Why some colorectal cancers resist KRAS-targeted drugs

Understanding intrinsic resistance to direct KRAS inhibition in colorectal cancers

NIH-funded research University of California, San Francisco · NIH-11241997

This project tests whether blocking specific signaling enzymes can help KRAS-targeted drugs work better for people with KRAS-mutant colorectal cancer.

Quick facts

Grant typeR37 grant
Study typeNIH-funded research
Funding institutionUniversity of California, San Francisco NIH-funded
Lab location1 site (San Francisco, United States)
Project IDNIH-11241997 on NIH RePORTER

What this research studies

Researchers are looking inside colorectal tumor cells to find why KRAS-targeting drugs often fail in this cancer type. They map how proteins change when KRASG12C is blocked and use a broad kinase knockdown approach to find enzymes that link KRAS to CTNNB1 (beta‑catenin) activity. The team then checks whether blocking those enzymes together with KRAS inhibitors lowers CTNNB1-driven tumor signals without causing widespread toxicity. Most work is done in lab-grown cancer cells and preclinical models to identify combinations worth testing in patients later.

Who could benefit from this research

Good fit: People with metastatic colorectal cancer whose tumors carry the KRASG12C mutation and show high CTNNB1 (beta‑catenin) activity would be the most relevant candidates for follow-up clinical trials.

Not a fit: Patients whose tumors lack KRAS mutations or who have resistance driven by other pathways likely would not benefit from these specific combinations.

Why it matters

Potential benefit: If successful, this work could lead to new drug combinations that make KRAS-targeted therapies effective for more people with colorectal cancer.

How similar studies have performed: KRASG12C inhibitors have improved outcomes in lung cancer but have only shown limited impact in colorectal cancer, and combining KRAS blockade with other pathway inhibitors is an emerging approach with mixed early results.

Where this research is happening

San Francisco, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.