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Open Access 01-11-2008 | Review and Perspective

KRAS mutation testing for predicting response to anti-EGFR therapy for colorectal carcinoma: proposal for an European quality assurance program

Authors: J. H. J. M. van Krieken, A. Jung, T. Kirchner, F. Carneiro, R. Seruca, F. T. Bosman, P. Quirke, J. F. Fléjou, T. Plato Hansen, G. de Hertogh, P. Jares, C. Langner, G. Hoefler, M. Ligtenberg, D. Tiniakos, S. Tejpar, G. Bevilacqua, A. Ensari

Published in: Virchows Archiv | Issue 5/2008

Abstract

Novel therapeutic agents targeting the epidermal growth factor receptor (EGFR) have improved outcomes for patients with colorectal carcinoma. However, these therapies are effective only in a subset of patients. Activating mutations in the KRAS gene are found in 30–40% of colorectal tumors and are associated with poor response to anti-EGFR therapies. Thus, KRAS mutation status can predict which patient may or may not benefit from anti-EGFR therapy. Although many diagnostic tools have been developed for KRAS mutation analysis, validated methods and standardized testing procedures are lacking. This poses a challenge for the optimal use of anti-EGFR therapies in the management of colorectal carcinoma. Here we review the molecular basis of EGFR-targeted therapies and the resistance to treatment conferred by KRAS mutations. We also present guideline recommendations and a proposal for a European quality assurance program to help ensure accuracy and proficiency in KRAS mutation testing across the European Union.

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Title: KRAS mutation testing for predicting response to anti-EGFR therapy for colorectal carcinoma: proposal for an European quality assurance program
Authors: J. H. J. M. van Krieken
A. Jung
T. Kirchner
F. Carneiro
R. Seruca
F. T. Bosman
P. Quirke
J. F. Fléjou
T. Plato Hansen
G. de Hertogh
P. Jares
C. Langner
G. Hoefler
M. Ligtenberg
D. Tiniakos
S. Tejpar
G. Bevilacqua
A. Ensari
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: Virchows Archiv / Issue 5/2008
Print ISSN: 0945-6317
Electronic ISSN: 1432-2307
DOI: https://doi.org/10.1007/s00428-008-0665-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

KRAS mutation testing for predicting response to anti-EGFR therapy for colorectal carcinoma: proposal for an European quality assurance program

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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