Genialis krasID analyzes foundational aspects of KRAS biology using RNA-sequencing and a machine learning algorithm comprising numerous biologic signatures. The classifier predicted preclinical drug response with an accuracy of 0.94 Area Under the Receiver Operator Curve (AUROC) and correctly selected real-world patient responders with an AUROC of 0.80. Kaplan-Meier analysis of the real-world sotorasib patient data considered time on treatment as an available proxy for progression-free survival. This analysis showed that patients classified as “krasID-high” had median time on treatment of almost one year (338 days), compared with those classified as “krasID-low” with median time on treatment of only 158 days (hazard ratio [HR] = 0.35). Taken together, these early results demonstrate that the Genialis krasID classifier can predict response and stratify durable benefit in experimental and clinical settings.

Published at AACR 2024.

Klemen Žiberna, MD PhD; Anže Lovše, MS; Lea Vohar, MS; Jure Zmrzlikar, MS; Daniel Pointing, MS; Janez Kokošar, PhD; Luka Ausec, PhD; Miha Štajdohar, PhD; Rafael Rosengarten, PhD; Mark Uhlik, PhD; Joshua Wheeler, MD PhD

Genialis Inc., Boston MA, United States | Genialis, d.o.o., Ljubljana, Slovenia

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