Table 2.
Response to biomarker-targeted therapy in patients with metastatic KRAS/BRAF wild-type, RTK/MAP2K1–altered colorectal carcinomas
| RTK/MAP2K1 Alteration | Targeted therapy | Duration of therapy |
Outcome | Notes |
|---|---|---|---|---|
| ERBB2 amplification (FC = +38.9) | Cetuximab + irinotecan | 5 | Stable disease for 5 months | Previously treated with FOLFIRI without progression |
|
ERBB2 amplification (FC = +8.5), ERBB2 p. V842I |
Irreversible inhibitor of EGFR/ ERBB2 |
2 | RECIST stable disease and mixed response |
|
| Panitumumab + irinotecan | 2 | Progression of disease | Irinotecan naïve | |
|
ERBB2 amplification, ERBB2 p. S310F |
Dual ERBB2/ EGFR inhibitor | 2 | Progression of disease | |
| ERBB2-GRB7 fusion, amplified | Cetuximab + irinotecan | 2 | Progression of disease | |
| Monoclonal anti-ERBB2 + capecitabine |
2 | Progression of disease | ||
| Irreversible inhibitor of EGFR/HER2 |
1.5 | Progression of disease | ||
| MAP2K1 p. K57E | Cetuximab + capecitabine + Avastin |
5 | Progression of disease | |
| Cetuximab + irinotecan | 2 | Progression of disease | Irinotecan naïve | |
| MAP2K1 p. K57N | Panitumumab + irinotecan | 2 | Progression of disease | Previously treated with irinotecan |