Outcome according to KRAS-, NRAS- and BRAF-mutation as well as KRAS mutation variants: pooled analysis of five randomized trials in metastatic colorectal cancer by the AIO colorectal cancer study group
[Paper-level Aggregated] PMCID: PMC4999563
Evidence Type(s): Prognostic, Oncogenic, Functional
Justification: Prognostic: The text indicates that mutations in KRAS, particularly the G12C and G13D variants, are associated with inferior overall survival (OS) and progression-free survival (PFS) in metastatic colorectal cancer patients compared to non-mutated tumors. Oncogenic: The presence of KRAS mutations, including G12C and G13D, is linked to poor survival outcomes, suggesting that these mutations contribute to the oncogenic process in colorectal cancer. Functional: The analysis of various KRAS mutations, including A146T, Q61H, and others, indicates that these variants were evaluated for their impact on efficacy endpoints, suggesting a functional role in tumor behavior and treatment response.
Gene→Variant (gene-first): KRAS(3845):A146T KRAS(3845):G12C KRAS(3845):G12D KRAS(3845):G13D KRAS(3845):Q61H KRAS(3845):G12V BRAF(673):V600E
Genes: KRAS(3845) BRAF(673)
Variants: A146T G12C G12D G13D Q61H G12V V600E