Management of MSS RAS wt Metastatic Colorectal Cancer: Sidedness - - PowerPoint PPT Presentation

management of mss ras wt metastatic colorectal cancer
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Management of MSS RAS wt Metastatic Colorectal Cancer: Sidedness - - PowerPoint PPT Presentation

Management of MSS RAS wt Metastatic Colorectal Cancer: Sidedness and Anti EGFR Retreatment Benjamin A. Weinberg, M.D. Assistant Professor of Medicine Lombardi Comprehensive Cancer Center Georgetown University LEFT RIGHT Cancers for


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Management of MSS RAS‐wt Metastatic Colorectal Cancer: Sidedness and Anti‐EGFR Retreatment

Benjamin A. Weinberg, M.D. Assistant Professor of Medicine Lombardi Comprehensive Cancer Center Georgetown University

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Cancers for Disease Control and Prevention

RIGHT LEFT

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Weinberg et al. Oncology (Williston Park) 2017.

Younger Individuals Tend to Have Left-Sided CRCs

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CALGB/SWOG 80405: KRAS wt

Presented By Alan Venook at 2017 ASCO Annual Meeting

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<br /> 80405: (KRAS WT) Overall Survival by Sidedness

Presented By Alan Venook at 2017 ASCO Annual Meeting

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80405 (KRAS WT): Overall Survival by Sidedness and Biologic

Presented By Alan Venook at 2017 ASCO Annual Meeting

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SLIDE 7

Right vs. Left Colon vs. Rectum

Salem et al. Oncotarget 2017.

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SLIDE 8

Right vs. Left Colon vs. Rectum

Salem et al. Oncotarget 2017.

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NCCN Guidelines 3.2019. JNCCN 2019.

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NCCN Guidelines 3.2019. JNCCN 2019.

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Brulé et al. Eur J Cancer 2015.

KRAS-WT: Right vs. Left Primary Tumors NCIC CO.17 Trial

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Loree et al. GI ASCO 2019.

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Re-Challenging with anti-EGFR Therapy

  • May not work as well patients who

progressed on anti-EGFR therapy previously (more useful in those who discontinued due to toxicity)

  • Need to ensure tumor is still RAS and BRAF

wild type

  • COLOMATE (liquid biopsy)  PULSE study

(panitumumab re-challenge)

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Questions?

  • baw12@gunet.georgetown.edu
  • @benweinbergmd