Overall survival (OS) with encorafenib (enco) + cetuximab (cetux) in BEACON CRC: Effect of prior therapy for BRAF V600E-mutant metastatic colorectal cancer (mCRC).

Authors

null

Scott Kopetz

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

Organizations

MD Anderson Cancer Center, Houston, TX, Sheba Medical Center, Tel-Hashomer, Israel, West Cancer Center, OneOncology, Germantown, TN, University Hospital Gasthuisberg and University of Leuven, Leuven, Belgium, Memorial Sloan Kettering Cancer Center, New York, NY, Hammersmith Hospital, Division of Cancer, Imperial College London, London, United Kingdom, National Cancer Center Hospital East, Kashiwa, Japan, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia, University of Campania Luigi Vanvitelli, Naples, Italy, Pfizer, New York, NY, Pfizer, Cambridge, MA, Vall d’Hebron University Hospital and Vall d’Hebron Institute of Oncology (VHIO), UVic-UCC, Barcelona, Spain

Research Funding

Pharmaceutical/Biotech Company
Pfizer

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 Details

Meeting

2021 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Gastrointestinal Cancer—Colorectal and Anal

Track

Gastrointestinal Cancer—Colorectal and Anal

Sub Track

Colorectal Cancer–Advanced Disease

Clinical Trial Registration Number

NCT02928224

Citation

J Clin Oncol 39, 2021 (suppl 15; abstr 3583)

DOI

10.1200/JCO.2021.39.15_suppl.3583

Abstract #

3583

Poster Bd #

Online Only

Abstract Disclosures