Adagrasib

Say it: ad-uh-GRA-sib · Brand names: Krazati
Adagrasib is a targeted pill that blocks a growth signal in cancers with a KRAS G12C gene change.
What it is
Some cancers have a change in a gene called KRAS, known as G12C. This change keeps a growth switch turned on. Adagrasib locks the switch in the off position.
Often used for
- non-small cell lung cancer with a KRAS G12C change
- colorectal cancer with a KRAS G12C change, together with the antibody cetuximab
How you get it
It is a pill you take by mouth twice a day, with or without food. People usually take it for as long as it works. Your schedule may be different.
Common side effects and what helps
- Nausea and vomiting. Eat small, bland meals and ask about nausea medicine.
- Diarrhea. Drink plenty of fluids and ask your team which diarrhea medicine to keep at home.
- Feeling tired. Rest when you need to and take short walks when you can.
- Less appetite. Try small meals and snacks through the day.
- Swelling in the legs or feet. Raise your legs when sitting.
- Muscle or bone pain. Ask your team what pain medicine is safe for you.
- Changes in liver or kidney blood tests. Your team will check these.
Call your care team right away if you have
- Vomiting or diarrhea that will not stop, or you cannot keep fluids down
- Yellow skin or eyes, dark urine, or pain on the right side of your belly
- A fast, slow, or pounding heartbeat, or feeling like you might faint
- New or worse cough, shortness of breath, or chest pain
- Peeing much less than normal
Before you start, tell your team
- If you have heart rhythm problems or take medicines that affect heart rhythm
- If you have liver or kidney problems
- If you are pregnant, may become pregnant, or are breastfeeding
- All the medicines, vitamins, and herbal products you take, since some can change how this medicine works
Good to know
- Stomach and bowel side effects are common. Your team may give you medicine to prevent them.
- It can change your heart rhythm. You may have ECGs (heart tracings) and blood tests for salts like potassium and magnesium.
- You will have regular liver blood tests.
- Rarely, it causes serious lung swelling.
At home
- Take it at about the same times each day.
- Swallow the pills whole with water. Do not crush, chew, or split them unless your team says it is OK.
- If you miss a dose or throw up after a dose, ask your team what to do. Do not take an extra dose on your own.
- Store the pills at room temperature in their original container, away from children and pets.
- Wash your hands after touching the pills. Ask your team if others in your home should take special care.
Questions to ask
- How long will I take this medicine?
- What tests will I need, and how often?
- Are any of my other medicines, foods, or supplements a problem with this medicine?
- What should I do if I miss a dose?
- Which side effects should I call you about right away, and which can wait?
Side effect guides
Sources
Quick answers
- What is Adagrasib?
- Adagrasib is a targeted pill that blocks a growth signal in cancers with a KRAS G12C gene change. Brand names: Krazati.
- What is Adagrasib used for?
- non-small cell lung cancer with a KRAS G12C change; colorectal cancer with a KRAS G12C change, together with the antibody cetuximab.
- How is Adagrasib given?
- It is a pill you take by mouth twice a day, with or without food. People usually take it for as long as it works. Your schedule may be different.
- What are the common side effects of Adagrasib?
- Nausea and vomiting. Diarrhea. Feeling tired. Less appetite. Swelling in the legs or feet. Muscle or bone pain. Changes in liver or kidney blood tests.
- When should I call my care team while taking Adagrasib?
- Vomiting or diarrhea that will not stop, or you cannot keep fluids down; Yellow skin or eyes, dark urine, or pain on the right side of your belly; A fast, slow, or pounding heartbeat, or feeling like you might faint; New or worse cough, shortness of breath, or chest pain; Peeing much less than normal.
Last updated: 2026-10-27. Medically reviewed by Veli Bakalov, MD, medical oncologist (October 2026). General education from Step by Step, the patient portal of HemeOncBuddy.