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Genomics characterization of BRAF-V600E colorectal cancer patients treated with anti-BRAF/EGFR

ABSTRACT: Anti-BRAF/EGFR combinatorial therapy was recently approved by the FDA and EMA for the treatment of metastatic BRAF-V600E colorectal cancer (CRCBRAF-V600E), however the underlying genetic determinants of its anti-tumoral efficacy remain unknown. Using whole-exome sequencing data in an internal cohort of CRCBRAF-V600E treated with anti-BRAF/EGFR Ã‚Â± combinatorial therapies, we discovered that patients with MSS-RNF43mutated tumors achieved a higher ORR in comparison with MSI-RNF43mutated and MSS-RNF43wild-type. Multivariate analysis of an external validation cohort showed improved PFS and OS of MSS-RNF43mutated in comparison with MSS-RNF43wild-type. In vitro assessment of RNF43 mutations identified in MSS tumors showed a loss-of-function effect. Overall, our findings support a crucial role of the RNF43-dependent modulation of the WNT pathway in the antitumor activity of anti-BRAF/EGFR Ã‚Â± combinatorial therapies and may guide patient stratification strategies for future clinical studies.

PROVIDER: EGAS00001006247 | EGA |

REPOSITORIES: EGA

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