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Onco Targets Ther. 2015 Dec 01;8:3561-4. doi: 10.2147/OTT.S90766. eCollection 2015.

A metastatic colon adenocarcinoma harboring BRAF V600E has a durable major response to dabrafenib/trametinib and chemotherapy.

OncoTargets and therapy

Casey B Williams, Caitlin McMahon, Siraj M Ali, Mark Abramovitz, Kirstin A Williams, Jessica Klein, Heidi McKean, Roman Yelensky, Thomas J George, Julia A Elvin, Salil Soman, Doron Lipson, Juliann Chmielecki, Deborah Morosini, Vincent A Miller, Philip J Stephens, Jeffrey S Ross, Brian Leyland-Jones

Affiliations

  1. Avera Cancer Institute, Sioux Falls, SD, USA.
  2. Foundation Medicine, Inc., Cambridge, MA, USA.
  3. University of Florida College of Medicine, Gainesville, FL, USA.
  4. Beth Israel Deaconess Medical Center, Boston, MA, USA.
  5. Foundation Medicine, Inc., Cambridge, MA, USA ; Albany Medical College, Albany, NY, USA.

PMID: 26664139 PMCID: PMC4671814 DOI: 10.2147/OTT.S90766

Abstract

The subset of metastatic colorectal adenocarcinomas that harbor BRAF V600E mutations are aggressive tumors with significantly shortened survival and limited treatment options. Here we present a colorectal cancer patient whose disease progressed through standard chemotherapy and who developed liver metastasis. Comprehensive genomic profiling (FoundationOne(®)) identified a BRAF V600E mutation in the liver lesion, as well as other genomic alterations consistent with colorectal cancers. Combination therapy of dabrafenib and trametinib with standard cytotoxic chemotherapy resulted in a durable major ongoing response for the patient. This report illustrates the utility of comprehensive genomic profiling with personalized targeted therapy for aggressive metastatic colorectal adenocarcinomas.

Keywords: BRAF mutations; colorectal adenocarcinoma; combination targeted therapy; oxaliplatin

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