Evidence map›Paper›PMID 41120702›Full record

ArticleBJC reports2025

KRAS and NRAS mutations in Nordic population-based and real-world metastatic colorectal cancer cohorts.

Emerik Osterlund, Ari Ristimäki, Luís Nunes, Soili Kytölä, Sonja Aho, Eetu Heervä, Aki Uutela, Kaisa Lehtomäki, Hanna Stedt, Päivi Halonen and 17 more

Abstract read
In one paragraph

Article in BJC reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

27 authors.

Emerik OsterlundDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden. emerik.osterlund@igp.uu.se.ORCID http://orcid.org/0000-0003-0973-6332
Ari RistimäkiDepartment of Pathology, HUSLAB, HUS Diagnostic Center, Helsinki University Hospital, Helsinki, Finland.
Luís NunesDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Soili KytöläDepartment of Genetics, HUSLAB, HUS Diagnostic Center, Helsinki UniversiIty Hospital, Helsinki, Finland.
Sonja AhoDepartment of Oncology, Tampere University Hospital, Tampere, Finland.
Eetu HeerväDepartment of Oncology, University of Turku and Turku University Hospital, Turku, Finland.
Aki UutelaDepartment of Transplantation and Liver Surgery, Helsinki University Hospital, Helsinki, Finland.
Kaisa LehtomäkiDepartment of Oncology, Tampere University Hospital, Tampere, Finland.
Hanna StedtDepartment of Oncology, Kuopio University Hospital, Kuopio, Finland.
Päivi HalonenDepartment of Oncology, Helsinki University Hospital, Helsinki, Finland.
Joel KontiainenDepartment of Oncology, Tampere University Hospital, Tampere, Finland.
Timo MuhonenDepartment of Oncology, University of Helsinki, Helsinki, Finland.
Raija KallioDepartment of Oncology, Oulu University Hospital, Oulu, Finland.
Jari SundströmDepartment of Pathology, Turku University Hospital, Turku, Finland.
Annika ÅlgarsDepartment of Oncology, University of Turku and Turku University Hospital, Turku, Finland.
Raija RistamäkiDepartment of Oncology, University of Turku and Turku University Hospital, Turku, Finland.
Lasse NieminenDepartment of Pathology, Fimlab laboratories, Tampere, Finland.
Halfdan SorbyeCancer Clinic, Haukeland University Hospital, Bergen, Norway.
Per PfeifferDepartment of Oncology, Odense University Hospital, Odense, Denmark.
Tapio SalminenDepartment of Oncology, Tampere University Hospital, Tampere, Finland.
Arno NordinDepartment of Transplantation and Liver Surgery, Helsinki University Hospital, Helsinki, Finland.
Annamarja LamminmäkiDepartment of Oncology, Kuopio University Hospital, Kuopio, Finland.
Markus J MäkinenDepartment of Pathology, Oulu University Hospital, Oulu, Finland.
Tobias SjöblomDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Helena IsoniemiDepartment of Transplantation and Liver Surgery, Helsinki University Hospital, Helsinki, Finland.
Bengt GlimeliusDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Pia OsterlundDepartment of Oncology, Tampere University Hospital, Tampere, Finland.

Funding

Amgen 2012-2020, 2023Cancerfonden CAN 2016/447, 2018/1165, 22 2054 Pj 01HCompetitive State Research Financing of the Expert Responsibility Area of Tampere, Helsinki, Turku, Kuopio, Oulu, and Satakunta Hospitals 2012, 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023, 2024, 2025Eli Lilly and Company 2012-2017Finska Läkaresällskapet 2016, 2018, 2019, 2020, 2021, 2022, 2023, 2024, 2025Helsinki University Hospital research fund 2019, 2020, 2021, 2022, 2023, 2024Merck KGaA 2012-2020Relander Foundation 2020-2022Roche Oy 2012-2020Sanofi 2012-2017Servier 2016-2024Syöpäsäätiö 2019-2020, 2021, 2022-2023, 2024Tampere University Hospital Fund Tukisäätiö 2019, 2020, 2023 and OOO-project 2020, 2022
6 · The paper itself

Abstract

backgroundKRAS and NRAS mutations (mt) are drivers in metastatic colorectal cancer (mCRC). We studied frequencies, characteristics, treatments, and outcomes of different KRASmt and NRASmt in population-based and real-world settings.

methodsThree Nordic cohorts were combined and molecularly characterised for KRAS, NRAS, and BRAF-V600E hotspot mutations.

resultsOf 2649 mCRC patients, 2118 were molecularly classified. KRASmt were seen in 49%, NRASmt in 4%, RAS&BRAFwt in 33%, and BRAF-V600Emt in 14%. No differences in clinical characteristics were observed between KRASmt and NRASmt. Median overall survival (OS) was longest among RAS&BRAFwt, intermediate among KRASmt and NRASmt, and shortest among BRAF-V600Emt (28.3 vs 21.4 vs 26.3 vs 9.2 months, respectively). Among the eight most common KRASmt, the only clinical difference was that KRAS-G12S had more distant lymph node metastases (38% vs 18-27%, p = 0.041). KRAS-G12S had shorter OS than KRAS-G12V, KRAS-G12C, KRAS-G12A, and KRAS-G13D. The differences were smaller in treatment groups but withstood in multivariable models. The three most common NRASmt did not differ clinically.

conclusionKRASmt and NRASmt are seen in 49% and 4% of mCRC, respectively. No clinically relevant differences were observed between different RASmt. KRASmt is a common subgroup for which the outcome hopefully can be improved with newly developed drugs.

Identifiers

PMID41120702
PMCPMC12540680

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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.