colon cancer
Colorectal cancer trials are increasingly guided by molecular profiling β€” RAS/BRAF mutation status, microsatellite instability (MSI-H/dMMR), and HER2 amplification now define distinct treatment tracks. MSI-H colorectal cancer has become the poster child for immunotherapy in solid tumors, with pembrolizumab as first-line standard of care, while KRAS G12C inhibitors have opened the door to targeted therapy for previously untreatable RAS-mutant disease.
Active trials include KRAS G12C and G12D inhibitor combinations, anti-EGFR rechallenge guided by liquid biopsy, adagrasib plus cetuximab, liver-directed therapies for oligometastatic disease, and peritoneal hyperthermia chemotherapy (HIPEC) for peritoneal metastasis.