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Translational Medicine / 转化医学KRAS G12C in NSCLC & CodeBreaK 200

Mark M. Awad

马克·阿瓦德

MD, PhD

🏢Dana-Farber Cancer Institute / Harvard Medical School(达纳-法伯癌症研究所 / 哈佛医学院)🌐USA

Clinical Director, Lowe Center for Thoracic Oncology; Associate Professor of Medicine, Harvard Medical School洛厄胸部肿瘤学中心临床主任;哈佛医学院医学副教授

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Mark M. Awad, MD, PhD is Clinical Director of the Lowe Center for Thoracic Oncology at Dana-Farber Cancer Institute and Associate Professor of Medicine at Harvard Medical School. He is a leading clinical scientist at the intersection of KRAS-targeted therapy, thoracic immunotherapy, and rare thoracic malignancies. Dr. Awad has been one of the most prominent investigators in the development of KRAS G12C inhibitors in non-small cell lung cancer, serving as a key contributor to the CodeBreaK program: his work in CodeBreaK 100 helped establish sotorasib's clinical profile, and he was among the senior investigators for CodeBreaK 200—the randomized phase III trial that demonstrated sotorasib superior objective response rate and non-inferior PFS compared to docetaxel in previously treated KRAS G12C-mutant advanced NSCLC, leading to full FDA approval. He has also contributed to understanding KRAS co-mutation biology and resistance mechanisms to KRAS G12C inhibitors including adaptive RTK upregulation and RAS pathway reactivation, informing combination strategies with SHP2, MEK, and EGFR inhibitors. In parallel, Dr. Awad has built an internationally recognized mesothelioma research program at Dana-Farber, contributing to trials of immunotherapy combinations (nivolumab + ipilimumab; CheckMate 743) and novel targeted approaches in this difficult disease. He has authored more than 200 peer-reviewed publications.

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🧪Research Fields 研究领域

KRAS G12C Inhibitors in NSCLC非小细胞肺癌KRAS G12C抑制剂
CodeBreaK 200 — Sotorasib versus DocetaxelCodeBreaK 200——索托拉西布对比多西他赛
Immunotherapy in Thoracic Malignancies胸部恶性肿瘤免疫治疗
Mesothelioma Biology and Treatment间皮瘤生物学与治疗
Comprehensive Genomic Profiling in Lung Cancer肺癌综合基因组分析

🎓Key Contributions 主要贡献

CodeBreaK 200 — Sotorasib vs Docetaxel in KRAS G12C NSCLC

Co-led CodeBreaK 200, the pivotal phase III trial demonstrating that sotorasib achieved a superior objective response rate (28.1% vs 13.2%) and non-inferior PFS compared to docetaxel in previously treated KRAS G12C-mutant advanced NSCLC, providing the evidence base for full FDA approval of sotorasib in this population.

KRAS G12C Biology, Co-Mutation Landscape, and Resistance

Characterized the co-mutation landscape of KRAS G12C-mutant NSCLC (STK11, KEAP1, TP53), demonstrating differential response to sotorasib and adagrasib based on co-occurring mutations; defined on-target resistance mechanisms including KRAS Y96D and amplification and off-target bypass through EGFR/RAS/RAF reactivation, providing rationale for combination approaches.

Immunotherapy in KRAS-Mutant and STK11-Altered NSCLC

Demonstrated the adverse prognostic and predictive impact of STK11/LKB1 co-mutations on immunotherapy efficacy in KRAS-mutant NSCLC, showing markedly reduced response rates to PD-1/PD-L1 inhibitors in STK11-altered tumors and identifying an immunosuppressive tumor microenvironment phenotype as the mechanistic basis.

Mesothelioma Research and Immunotherapy Development

Built a leading translational research program in malignant mesothelioma at Dana-Farber, investigating tumor microenvironment composition, genomic drivers (BAP1, NF2, CDKN2A), and clinical trials of immune checkpoint inhibitors and novel combination regimens in this disease with historically poor outcomes.

Representative Works 代表性著作

[1]

Sotorasib for lung cancers with KRAS p.G12C mutation (CodeBreaK 200)

New England Journal of Medicine (2022)

CodeBreaK 200 randomized phase III trial demonstrating superior ORR and non-inferior PFS of sotorasib versus docetaxel in previously treated KRAS G12C-mutant advanced NSCLC, supporting full FDA approval.

[2]

STK11/LKB1 mutations and PD-1 inhibitor resistance in KRAS-mutant lung adenocarcinoma

Cancer Cell (2018)

Demonstrated that co-occurring STK11/LKB1 mutations are the dominant mechanism of primary resistance to PD-1 inhibition in KRAS-mutant lung adenocarcinoma, with a cold tumor immune microenvironment characterized by neutrophil infiltration and lack of T cell infiltration.

[3]

Nivolumab plus ipilimumab in unresectable malignant pleural mesothelioma (CheckMate 743)

The Lancet (2021)

CheckMate 743 trial demonstrating that nivolumab plus ipilimumab improved overall survival versus platinum-based chemotherapy in unresectable malignant pleural mesothelioma, leading to FDA approval of this combination.

[4]

Clinical characterization of KRAS G12C-mutant non-small-cell lung cancer

Journal of Clinical Oncology (2021)

Large real-world characterization of KRAS G12C-mutant NSCLC co-mutation landscape, clinical features, and outcomes with standard therapies, providing context for interpreting KRAS G12C inhibitor trial results.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Young Investigator Award
🏆LUNGevity Foundation Career Development Award
🏆AACR Scholar-in-Training Award
🏆Dana-Farber Faculty Development Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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