Metastatic colorectal cancer- third line therapy and beyond

Expert Rev Anticancer Ther. 2024 May;24(5):219-227. doi: 10.1080/14737140.2024.2334784. Epub 2024 Apr 3.

Abstract

Introduction: The outcome of patients with metastatic colorectal cancer (mCRC) has improved significantly in the last few decades. Metastatic colorectal cancer is a highly heterogenous cancer. Beyond second line chemotherapy, treatment decisions are often based on molecular testing.

Method: In this narrative review, we provide a comprehensive summary of data from key clinical trials and discuss how to integrate these agents into the current treatment landscape of metastatic colorectal cancer.

Expert opinion: In the era of precision medicine, molecular testing plays an increasingly important role in the management of mCRC. Efforts need to be made to target treatment based on molecular test results.

Keywords: Metastatic colorectal cancer; biomarkers; immunotherapy; refractory disease; targeted therapy.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / pharmacology
  • Colorectal Neoplasms* / drug therapy
  • Colorectal Neoplasms* / pathology
  • Humans
  • Molecular Targeted Therapy*
  • Neoplasm Metastasis*
  • Precision Medicine*

Substances

  • Antineoplastic Agents