This invention belongs to the field of
biomedical technology, specifically relating to the application of a pharmaceutical composition consisting of denosumab combined with an
immune checkpoint inhibitor in the preparation of a
drug for treating
KRAS-
mutant advanced non-
small cell lung cancer (NSCLC). Addressing the problems of high
toxicity, limited
efficacy, and lack of effective prognostic biomarkers in existing
maintenance therapy for
KRAS-
mutant advanced NSCLC, this invention experimentally demonstrates that
maintenance therapy with denosumab combined with a PD-1 / PD-L1 inhibitor can significantly prolong
overall survival in patients with
KRAS-
mutant advanced NSCLC who have not progressed after 4-6 cycles of first-line immunochemotherapy, with a
lower incidence of treatment-related adverse events and better safety, especially in patients with KRAS-G12C mutations. Furthermore, this invention discovers that
plasma CCER2 can serve as a prognostic biomarker. This invention provides a new, low-
toxicity, high-benefit strategy for KRAS-mutant advanced NSCLC and also provides a
liquid biopsy biomarker that can be used for
patient stratification, possessing significant clinical application value.