CONCLUSIONS
•
BRAF
mutant CRC have a particular biology but is a complex entity and a heterogenous
disease. Drug combinations offering benefit have an added value.
•
Testing for
BRAF
mutation is standard of care in mCRC:
•
Strong prognostic factor: Useful to define treatment strategies
•
Predictive value not demonstrated yet, but the available evidence is enough to
state that these tumors do not obtain benefit from anti-EGFR therapies
•
BRAF
mutant patients have options in second line.
•
When focusing on 2
nd
line-SOC: FOLFIRI-aflibercept has
consistent efficacy benefit
across all patient types including
BRAF
mutant patient being the only antiangiogenic
drug offering data in this poor prognosis population.