MD Anderson Cancer Center, Houston, TX
Scott Kopetz , Dan Aderka , Axel Grothey , Eric Van Cutsem , Rona Yaeger , Harpreet Singh Wasan , Takayuki Yoshino , Jayesh Desai , Fortunato Ciardiello , Ashwin Gollerkeri , Adele Golden , Michelle L. Edwards , Josep Tabernero
Background: Enco + cetux (doublet) has been approved in the US, EU, and Japan for the treatment of BRAF V600E-mutant mCRC after progression on 1–2 prior regimens. In the BEACON CRC study (NCT02928224), median OS (95% CI) with the doublet was 9.3 months (8.0–11.3) compared with 5.9 months (5.1–7.1) with cetux + irinotecan or FOLFIRI (control) in patients (pts) with BRAF V600E-mutant mCRC (HR 0.61 [95% CI: 0.5–0.8]). This post-hoc analysis investigates OS by prior therapies to the doublet treatment in pts with BRAF V600E-mutant mCRC from the BEACON CRC study. Methods: OS of pts treated with the doublet or control were compared according to prior treatment with bevacizumab, oxaliplatin, or FOLFOXIRI and duration of prior anticancer therapy (ACT). Results: The proportion of pts in the doublet and control arms who received prior bevacizumab were 64% and 55%, respectively. Of pts who had one prior therapy, 95% and 88% received prior oxaliplatin and 20% and 14% received prior FOLFOXIRI, respectively. OS by prior treatment in the doublet and control arms is shown in the table. In the doublet arm, pts who had bevacizumab < 4 months before start of study treatment had a median OS of 8.3 months (95% CI: 6.2–11.2); those who had bevacizumab ≥4 months prior had a median OS of 10.7 (95% CI: 7.5–17.7). Within each treatment arm, OS was similar regardless of prior treatment with oxaliplatin or FOLFOXIRI. The duration of prior ACT was similar across study arms, ranging from 5.6–5.8 months for the first line of ACT. Conclusions: In the BEACON CRC study, pts treated with the doublet for BRAF V600E-mutant mCRC demonstrated similar OS regardless of prior therapies or duration of prior therapy use. This exploratory post-hoc analysis provides data that reflect the prior treatment landscape clinicians may face when deciding subsequent treatment regimens for pts with BRAF V600E-mutant mCRC. Clinical trial information: NCT02928224
Prior treatment | Doublet | Control | HR (95% CI) | ||
---|---|---|---|---|---|
Events/subjects (%) | Median OS (95% CI), mos | Events/subjects (%) | Median OS (95% CI), mos | ||
Prior bevacizumab < 4 months ≥4 months No prior | 67/111 (60) 16/29 (55) 45/80 (56) | 8.3 (6.2–11.2) 10.7 (7.5–17.7) 9.4 (7.6–16.5) | 78/103 (76) 15/19 (79) 64/99 (65) | 5.1 (4.0–6.4) 4.4 (2.0–11.6) 7.4 (5.6–9.5) | 0.53 (0.4–0.7) 0.47 (0.2–1.0) 0.71 (0.5–1.1) |
Prior oxaliplatin* Yes No | 81/138 (59) 3/8 (38) | 9.7 (8.3–12.3) 8.4 (3.6–NR) | 88/128 (69) 10/17 (59) | 6.4 (5.2–8.0) 6.5 (3.2–NR) | 0.60 (0.4–0.8) 0.73 (0.2–2.7) |
Prior FOLFOXIRI* Yes No | 18/29 (62) 66/117 (56) | 9.4 (5.3–17.7) 10.7 (8.3–12.6) | 13/21 (62) 85/124 (68) | 4.6 (2.1–NR) 6.5 (5.6–8.8) | 0.63 (0.3–1.3) 0.59 (0.4–0.8) |
Duration of prior ACT* ≤6 months > 6 months | 46/72 (64) 38/74 (51) | 8.8 (7.6–10.7) 11.3 (8.4–17.7) | 55/78 (71) 43/67 (64) | 5.8 (4.8–7.3) 6.5 (4.8–11.3) | 0.61 (0.4–0.9) 0.61 (0.4–0.9) |
*Based on pts with only 1 line of prior ACT. NR, not reached.
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Abstract Disclosures
2021 ASCO Annual Meeting
First Author: Akihito Tsuji
2024 ASCO Gastrointestinal Cancers Symposium
First Author: Karam Ashouri
2022 ASCO Gastrointestinal Cancers Symposium
First Author: Scott Kopetz
2021 Gastrointestinal Cancers Symposium
First Author: Takanori Watanabe