Kathrin Heinrich, MD, Ludwig-Maximilians-Universität München, Munich, Germany, gives an overview of treatment strategies for third-line and beyond refractory metastatic colorectal cancer, focusing on various options depending on pre-treatment and molecular subtypes. These include trifluridine-tipiracil plus bevacizumab, regorafenib, and the new option of fruquintinib. For RAS wild-type patients, EGFR re-challenge is viable, and in HER2-positive cases, therapies like trastuzumab deruxtecan are considered. Molecular profiling, such as KRAS G12C analysis, will be essential to guide therapy selection. This interview took place at the European Society for Medical Oncology (ESMO) 2024 Congress in Barcelona, Spain.
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