Evidence map›Paper›PMID 39313594›Full record

Trial reportNature medicine2024

Molecular profiling of BRAF-V600E-mutant metastatic colorectal cancer in the phase 3 BEACON CRC trial.

Scott Kopetz, Danielle A Murphy, Jie Pu, Fortunato Ciardiello, Jayesh Desai, Eric Van Cutsem, Harpreet Singh Wasan, Takayuki Yoshino, Hedieh Saffari, Xiaosong Zhang and 4 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02928224 (A Multicenter, Randomized, Open-label, 3-Arm Phase 3 Study of Encorafenib + Cetuximab Plus or Minus Binimetinib vs. Irinotecan/Cetuximab or Infusional 5-Fluorouracil), which is not on this map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02928224 phase3completednot on this map

A Multicenter, Randomized, Open-label, 3-Arm Phase 3 Study of Encorafenib + Cetuximab Plus or Minus Binimetinib vs. Irinotecan/Cetuximab or Infusional 5-Fluorouracil (5-FU)/Folinic Acid (FA)/Irinotecan (FOLFIRI)/Cetuximab With a Safety Lead-in of Encorafenib + Binimetinib + Cetuximab in Patients With BRAF V600E-mutant Metastatic Colorectal Cancer

TypeinterventionalSponsorPfizerRan2016 to 2022Enrolled702ConditionsBRAF V600E-mutant Metastatic Colorectal CancerArmsEncorafenib, Binimetinib, Cetuximab, Irinotecan, Folinic Acid
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Exploratory Analysis of Biomarkers and Treatment Outcomes from the COLUMBUS Study in BRAF V600E/K-Mutant Advanced or Metastatic Melanoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
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  7. Article
  8. Review
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  10. Circulating Tumor DNA Dynamics in Patients with Liver-Limited Metastatic Colorectal Cancer Resected after First-Line Systemic Treatment.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  11. Review
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  19. Review
  20. BRAFJournal of experimental & clinical cancer research : CR · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Scott Kopetz *University of Texas MD Anderson Cancer Center, Houston, TX, USA. SKopetz@mdanderson.org.ORCID http://orcid.org/0000-0001-9647-3416
Danielle A Murphy *Pfizer, La Jolla, CA, USA.
Jie PuPfizer, New York, NY, USA.
Fortunato CiardielloUniversity of Campania Luigi Vanvitelli, Naples, Italy.ORCID http://orcid.org/0000-0002-4661-5540
Jayesh DesaiPeter MacCallum Cancer Centre, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-4246-9344
Eric Van CutsemUniversity Hospitals Gasthuisberg Leuven and KU Leuven, Leuven, Belgium.
Harpreet Singh WasanDivision of Cancer, Hammersmith Hospital, Imperial College London, London, UK.
Takayuki YoshinoNational Cancer Center Hospital East, Kashiwa, Japan.ORCID http://orcid.org/0000-0002-0489-4756
Hedieh SaffariPfizer, South San Francisco, CA, USA.
Xiaosong ZhangPfizer, South San Francisco, CA, USA.
Phineas HamiltonPfizer, La Jolla, CA, USA.
Tao XiePfizer, La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-7658-6587
Rona YaegerMemorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-7233-5454
Josep TaberneroVall d'Hebron Hospital Campus and Vall d'Hebron Institute of Oncology (VHIO), University of Vic-Central University of Catalonia, Barcelona, Spain.ORCID http://orcid.org/0000-0002-2495-8139

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

The BEACON CRC study demonstrated that encorafenib (Enco)+cetuximab (Cetux)±binimetinib (Bini) significantly improved overall survival (OS) versus Cetux + chemotherapy in previously treated patients with BRAF-V600E-mutant mCRC, providing the basis for the approval of the Enco+Cetux regimen in the United States and the European Union. A greater understanding of biomarkers predictive of response to Enco+Cetux±Bini treatment is of clinical relevance. In this prespecified, exploratory biomarker analysis of the BEACON CRC study, we characterize genomic and transcriptomic correlates of clinical outcomes and acquired resistance mechanisms through integrated clinical and molecular analysis, including whole-exome and -transcriptome tissue sequencing and circulating tumor DNA genomic profiling. Tumors with higher immune signatures showed a trend towards increased OS benefit with Enco+Bini+Cetux. RAS, MAP2K1 and MET alterations were most commonly acquired with Enco+Cetux±Bini, and more frequent in patients with a high baseline cell-cycle gene signature; baseline TP53 mutation was associated with acquired MET amplification. Acquired mutations were subclonal and polyclonal, with evidence of increased tumor mutation rate with Enco+Cetux±Bini and mutational signatures (SBS17a/b). These findings support treatment with Enco+Cetux±Bini for patients with BRAF-V600E-mutant mCRC and provide insights into the biology of response and resistance to MAPK-pathway-targeted therapy. ClinicalTrials.gov registration: NCT02928224.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsGene Expression ProfilingGene Expression Regulation, NeoplasticMutationProto-Oncogene Proteins B-rafAzetidinesBenzimidazolesBiomarkers, TumorCarbamatesCetuximabDrug Resistance, NeoplasmFemaleHumansMaleMiddle AgedAzetidinesBenzimidazolesbinimetinibBiomarkers, TumorBRAF protein, humanCarbamatesCetuximabencorafenibProto-Oncogene Proteins B-rafSulfonamides

Identifiers

PMID39313594
PMCPMC11564101

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.