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Challenges in RAS Wild-Type mCRC

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Presentation on theme: "Challenges in RAS Wild-Type mCRC"— Presentation transcript:

1 Challenges in RAS Wild-Type mCRC

2

3 Introduction

4 Decision-Making Algorithm for First-Line Treatment of mCRC

5 Clinical Utility of ctDNA

6 Treatment of mCRC: ESMO Guidelines

7 First-Line Treatment for Right-Sided Tumors

8 First-Line Treatment: Patient Preferences

9 Optimal Treatment Choices for Disease Control by Location of Primary Tumor*

10 CRYSTAL and FIRE-3 Trials

11 Second-Line Therapy for mCRC

12 Mechanisms of Resistance to Anti-EGFR Pathways

13 Cetuximab Beyond Progression: CAPRI GOIM Study PFS According to KRAS, NRAS, BRAF, and PIK3CA Status

14 Continuation/Maintenance With Anti-EGFR Treatment Involves Managing Toxicity Profiles

15 Retest for RAS?

16 Tailoring the Treatment Strategy to Patient and Tumor Characteristics

17 ASPECCT Trial: OS and PFS Results Patients With Prior Bevacizumab Treatment in Chemorefractory wtKRAS exon 2 mCRC

18 Bevacizumab Followed by Anti-EGFR Therapy: Unanswered Questions

19 Cetuximab Rechallenge: Rationale (Santini Hypothesis)

20 Time From Last Treatment With EGFR mAbs Correlates With Quantification of KRAS Mutations Detected in ctDNA

21 Strategies to Address Mechanisms of Resistance

22 CRICKET Study: Good Response to Cetuximab Rechallenge in Irinotecan‑Refractory mCRC

23 Rechallenge With Anti-EGFR Therapy: FIRE-4 Study

24 Key Points of Studies Using Rechallenge With Anti-EGFR

25 Determining Wash-Out Periods

26 Monitoring for Resistance Using Liquid Biopsy May Allow Timely Decision Making

27 Conclusions

28 Abbreviations

29 Abbreviations (cont)


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