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Clinical research progress on BRAF V600E-mutant advanced colorectal cancer

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SPRINGER
DOI: 10.1007/s00432-023-05301-0

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Colorectal cancer; BRAF V600E mutation; Clinical research; Review

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Colorectal cancer, especially with BRAF V600E mutation, poses a serious threat to human health. Precision therapy, including molecularly targeted drugs and immune checkpoint inhibitors, has improved the outcome of colorectal cancer. However, there is still a need for more rational and effective drug combination regimens to provide longer survival for patients with genetic mutations in metastatic colorectal cancer (mCRC). This article reviews the progress of clinical research on targeted drugs, immune checkpoint inhibitors, first-line chemotherapeutic agents, and different combination therapy regimens for colorectal cancer patients with BRAF V600E mutation, providing a reference for further treatment exploration.
Colorectal cancer is one of the malignant tumors that pose a serious threat to human health. A particularly bad prognosis might be expected for colorectal tumors with the unique molecular subtype BRAF V600E mutation. With the development of precision therapy, the advent of molecularly targeted therapies and immune checkpoint inhibitors has improved the outcome of intermediate to advanced colorectal cancer. However, the duration of drug benefit is usually short, and overall survival and progression-free survival remain suboptimal. Therefore, investigators are exploring more rational, safe, and effective drug combination regimens through clinical trials to provide longer survival for patients with such genetic mutations with metastatic colorectal cancer (mCRC). This article reviews the progress of clinical research on molecularly targeted drugs, immune checkpoint inhibitors, first-line chemotherapeutic agents, and different combination therapy regimens (including different targeted drug combinations, immune combination targeting, and chemotherapy combination targeting) for colorectal cancer patients with BRAF V600E mutation, which provides a reference for further in-depth clinical exploration of the treatment of colorectal cancer patients with BRAF V600E mutation.

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