Safety and efficacy of encorafenib, binimetinib, and cetuximab for BRAFV600E-mutant metastatic colorectal cancer: Results of the Japanese expanded access program

Abstract

Background

The phase 3 BEACON CRC study demonstrated the survival benefits of encorafenib and cetuximab, with or without binimetinib (the BEACON triplet or doublet regimen), for BRAF^V600E-mutant metastatic colorectal cancer (mCRC). This expanded access program (EAP) and subsequent follow-up study assessed the efficacy and safety of the BEACON triplet regimen in Japanese patients with BRAF^V600E-mutant mCRC.

Methods

The EAP was an open-label, single-arm study including Japanese patients with BRAF^V600E-mutant mCRC whose disease progressed after 1–2 prior regimens. The patients received the BEACON triplet regimen with 28-day cycles. The subsequent follow-up study assessed the survival outcomes following EAP completion. Safety was assessed only during the EAP.

Results

Among the 86 enrolled patients, 81 received the BEACON triplet regimen. The objective response rate and median progression-free survival were 27.6% (95% confidence interval [CI], 18.0%–39.1%) and 5.26 (95% CI, 4.14–5.52) months, respectively. Grade 3–4 adverse events and treatment-related adverse events occurred in 43.2% and 28.4% of patients, respectively. No new safety signals were observed during the EAP. Among 58 patients with confirmed survival at EAP completion, 57 were included in the follow-up study. With a median observation period of 9.17 months through the EAP and follow-up study, the median overall survival was 10.38 (95% CI, 9.00–16.16) months.

Conclusions

The efficacy and safety of the BEACON triplet regimen in Japanese patients with BRAF^V600E-mutant mCRC were consistent with those reported in the BEACON CRC trial, supporting its use as a standard treatment for pretreated patients with BRAF^V600E-mutant mCRC.

Micro Abstract

Encorafenib, cetuximab and binimetinib (BEACON triplet regimen) extended survival of BRAF^V600E-mutant metastatic colorectal cancer (mCRC); however, its benefits in Japanese patients have remained inconclusive. This study evaluated the efficacy and safety of the BEACON triplet regimen in Japanese patients. The overall results were consistent with the previous trial, supporting its use as a standard treatment for patients with BRAF^V600E-mutant mCRC.