Sotorasib
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Also known as AMG-510AMG510Kras g12c inhibitor 9Kras mutant-targeting amg 510LumakrasLumykras(R)-38(S)-AMG-510CT-AMG510AMG-510AMG510SOTORASIB (AMG510) RACEMATE
Summary
Sotorasib (CHEMBL4535757) is an approved small-molecule antineoplastic agent (ATC L01XX73) targeting KRAS; indicated across 7 conditions including neoplasm and non-small cell lung carcinoma; with CIViC clinical evidence for 13 variant-indication associations (e.g. KRAS G12C in lung non-small cell carcinoma).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: L01XX73
- Targets: 1 (KRAS)
- Indications: 7 conditions
- Clinical trials: 50
- Precision-oncology evidence (CIViC): 13 variant–indication associations
- Chemistry: 560.6 Da · C30H30F2N6O3
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL4535757 |
| Name | Sotorasib |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 137278711 |
| ChEBI | CHEBI:178199 |
| ATC | L01XX73 |
| Molecular formula | C30H30F2N6O3 |
| Molecular weight | 560.6 |
| InChIKey | NXQKSXLFSAEQCZ-SFHVURJKSA-N |
SMILES: C[C@H]1CN(CCN1C2=NC(=O)N(C3=NC(=C(C=C32)F)C4=C(C=CC=C4F)O)C5=C(C=CN=C5C(C)C)C)C(=O)C=C
IUPAC name: 6-fluoro-7-(2-fluoro-6-hydroxyphenyl)-1-(4-methyl-2-propan-2-yl-3-pyridinyl)-4-[(2S)-2-methyl-4-prop-2-enoylpiperazin-1-yl]pyrido[2,3-d]pyrimidin-2-one
ChEBI definition: A pyridopyrimidine that is pyrido[2,3-d]pyrimidin-2(1H)-one substituted by 4-methyl-2-(propan-2-yl)pyridin-3-yl, (2S)-2-methyl-4-(prop-2-enoyl)piperazin-1-yl, fluoro and 2-fluoro-6-hydroxyphenyl groups at positions 1, 4, 6 and 7, respectively. It is approved for the treatment of patients with non-small cell lung cancer having KRASG12C mutations.
Pharmacological roles (ChEBI): antineoplastic agent.
Also known as: AMG-510, AMG510, Kras g12c inhibitor 9, Kras mutant-targeting amg 510, Lumakras, Lumykras, Sotorasib, (R)-38, SOTORASIB, KRAS MUTANT-TARGETING AMG 510, LUMYKRAS, LUMAKRAS
Patent coverage: 1,693 distinct patent families (3,916 SureChEMBL compound mentions), from 3 matched compound structure(s). One matched structure accounts for 3,698 (94%) of the total. Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| KRAS | KRAS | Inhibition | 52.4% | P01116 |
Broader ChEMBL bioactivity targets: 2 (assay-derived). Sample: GTPase KRas, SOS1-KRAS.
Bioactivity
ChEMBL activities: 6 potent at pChembl ≥ 5 of 8 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| KRAS | 8.02 | IC50 | 9.66 | nM | CHEMBL_ACT_24886991 |
| KRAS | 7.8 | IC50 | 15.8 | nM | CHEMBL_ACT_24970334 |
| KRAS | 7.61 | IC50 | 24.5 | nM | CHEMBL_ACT_28708121 |
| KRAS | 7.52 | IC50 | 30 | nM | CHEMBL_ACT_22760403 |
| KRAS | 7.17 | IC50 | 68 | nM | CHEMBL_ACT_19057944 |
| KRAS | 5.12 | IC50 | 7500 | nM | CHEMBL_ACT_29055486 |
Target pathways
Aggregated over 1 target gene(s): KRAS.
