Evidence map›Paper›PMID 40444708›Full record

Trial reportThe New England journal of medicine2025

Encorafenib, Cetuximab, and mFOLFOX6 in

Elena Elez, Takayuki Yoshino, Lin Shen, Sara Lonardi, Eric Van Cutsem, Cathy Eng, Tae Won Kim, Harpreet Singh Wasan, Jayesh Desai, Fortunato Ciardiello and 11 more

Abstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in The New England journal of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 4 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Targeted therapy in advancedBMJ (Clinical research ed.) · 2025
    Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Highlights of ASCO 2026.The oncologist · 2026
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. RAS-targeted therapies for pancreatic cancer.ESMO gastrointestinal oncology · 2026
    Review
  17. Article
  18. Review
  19. Review
  20. Article

24 more citing papers are in PubMed but not listed here.

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

21 authors.

Elena ElezVall d'Hebron Hospital Campus, Barcelona.
Takayuki YoshinoNational Cancer Center Hospital East, Kashiwa, Japan.
Lin ShenBeijing Cancer Hospital, Beijing.
Sara LonardiVeneto Institute of Oncology, IRCCS, Padua, Italy.
Eric Van CutsemUniversity Hospitals Gasthuisberg Leuven, Leuven, Belgium.
Cathy EngVanderbilt-Ingram Cancer Center, Nashville.
Tae Won KimAsan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Harpreet Singh WasanHammersmith Hospital, Division of Cancer, Imperial College London, London.
Jayesh DesaiPeter MacCallum Cancer Centre, Melbourne, VIC, Australia.ORCID 0000-0003-4246-9344
Fortunato CiardielloUniversity of Campania Luigi Vanvitelli, Naples, Italy.
Rona YaegerMemorial Sloan Kettering Cancer Center, New York.
Timothy S MaughanUniversity of Liverpool, Liverpool, United Kingdom.
Van K MorrisUniversity of Texas M.D. Anderson Cancer Center, Houston.
Christina WuMayo Clinic, Phoenix, AZ.
Tiziana UsariPfizer, Milan.
Robert LalibertePfizer, Cambridge, MA.
Samuel S DychterPfizer, La Jolla, CA.
Xiaosong ZhangPfizer, South San Francisco, CA.
Josep TaberneroVall d'Hebron Hospital Campus, Barcelona.
Scott KopetzUniversity of Texas M.D. Anderson Cancer Center, Houston.ORCID 0000-0001-9647-3416
BREAKWATER Trial Investigators

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016672NIH HHS Core Grant P30 CA008748
6 · The paper itself

Abstract

backgroundFirst-line treatment with encorafenib plus cetuximab (EC) with or without chemotherapy (oxaliplatin, leucovorin, and fluorouracil [mFOLFOX6]) for

methodsWe randomly assigned patients with untreated

resultsSignificantly longer progression-free survival was seen with EC+mFOLFOX6 than with standard care (median, 12.8 vs. 7.1 months; hazard ratio for progression or death, 0.53; 95% confidence interval [CI], 0.41 to 0.68; P<0.001). In an interim analysis, overall survival was significantly longer with EC+mFOLFOX6 than with standard care (median, 30.3 vs. 15.1 months; hazard ratio for death, 0.49; 95% CI, 0.38 to 0.63; P<0.001). The incidence of serious adverse events during treatment was 46.1% with EC+mFOLFOX6 and 38.9% with standard care. Safety profiles were consistent with those known for each agent.

conclusionsThis trial showed significantly longer progression-free survival and overall survival with first-line treatment with EC+mFOLFOX6 than with standard care among patients with

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarbamatesCetuximabColorectal NeoplasmsProto-Oncogene Proteins B-rafSulfonamidesAdultAgedAged, 80 and overFemaleFluorouracilHumansLeucovorinMaleMiddle AgedMutationBRAF protein, humanCarbamatesCetuximabencorafenibFluorouracilLeucovorinOrganoplatinum CompoundsProto-Oncogene Proteins B-rafSulfonamides

Identifiers

PMID40444708
PMCPMC12197837

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.