Mutation Combinations Database

Comprehensive guide to genetic mutation combinations in colorectal cancer, their clinical implications, and treatment recommendations.

64
Total Combinations
39
Actionable Targets
14
Categories
Showing 64 combinations
BRAF Non-V600
Intermediate 2.00% Level 3
BRAF
Different biology. May retain anti-EGFR sensitivity.
Clinical Implications

Different biology. May retain anti-EGFR sensitivity.

Class 2/3 mutations behave differently.

Recommended
Standard chemotherapyAnti-EGFR possible
Avoid
Encorafenib
FGFR Alterations
Intermediate 2.00% Level 3
FGFR1 FGFR2 FGFR3
FGFR inhibitors approved in other tumors. CRC trials ongoing.
Clinical Implications

FGFR inhibitors approved in other tumors. CRC trials ongoing.

FGFR2 fusions most actionable.

Recommended
Clinical trialsStandard therapy
STK11/LKB1 Loss
Intermediate 2.00% Level 3
STK11
May cause immunotherapy resistance. Watch for CRC data.
Clinical Implications

May cause immunotherapy resistance. Watch for CRC data.

Better understood in lung cancer.

Recommended
Standard therapyMetabolic targeting trials
MET Amplification
Poor 1.50% Level 3
MET
Associated with poor prognosis and anti-EGFR resistance.
Clinical Implications

Associated with poor prognosis and anti-EGFR resistance.

May emerge on anti-EGFR treatment.

Recommended
Clinical trialsStandard therapy
Avoid
Anti-EGFR if amplified
About This Database

This database contains clinically relevant mutation combinations in colorectal cancer. Each combination includes:

  • Genes involved - The genetic alterations present
  • Prognosis - Expected outcome classification
  • Prevalence - How common in CRC patients
  • Recommended treatments - Evidence-based options
  • Treatments to avoid - Known ineffective therapies
  • Evidence level - Strength of supporting data

Actionable combinations have FDA-approved targeted therapies or strong clinical trial evidence. Always consult with your oncologist for personalized treatment decisions.