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Case study · Cancer genomics and survival

KRAS Variant Analysis and Survival Outcomes in Pancreatic Cancer

Overall survival was compared across KRAS G12D, G12V, G12R, and wild-type groups in the MSK Pancreatic Cancer Study 2024. The case study reports unadjusted estimates while disclosing conflicting denominators in the source report.

Homo sapiens2,034-patient comparisonPDACKaplan–Meier + Cox

Original 10-page session report · PDF · 703 KB

At a glance

An observational genotype–survival comparison with unadjusted estimates

The analysis describes survival differences among four KRAS groups. It does not establish that a KRAS allele causes the observed prognosis because clinical covariates and treatment histories were not included.

Final groups2,034 patients
Largest groupG12D, n = 865
Longest medianWT, 24.2 months
ModelKM + pairwise Cox
01 / Scientific context

Do common KRAS variants mark different overall-survival distributions in PDAC?

The session used the MSK Pancreatic Cancer Study 2024 from cBioPortal and focused on the three most common KRAS codon-12 variants plus a KRAS wild-type comparison group.

How do unadjusted overall-survival distributions differ among G12D, G12V, G12R, and KRAS wild-type patients in the recorded cohort?
G12D865 patients
G12V684 patients
G12R340 patients
KRAS wild type145 patients
Final four-group total2,034 patients
02 / Analysis workflow

Clinical and mutation joins, group assignment, Kaplan–Meier curves, and Cox models

Retrieve study tablesClinical, survival, and mutation records were collected from the cBioPortal study.
Assign KRAS groupsPatients were assigned to G12D, G12V, G12R, or wild type for the final comparison.
Estimate survivalKaplan–Meier curves and median overall survival were computed for the four groups.
Compare groupsA global log-rank test and pairwise univariable Cox models compared each variant with wild type.
Preserve discrepanciesStudy-level, mutation, survival, final-group, and figure-title denominators were retained as separate values rather than reconciled by assumption.
Model boundaryThe Cox estimates are univariable. Age, stage, therapy, resection status, performance status, and molecular covariates were not modeled.
03 / Results

G12D had the shortest median survival and largest hazard ratio versus wild type

Median survival

WT 24.2 months; G12R 20.4; G12V 18.0; G12D 15.4.

G12D vs WT

HR 1.56, 95% CI 1.246–1.954, p = 0.0001.

G12V vs WT

HR 1.379, 95% CI 1.095–1.736, p = 0.0061.

G12R vs WT

HR 1.283, 95% CI 0.995–1.655, p = 0.0546.

Four-group Kaplan-Meier curves for KRAS variants and wild type in PDAC
Figure 1. Four-group Kaplan–Meier comparison. The global curve separation is descriptive of the recorded cohort and is not adjusted for clinical confounders.
Kaplan-Meier comparison of KRAS G12D and wild-type PDAC
Figure 2. G12D versus wild type. G12D had the largest reported univariable hazard ratio of the three pairwise comparisons.
Kaplan-Meier comparison of KRAS G12R and wild-type PDAC
Figure 3. G12R versus wild type. The confidence interval includes 1 and the reported p value is 0.0546.
04 / Limitations

Confounding and inconsistent denominators prevent causal interpretation

  • The report cites 2,336 study patients, 2,207 mutated patients, 2,270 patients with survival data, and 2,034 patients in the final four groups.
  • The main Kaplan–Meier title reports N = 2,334, which does not match the final group total.
  • The survival comparisons are unadjusted and observational.
  • Clinical stage, treatment, surgery, comorbidity, and other genomic alterations may confound the estimates.
  • The 145-person wild-type group is much smaller than the variant groups.
  • No external cohort or prospective validation is documented.
Evidence boundary

The analysis supports an association between KRAS group and survival in the recorded comparison dataset. It does not prove a variant-specific causal effect or treatment recommendation.

05 / Reproducibility and outputs

Artifacts recorded in the Pipette session

clinical_data_msk2024.csvStudy clinical data
survival_data_msk2024.csvOverall-survival fields
survival_analysis_dataset.csvJoined analysis-ready dataset
kras_variant_summary.jsonVariant frequencies and group counts
final_survival_summary.csvFour-group survival estimates
pairwise_survival_results.csvHazard ratios and confidence intervals
Original Pipette session report10-page PDF · 703 KB · generated February 10, 2026. The HTML article is the primary case study; the PDF is the preserved session record.

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