Review Article

Colorectal Cancer: From Genetic Landscape to Targeted Therapy

Table 2

mAbs targeting EGFR pathway under clinical investigation.

DrugsTargetSettingTreatmentPhaseIdentifiers

TrastuzumabHER2HER2-positive wild KRAS mCRCTrastuzumab + Lapatinib or PertuzumabIINCT03225937
Trastuzumab + TucatinibNCT03043313
PertuzumabHER22nd line of advanced or mCRCPertuzumab + cetuximabI/IINCT00551421
MEHD7945A (Duligotuzumab)EGFR/HER32nd line K-Ras wild-type mCRCMEHD7945A + FOLFIRI vs. Cetuximab + FOLFIRIIINCT01652482
SYM004EGFRmCRC K-Ras WT acquired resistance to Anti-EGFR mAbsSYM004 vs. BSCIINCT02083653
CPGJ 602EGFR2nd line mCRC KRAS WTCPGJ 602 vs. CetuximabINCT03356158
FutuximabEGFRChemotherapy-refractory mCRCFutuximab vs. SYM004IINCT03549338
SCT 200EGFRWild-type RAS and RAF mCRCSCT200IINCT03405272
Dalotuzumab (MK-0646)IGF-1RWild-type KRAS mCRCDalotuzumab + Cetuximab + irinotecanII/IIINCT00614393
Ganitumab (AMG-479)IGF-1RMutant KRAS mCRCAMG-479 + FOLFIRI vs. FOLFIRI aloneIINCT00813605
Cixutumumab (IMC-A12)IGF-1R2nd line mCRC kRAS wild-typeIrinotecan and Cetuximab ± IMC-A12IINCT00845039

mAbs: monoclonal antibodies; mCRC: metastatic colorectal cancer; FOLFIRI: irinotecan in combination with 5-fluorouracil and folinic acid; BSC: best supportive care; HER: human epidermal growth factor receptor; EGFR: epidermal growth factor receptor; IGF-1R: insulin-like growth factor 1 receptor; KRAS: Kirsten rat sarcoma viral oncogene.