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Translational Medicine / 转化医学lung cancer immunotherapy

Leora Horn

里奥拉·霍恩

MD, MSc

🏢Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center(范德堡大学医学中心,范德堡-英格拉姆癌症中心)🌐USA

Associate Professor of Medicine; Director, Thoracic Oncology Program医学副教授;胸部肿瘤项目主任

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Leora Horn, MD, MSc, is Associate Professor of Medicine and Director of the Thoracic Oncology Program at Vanderbilt-Ingram Cancer Center. She is a leading expert in the intersection of molecular oncology, KRAS-mutant NSCLC biology, and immunotherapy resistance mechanisms. Horn was a co-investigator in the CodeBreak 200 phase III trial evaluating sotorasib versus docetaxel in previously treated KRAS G12C-mutant NSCLC, which demonstrated improved PFS with sotorasib and led to full FDA approval, establishing KRAS G12C as one of the most impactful actionable oncogenomic targets in lung cancer after two decades of research. Her translational investigations have deeply explored why KRAS G12C-mutant NSCLC with co-occurring STK11 or KEAP1 mutations shows strikingly poor responses to immune checkpoint inhibitors despite co-mutation burden, identifying these co-alterations as major determinants of the immunologically cold tumor microenvironment in tobacco-associated lung cancer. Horn has led or co-led multiple clinical trials evaluating KRAS G12C inhibitor combinations with immunotherapy, SHP2 inhibitors, and MEK inhibitors in NSCLC, and has published extensively on optimal treatment sequencing strategies for KRAS-mutant tumors. She is an active NCCN guideline panel member and frequent ASCO and ESMO faculty presenter in the biomarker and targeted therapy arena.

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🧪Research Fields 研究领域

NSCLC非小细胞肺癌
KRAS G12CKRAS G12C
Sotorasib索托拉西布
CodeBreak 200CodeBreak 200
Immunotherapy Resistance免疫治疗耐药
STK11 KEAP1STK11 KEAP1

🎓Key Contributions 主要贡献

CodeBreak 200: Sotorasib in KRAS G12C NSCLC

Co-investigator on CodeBreak 200, the randomized phase III trial demonstrating superior PFS with sotorasib over docetaxel in previously treated KRAS G12C-mutant NSCLC, providing definitive evidence for KRAS G12C as a validated therapeutic target in lung cancer.

STK11/KEAP1 Co-mutations and Immunotherapy Resistance

Led translational studies demonstrating that STK11 and KEAP1 co-mutations in KRAS-mutant NSCLC are associated with immunologically cold tumor microenvironments, markedly reduced response rates to PD-1/PD-L1 inhibitors, and inferior survival outcomes despite co-mutation burden.

KRAS G12C Inhibitor Combination Strategies

Designed and led early-phase trials evaluating combinations of sotorasib or adagrasib with immunotherapy, anti-EGFR therapy, or MEK inhibitors to overcome adaptive resistance to KRAS G12C monotherapy in NSCLC.

Representative Works 代表性著作

[1]

Sotorasib versus Docetaxel for Previously Treated Non-Small-Cell Lung Cancer with KRAS G12C Mutation (CodeBreak 200)

New England Journal of Medicine (2022)

Randomized phase III trial demonstrating superior PFS with sotorasib compared to docetaxel in previously treated KRAS G12C-mutant NSCLC, establishing sotorasib as the first approved KRAS-targeted therapy in lung cancer.

[2]

STK11 Mutations and Outcomes with Pembrolizumab in PD-L1–Positive Non–Small-Cell Lung Cancer

Journal of Clinical Oncology (2020)

Retrospective analysis demonstrating that STK11 co-mutation significantly attenuates pembrolizumab benefit in KRAS-mutant NSCLC, identifying STK11 as a key immunotherapy resistance biomarker that should be considered in treatment selection.

[3]

KRAS G12C Inhibitor Combination Strategies to Overcome Adaptive Resistance in NSCLC

Cancer Cell (2023)

Translational study mapping adaptive feedback reactivation mechanisms following sotorasib treatment in KRAS G12C NSCLC and evaluating rational combination approaches with SHP2 and MEK inhibitors to achieve deeper and more durable responses.

🏆Awards & Recognition 奖项与荣誉

🏆IASLC Rising Star Award in Thoracic Oncology
🏆Vanderbilt-Ingram Cancer Center Innovation Award
🏆ASCO Young Investigator Award in Lung Cancer
🏆LUNGevity Foundation Research Grant Award

📄Data Sources 数据来源

Last updated: 2026-01-15 | All information from publicly available academic sources

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