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New Insights on Treatment Strategies for mCRC:

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Presentation on theme: "New Insights on Treatment Strategies for mCRC:"— Presentation transcript:

1 New Insights on Treatment Strategies for mCRC:

2 Introduction

3 ESMO Guidelines: Cytoreduction as a Decision Driver

4 First-Line Treatment has a "Crucial Mission"

5 Consistent OS Benefit of Attaining ETS in More Recent Phase 3 Studies With Targeted Agents

6 ETS Correlates With Post-Progression Survival

7 Characteristics to Tailor Up-Front Treatment

8 Evidenced-Based First-Line Options Today

9 First-Line Treatment of mCRC: Cytoreduction in Fit Patients

10 FOLFOXIRI + Cetuximab: MACBETH Efficacy Results

11 FOLFOXIRI + Panitumumab: VOLFI Trial -- ORR (Primary Endpoint)

12 TRIPLETE Study: Phase 3 Trial

13 FIRE 4.5 (AIO KRK-0116) Study: Phase 2 Trial

14 ESMO Primary Tumor Location Pooled Analysis

15 Meta-Analysis: Response Rate

16 FOLFOXIRI + Anti-EGFR mAb

17 ESMO Primary Tumor Location Pooled Analysis

18 Mutations in RAS Emerge During Anti-EGFR Treatment and Decline When Treatment Is Suspended

19 Rechallenge With Anti-EGFR Drugs

20 Ongoing Clinical Trials Evaluating Anti-EGFR Rechallenge in mCRC

21 Possible Uses of "Liquid Biopsy"

22 Predictive Role of ctDNA: The CRICKET Study

23 NGS for ctDNA Analysis From Liquid Biopsy?

24 Comprehensive ctDNA Genomic Analysis by NGS (Guardant360) After Anti-EGFR Treatment in mCRC (N = 193)

25 High Intrapatient Genomic Heterogeneity and Subclonality Limit Treatment: Sym004-05 Clinical Trial

26 What Is the Clinical Relevance of Low Frequency Mutations
What Is the Clinical Relevance of Low Frequency Mutations? TTD -- Platform Study

27 Treating Tumor Heterogeneity and Clonal Evolution

28 From Single Targeting to Multi-Targeting: Increasing Clinical Benefit in BRAF+ mCRC

29 Conclusion

30 Abbreviations

31 Abbreviations (cont)

32 Abbreviations (cont)


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