

Multimedia:

  • KRAS biology

    This is an edit with simple voiceover and captions explaining KRas biology. We have avoided the use of complex terminology and jargon to make science more accessible to a lay audience. This animation is ideal for explaining the complex biology underlying G12C mutant KRas cancers to patients.

    Attribution: Dr Maja Divjak

    Permission Category: No right reserved (waive all rights)

    Last Modified: 04 Dec 2023 6:14pm

    Note: High resolution video files are only available for download here by registered journalists who are logged in.

Show less
Show more

Media contact details for this story are only visible to registered journalists.