Top Reactome pathways
71 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| SOS-mediated signalling | 1 | KRAS |
| Activation of RAS in B cells | 1 | KRAS |
| Constitutive Signaling by Ligand-Responsive EGFR Cancer Variants | 1 | KRAS |
| SHC1 events in ERBB2 signaling | 1 | KRAS |
| SHC1 events in ERBB4 signaling | 1 | KRAS |
| Signaling by SCF-KIT | 1 | KRAS |
| Signalling to RAS | 1 | KRAS |
| p38MAPK events | 1 | KRAS |
| GRB2 events in EGFR signaling | 1 | KRAS |
| SHC1 events in EGFR signaling | 1 | KRAS |
| Downstream signal transduction | 1 | KRAS |
| GRB2 events in ERBB2 signaling | 1 | KRAS |
| Tie2 Signaling | 1 | KRAS |
| EGFR Transactivation by Gastrin | 1 | KRAS |
| DAP12 signaling | 1 | KRAS |
| SHC-related events triggered by IGF1R | 1 | KRAS |
| FCERI mediated MAPK activation | 1 | KRAS |
| NCAM signaling for neurite out-growth | 1 | KRAS |
| Ca2+ pathway | 1 | KRAS |
| Ras activation upon Ca2+ influx through NMDA receptor | 1 | KRAS |
| VEGFR2 mediated cell proliferation | 1 | KRAS |
| CD209 (DC-SIGN) signaling | 1 | KRAS |
| Constitutive Signaling by EGFRvIII | 1 | KRAS |
| SHC-mediated cascade:FGFR1 | 1 | KRAS |
| FRS-mediated FGFR1 signaling | 1 | KRAS |
| SHC-mediated cascade:FGFR2 | 1 | KRAS |
| FRS-mediated FGFR2 signaling | 1 | KRAS |
| SHC-mediated cascade:FGFR3 | 1 | KRAS |
| FRS-mediated FGFR3 signaling | 1 | KRAS |
| FRS-mediated FGFR4 signaling | 1 | KRAS |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| MAPK cascade | 1 |
| liver development | 1 |
| Ras protein signal transduction | 1 |
| female pregnancy | 1 |
| visual learning | 1 |
| response to gravity | 1 |
| gene expression | 1 |
| positive regulation of gene expression | 1 |
| glial cell proliferation | 1 |
| Rac protein signal transduction | 1 |
| cytokine-mediated signaling pathway | 1 |
| forebrain astrocyte development | 1 |
| actin cytoskeleton organization | 1 |
| negative regulation of epithelial cell differentiation | 1 |
| regulation of synaptic transmission, GABAergic | 1 |
Indications & clinical
Indications
7 indications (2 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| non-small cell lung carcinoma | 4 | MONDO:0005233 | EFO:0003060 |
| colorectal neoplasm | 3 | MONDO:0005335 | MONDO:0005575 |
| lung neoplasm | 2 | MONDO:0021117 | MONDO:0008903 |
| ovarian carcinoma | 2 | MONDO:0005140 | EFO:0001075 |
| liver disorder | 1 | MONDO:0005154 | EFO:0001421 |
| exocrine pancreatic carcinoma | 1 | MONDO:0005192 | EFO:0002618 |
Clinical trials
Total trials: 50.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 17 |
| PHASE1 | 17 |
| PHASE1/PHASE2 | 8 |
| PHASE3 | 4 |
| Not specified | 2 |
| PHASE4 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06314763 | PHASE4 | COMPLETED | Rivaroxaban Sotorasib Interaction Study |
| NCT05920356 | PHASE3 | RECRUITING | A Study Evaluating Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Participants With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers (CodeBreaK 202) |
| NCT06252649 | PHASE3 | RECRUITING | Study of Sotorasib, Panitumumab and FOLFIRI Versus FOLFIRI With or Without Bevacizumab-awwb in Treatment-naïve Participants With Metastatic Colorectal Cancer With KRAS p.G12C Mutation |
| NCT06497556 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study Evaluating the Efficacy and Safety of Divarasib Versus Sotorasib or Adagrasib in Participants With Previously Treated KRAS G12C-positive Advanced or Metastatic Non-Small Cell Lung Cancer |
| NCT05198934 | PHASE3 | COMPLETED | Sotorasib and Panitumumab Versus Investigator’s Choice for Participants With Kirsten Rat Sarcoma (KRAS) p.G12C Mutation |
| NCT03600883 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | A Phase 1/2, Study Evaluating the Safety, Tolerability, PK, and Efficacy of Sotorasib (AMG 510) in Subjects With Solid Tumors With a Specific KRAS Mutation (CodeBreaK 100) |
