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Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Durable response to third-line combination therapy in a metastatic colorectal cancer patient with BRAF V600E
Qun Zhang1, Li Li1, Xiaoping Qian1
1Comprehensive Cancer Centre of Drum Tower Hospital, Medical School of Nanjing University, Clinical Cancer Institute of Nanjing University, Nanjing, China.
Abstract:
In metastatic colorectal cancer (mCRC), the BRAFV600E mutation subtype is one of the subtypes with the worst prognosis. The long-term abnormal activation of multiple signaling pathways caused by the BRAF V600E mutation is closely related to the formation of BRAF inhibitor resistance and drug-resistant tumor cell subpopulations. These factors significantly impact the survival and prognosis of CRC patients. Therefore, treating mCRC patients with the BRAFV600E mutation, particularly in later stages, is challenging. We reported a case of an mCRC patient with the BRAF V600E mutation in the primary and metastatic tumors. After the failure of second-line treatment, this patient received a combination therapy including immunotherapy (tislelizumab), radiotherapy, and targeted therapy (fruquintinib). Through comprehensive imaging evaluations and continuous monitoring of tumor markers, we were astonished to observe that the patient has achieved and maintained a complete response (CR) for over 12 months. This case supports the efficacy of combination therapy in mCRC patients with the BRAF V600E mutation.
Insights
Metastatic colorectal cancer (mCRC) with BRAFV600E mutation is challenging to treat. A combination therapy of immunotherapy, radiotherapy, and targeted therapy achieved a durable complete response in a patient with refractory mCRC.
Area of Science:
- Oncology
- Genetics
- Cancer Research
Background:
- Metastatic colorectal cancer (mCRC) with BRAFV600E mutation presents a poor prognosis.
- BRAFV600E mutations drive abnormal signaling, leading to drug resistance and impacting patient survival.
- Treatment of advanced or refractory mCRC with BRAFV600E mutations remains a significant clinical challenge.
Purpose of the Study:
- To report a case of successful treatment in a patient with refractory metastatic colorectal cancer (mCRC) harboring the BRAFV600E mutation.
- To evaluate the efficacy of a combination therapy regimen in a challenging mCRC subtype.
Main Methods:
- A patient with metastatic colorectal cancer (mCRC) and BRAFV600E mutation in primary and metastatic sites was treated.
- The patient received a combination therapy including immunotherapy (tislelizumab), radiotherapy, and targeted therapy (fruquintinib) after second-line treatment failure.
- Comprehensive imaging and tumor marker monitoring were employed for evaluation.
Main Results:
- The patient achieved and maintained a complete response (CR) for over 12 months.
- The combination therapy demonstrated significant efficacy in a patient with refractory BRAFV600E-mutated mCRC.
- No adverse events were mentioned in the abstract.
Conclusions:
- Combination therapy involving immunotherapy, radiotherapy, and targeted therapy can be effective for BRAFV600E-mutated metastatic colorectal cancer.
- This approach offers a potential treatment strategy for patients with refractory mCRC and poor prognosis.
- Further research is warranted to explore this combination therapy in a larger cohort.
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