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GENETIC ALTERATIONS IN THE MAPK PATHWAY

WERE NOT ASSOCIATED WITH CLINICAL

OUTCOME/RESPONSE TO THERAPY

PRESENTED BY GV LONG AT ESMO 2018

amp, amplification; BRAFi, BRAF inhibitor; MEKi, MEK inhibitor; mut, mutation.

BRAF

Amplification

MAP2K1

(MEK1) Mutation

RFS, %

RFS, %

0

0

20

40

60

80

100

10 20 30 40 50 60

168 94 74 67 51 18 1

14 8 4 4 3

12 12 9 8 6 1

174 155 109 87 62 19

0

0

20

40

60

80

100

10 20 30 40 50 60

172 97 75 69 53 17 1

10 5 3 2 1

10 9 7 6 5 1

1

176 158 111 89 63 19

Months

Months

D+T, no amplification

D+T, amplification

PBO, no amplification

PBO,

amplification

D+T, no amp

D+T, amp

PBO, no amp

PBO, amp

D+T, no mutation

D+T, mutation

PBO, no mutation

PBO, mutation

D+T, no mut

D+T, mut

PBO, no mut

PBO, mut

0 0

0

0

0

0

0

No. at risk

No. at risk

Mutations in MAPK Pathway

RFS, %

0

0

20

40

60

80

100

10 20 30 40 50 60

153 86 68 62 48 17 1

29 16 10 9 6

40 37 24 20 17 3

1

146 130 94 75 51 17

Months

D+T, no mutation

D+T, mutation

PBO, no mutation

PBO, mutation

D+T, no mut

D+T, mut

PBO, no mut

PBO, mut

0

0

0

No. at risk