| NCT04092673 | PHASE1/PHASE2 | RECRUITING | Study of eFT226 in Subjects With Selected Advanced Solid Tumor Malignancies |
| NCT04625647 | PHASE2 | ACTIVE_NOT_RECRUITING | Testing the Use of Targeted Treatment (AMG 510) for KRAS G12C Mutated Advanced Non-squamous Non-small Cell Lung Cancer (A Lung-MAP Treatment Trial) |
| NCT05074810 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Phase 1/2 Study of Avutometinib (VS-6766) + Sotorasib With or Without Defactinib in KRAS G12C NSCLC Patients |
| NCT05398094 | PHASE2 | RECRUITING | Clinical Trial of AMG510 in Stage III Unresectable NSCLC KRAS p.G12C Patients and Ineligible for Chemo-radiotherapy |
| NCT05564377 | PHASE2 | RECRUITING | Targeted Therapy Directed by Genetic Testing in Treating Patients With Locally Advanced or Advanced Solid Tumors, The ComboMATCH Screening Trial |
| NCT05638295 | PHASE2 | ACTIVE_NOT_RECRUITING | Testing the Use of AMG 510 (Sotorasib) and Panitumumab as a Targeted Treatment for KRAS G12C Mutant Solid Tumor Cancers (A ComboMATCH Treatment Trial) |
| NCT05845450 | PHASE2 | RECRUITING | Pre-operative Targeted Treatments in Molecularly Selected Resectable Colorectal Cancer (UNICORN) |
| NCT06582771 | PHASE2 | RECRUITING | A Study of Sotorasib in People With Non-Small Cell Lung Cancer |
| NCT07012031 | PHASE1/PHASE2 | RECRUITING | Sotorasib in Combination With Trastuzumab Deruxtecan for the Treatment of Locally Advanced and Metastatic Non-small Cell Lung Cancer With a KRAS G12C Mutation |
| NCT07172919 | PHASE2 | RECRUITING | A Rollover Study Evaluating Sotorasib With or Without Panitumumab in Participants With KRAS p.G12C Mutation |
| NCT07543172 | PHASE2 | NOT_YET_RECRUITING | CIMAvax-EGF With KRAS G12C Inhibitor for the Treatment of Advanced, KRAS G12C Mutated Non Small Cell Lung Cancer |
| NCT07563738 | PHASE1/PHASE2 | RECRUITING | A 2-part Phase 1/2 Open-label Trial on ODM-212 |
| NCT04720976 | PHASE1/PHASE2 | COMPLETED | JAB-3312 Based Combination Therapy in Adult Patients With Advanced Solid Tumors |
| NCT04933695 | PHASE2 | COMPLETED | A Study of Sotorasib (AMG 510) in Participants With Stage IV NSCLC Whose Tumors Harbor a KRAS p.G12C Mutation in Need of First-line Treatment |
| NCT05054725 | PHASE2 | COMPLETED | Combination Study of RMC-4630 and Sotorasib for NSCLC Subjects With KRASG12C Mutation After Failure of Prior Standard Therapies |
| NCT05251038 | PHASE1/PHASE2 | WITHDRAWN | Study of Sotorasib Combined With Chemotherapy for Second Line Treatment of Pancreas Cancer |
| NCT05311709 | PHASE2 | UNKNOWN | Sotorasib in Advanced KRASG12C-mutated Non-small Cell Lung Cancer Patients With Comorbidities |
| NCT05313009 | PHASE1/PHASE2 | TERMINATED | Tarlox and Sotorasib in Patients With KRAS G12C Mutations |
| NCT05400577 | PHASE2 | WITHDRAWN | Sotorasib in KRAS G12C Mutated, Resectable, Stage Ib-IIIA NSCLC |
| NCT05451056 | PHASE2 | UNKNOWN | An Open-label, Phase 2trial of Sotorasib in KRAS G12C-mutant Non-small-cell Lung Cancer(NSCLC) Patients and a Translational Study to Find Acquired Resistance Mechanism to Sotorasib |
| NCT05815186 | PHASE2 | WITHDRAWN | Ladarixin With Sotorasib in Advanced NSCLC - Phase II |
| NCT05993455 | PHASE2 | UNKNOWN | A Phase 2 Basket Trial in Which Patients With Advanced Solid Tumors Carrying the KRAS G12C mUtation Receive Treatment With a Combination of Sotorasib and Panitumumab |
| NCT06068153 | PHASE2 | WITHDRAWN | AMG510 (sotorasib) Plus Lenvatinib As Second-line Treatment in Patients with KRASG12C Mutant, Metastatic NSCLC |
| NCT06333678 | PHASE2 | COMPLETED | A Study Comparing Sotorasib With Durvalumab in People With Non-Small Cell Lung Cancer (NSCLC) |
