Molecular Engine + Treatment
MSI-H → Pembrolizumab KN-177 PROVEN
1st-line mCRC. PFS 16.5 vs 8.2mo. FDA 2020.
Andre 2020 NEJM KEYNOTE-177
KRAS/NRAS WT → Anti-EGFR PROVEN
Cetuximab/panitumumab. Only ~40% mCRC eligible.
Douillard 2013 NEJM panitumumab
BRAF V600E → BEACON PROVEN
Encorafenib+cetuximab. OS 9.0 vs 5.4mo. FDA 2020.
Kopetz 2019 NEJM BEACON
KRAS G12C → Sotorasib+Pani PROVEN
CodeBreaK 300. PFS 5.6 vs 2.2mo. FDA 2023.
Fakih 2023 NEJM
FOLFOX/FOLFIRI+Bev Backbone PROVEN
Non-MSI-H non-actionable standard. Bev adds ~2mo OS.
Hurwitz 2004 NEJM