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Biomarker-Guided Anti-Egfr Rechallenge Therapy in Metastatic Colorectal Cancer.

Authors :
Ciardiello D
Martini G
Famiglietti V
Napolitano S
De Falco V
Troiani T
Latiano TP
Ros J
Elez Fernandez E
Vitiello PP
Maiello E
Ciardiello F
Martinelli E
Source :
Cancers [Cancers (Basel)] 2021 Apr 17; Vol. 13 (8). Date of Electronic Publication: 2021 Apr 17.
Publication Year :
2021

Abstract

The prognosis of patients with metastatic colorectal cancer (mCRC) who progressed to the first and the second lines of treatment is poor. Thus, new therapeutic strategies are needed. During the last years, emerging evidence suggests that retreatment with anti-epidermal growth factor receptor (EGFR) monoclonal antibodies (MAbs) in the third line of mCRC patients, that have previously obtained clinical benefit by first-line therapy with anti-EGFR MAbs plus chemotherapy, could lead to prolonged survival. The rationale beyond this "rechallenge" strategy is that, after disease progression to first line EGFR-based therapy, a treatment break from anti-EGFR drugs results in RAS mutant cancer cell decay, restoring the sensitivity of cancer cells to cetuximab and panitumumab. In fact, rechallenge treatment with anti-EGFR drugs has shown promising clinical activity, particularly in patients with plasma RAS and BRAF wild type circulating tumor DNA, as defined by liquid biopsy analysis at baseline treatment. The aim of this review is to analyze the current knowledge on rechallenge and to investigate the role of novel biomarkers that can guide the appropriate selection of patients that could benefit from this therapeutic strategy. Finally, we discuss on-going trials and future perspectives.

Details

Language :
English
ISSN :
2072-6694
Volume :
13
Issue :
8
Database :
MEDLINE
Journal :
Cancers
Publication Type :
Academic Journal
Accession number :
33920531
Full Text :
https://doi.org/10.3390/cancers13081941