| NCT04185883 | PHASE1 | ACTIVE_NOT_RECRUITING | Sotorasib Activity in Subjects With Advanced Solid Tumors With KRAS p.G12C Mutation (CodeBreak 101) |
| NCT05815173 | PHASE1 | RECRUITING | Ladarixin With Sotorasib in Advanced NSCLC |
| NCT06249282 | PHASE1 | RECRUITING | Carfilzomib in Combination With Sotorasib for the Treatment of Patients With KRAS G12C Mutated Advanced or Metastatic Non-small Cell Lung Cancer |
| NCT06333951 | PHASE1 | ACTIVE_NOT_RECRUITING | Anvumetostat Alone or in Combination With Other Therapies in Subjects With Advanced Thoracic Tumors With Homozygous MTAP-deletion (Master Protocol) (MTAPESTRY 104). |
| NCT06804824 | PHASE1 | RECRUITING | A First-in-Human (FIH) Study to Evaluate the Safety and Tolerability of VVD-159642 in Participants With Advanced Solid Tumors |
| NCT06807619 | PHASE1 | RECRUITING | A Study of Sotorasib in People With Brain Tumors |
| NCT06892054 | PHASE1 | RECRUITING | Sotorasib Combined With First-line Chemotherapy for Advanced Pancreatic Adenocarcinoma |
| NCT04887064 | PHASE1 | COMPLETED | Pharmacokinetics of Sotorasib in Healthy Participants and Participants With Moderate or Severe Hepatic Impairment |
| NCT04892017 | PHASE1 | TERMINATED | Study of Inlexisertib (DCC-3116) in Participants With RAS/MAPK Pathway Mutant Solid Tumors |
| NCT04959981 | PHASE1 | COMPLETED | A Study of Anti-Cancer Therapies Targeting the MAPK Pathway in Patients With Advanced NSCLC |
Clinical evidence (CIViC)
Variant × indication × effect (13 predictive associations from 17 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| KRAS G12C | Lung Non-small Cell Carcinoma | Sensitivity/Response | Sotorasib | CIViC A | EID9431 +4 |
| KRAS G12C | Colorectal Cancer | Sensitivity/Response | Sotorasib + Panitumumab | CIViC A | EID12264 |
| KRAS G12C | Solid Tumors, Advanced | Sensitivity/Response | Sotorasib | CIViC B | EID10110 |
| KRAS G12C | Pancreatic Cancer | Sensitivity/Response | Sotorasib | CIViC B | EID11680 |
| KRAS G12C | Cancer | Sensitivity/Response | Sotorasib | CIViC B | EID8068 |
| KRAS G12C | Lung Non-small Cell Carcinoma | Sensitivity/Response | Sotorasib + Adagrasib | CIViC D | EID11521 |
| KRAS G12C | Lung Non-small Cell Carcinoma | Sensitivity/Response | Sotorasib + Afatinib | CIViC D | EID9960 |
| KRAS G12C | Lung Non-small Cell Carcinoma | Sensitivity/Response | Sotorasib + Erlotinib | CIViC D | EID9961 |
| KRAS G12C | Lung Non-small Cell Carcinoma | Sensitivity/Response | RMC-4550 + Sotorasib | CIViC D | EID9962 |
| KRAS G12C | Lung Non-small Cell Carcinoma | Sensitivity/Response | Sotorasib + Trametinib | CIViC D | EID9963 |
| KRAS G12C | Lung Non-small Cell Carcinoma | Sensitivity/Response | Sotorasib + AMG511 | CIViC D | EID9964 |
| KRAS G12C | Lung Non-small Cell Carcinoma | Sensitivity/Response | Sotorasib + Carboplatin | CIViC D | EID9965 |
| KRAS G12C | Cancer | ARS-1620 + Vociprotafib + Sotorasib | CIViC D | EID8039 |
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline or drug-level clinical/variant annotations in PharmGKB for this molecule.
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
7 molecules share ≥1 primary target. Top 7 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| ADAGRASIB | ChEMBL + PubChem | Phase 4 (approved) | KRAS |
| LONAFARNIB | ChEMBL + PubChem | Phase 4 (approved) | KRAS |
| DABRAFENIB | ChEMBL | Phase 4 (approved) | KRAS |
| VEMURAFENIB | ChEMBL | Phase 4 (approved) | KRAS |
| OPNURASIB | ChEMBL | Phase 3 | KRAS |
| DIVARASIB | ChEMBL | Phase 2 | KRAS |
| GLECIRASIB | ChEMBL | Phase 2 | KRAS |
Related Atlas pages
- Genes: KRAS
- Diseases: neoplasm, non-small cell lung carcinoma, colorectal neoplasm, colorectal carcinoma, malignant pancreatic neoplasm, cancer
- Drugs: Adagrasib, Lonafarnib, Dabrafenib, Vemurafenib, Opnurasib