Management of MSS RAS wt Metastatic Colorectal Cancer: Sidedness - - PowerPoint PPT Presentation
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
Cancers for Disease Control and Prevention
RIGHT LEFT
Weinberg et al. Oncology (Williston Park) 2017.
Younger Individuals Tend to Have Left-Sided CRCs
CALGB/SWOG 80405: KRAS wt
Presented By Alan Venook at 2017 ASCO Annual Meeting
<br /> 80405: (KRAS WT) Overall Survival by Sidedness
Presented By Alan Venook at 2017 ASCO Annual Meeting
80405 (KRAS WT): Overall Survival by Sidedness and Biologic
Presented By Alan Venook at 2017 ASCO Annual Meeting
Right vs. Left Colon vs. Rectum
Salem et al. Oncotarget 2017.
Right vs. Left Colon vs. Rectum
Salem et al. Oncotarget 2017.
NCCN Guidelines 3.2019. JNCCN 2019.
NCCN Guidelines 3.2019. JNCCN 2019.
Brulé et al. Eur J Cancer 2015.
KRAS-WT: Right vs. Left Primary Tumors NCIC CO.17 Trial
Loree et al. GI ASCO 2019.
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)
Questions?
- baw12@gunet.georgetown.edu
- @benweinbergmd