KOL Pulse — Trial Profile

BREAKWATER Trial

BRAF V600E-mutant metastatic colorectal cancer (1L) — Pfizer Inc. (via Array BioPharma) + Eli Lilly (cetuximab)

BRAF V600E-mutant metastatic colorectal cancer (1L)BRAFTOVI + Erbitux + mFOLFOX6/FOLFIRIASCO 2025 (#ASCO25) / ASCO GI 2026 Cohort 3✓ FDA Approved (2026-02)
Visit Interactive Trial Page →

Top KOLs Discussing BREAKWATER

Dr. Cathy Eng
Dr. Cathy Eng
@CathyEngMD
35.8K impressions
Nicholas Hornstein
Nicholas Hornstein
@GIMedOnc
16.3K impressions
Oncology Brothers
Oncology Brothers
@OncBrothers
10.4K impressions
Yakup Ergün
Yakup Ergün
@dr_yakupergun
8.7K impressions
Krishan Jethwa
Krishan Jethwa
@KrishanJethwa
8.3K impressions
Dr Amol Akhade
Dr Amol Akhade
@SuyogCancer
7.6K impressions

BREAKWATER Key Slides & Visuals

Official trial slides and relevant visuals shared by KOLs at ASCO 2025 (#ASCO25) / ASCO GI 2026 Cohort 3. Click any image to expand.

Dr. Cathy Eng
Dr. Cathy Eng @CathyEngMD
BREAKWATER Data
19.2K impressions · 124 likes · Jan 25, 2025
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[Slide 1] Overview of Response by BICR Confirmed ORR by BICR Confirmed Best Overall Response, TTR, and DOR by BICR 100% Odds ratio (95% CI): 2.443 (1.403-4.253) EC + mFOLFOX6 SOC n=110 n=110 One-sided P-value=0.0008 Confirmed best overall response, n (%) 80% 60.9% CR 3 (2.7) 2 (1.8) (51.6%-69.5%) PR 64 (58.2) 42 (38.2) Percentage of patients 40.0% SD 60% 31 (28.2) 34 (30.9) (31.3%-49.3%) Non-CR/non-PD 3 (2.7) 4 (3.6) PD 3 (2.7) 9 (8.2) 40% NE 6 (5.5) 19 (17.3) n=67 n=44 TTR, median (range), weeks 7.1 (5.7-53.7) 7.3 (5.4-48.0) 20% Estimated DOR, median (range), months 13.9 (8.5-NE) 11.1 (6.7-12.7) Patients with a DOR of ≥6 months, n (%) 46 (68.7) 15 (34.1) Patients with a DOR of â¥12 months, n (%) 15 (22.4) 5 (11.4) 0% EC + mFOLFOX6 SOC n=110 n=110 CR PR CR PR Data cutoff: December 22, 2023. BICR, blinded independent central review, CR, complete response; DOR, duration of response; EC, encorafenib plus cetuximab; mFOLFOX6, modified fluorouracil/leucovorin/oxaliplatin; NE, not estimable; PD, progressive disease; PR, partial response; SD, stable disease; SOC, standard of care; TTR, time to response ASCO Gastrointestinal #GI25 PRESENTED BY: Scott Kopetz, MD, PhD ASCO AMERICAN SOCIETY OF CLINICAL ONCOLOGY Cancers Symposium Presentation is property of the author and ASCO Permission required for reuse, contact permissions@asco.org KNOWLEDGE CONQUERS CANCER --- [Slide 2] Interim Overall Survivalᵃ 6-month 12-month 1.0 92.3% 0.9 0.8 87.1% 79.5% 0.7 Probability of Survival 66.1% EC+mFOLFOX6 0.6 0.5 0.4 SOC 0.3 Number of Median Overall Survival, Events, n (%) months (95% CI) 0.2 EC+mFOLFOX6 40 (16.9) NE (19.8-NE) 0.1 SOC 72 (29.6) 14.6 (13.4-NE) Hazard ratio, 0.47 (95% CI, 0.318-0.691) P=0.0000454 0.0 0 6 12 18 24 30 Time (months) No. at risk EC+mFOLFOX6 236 156 81 20 1 0 SOC 243 138 64 14 0 0 Data cutoff: December 22, 2023. OS was tested following the prespecified plan with one-sided alpha of 0.000000083, calculated as a portion of the nominal one-sided alpha of 0.001. Statistical significance was not achieved at this time. EC, encorafenib plus cetuximab; mFOLFOX6, modified fluorouraci/leucovorin/oxaliplatin; NE, not estimable; SOC, standard of care. ASCO Gastrointestinal #GI25 ASCO AMERICAN SOCIETY OF PRESENTED BY: Scott Kopetz, MD, PhD CLINICAL ONCOLOGY Cancers Symposium Presentation is property of the author and ASCO Permission required for reuse, contact permissions@asco.org KNOWLEDGE CONQUERS CANCER
Yakup Ergün
Yakup Ergün @dr_yakupergun
BREAKWATER Data
8.7K impressions · 99 likes · May 30, 2025
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[Slide 1] The NEW ENGLAND OF JOURNA JOURNAL of MEDICINE Q ORIGINAL ARTICLE f X in x Encorafenib, Cetuximab, and mFOLFOX6 in BRAF- Mutated Colorectal Cancer Authors: Elena Elez, M.D., Ph.D., Takayuki Yoshino, M.D., Ph.D., Lin Shen, M.D., Sara Lonardi, M.D., Eric Van Cutsem, M.D., Ph.D., Cathy Eng, M.D., Tae Won Kim, M.D., Ph.D., +13 , for the BREAKWATER Trial Investigators* Author Info & Affiliations Published May 30, 2025 DOI: 10.1056/NEJMoa2501912 Copyright © 2025 --- [Slide 2] A Progression-free Survival Hazard Ratio for Hazard Ratio for Median Disease Progression Disease Progression Progression-free or Death vs. or Death vs. Survival Standard Care EC+mFOLFOX6 (95% CI) (95% CI) (95% CI) mo EC+mFOLFOX6 12.8 (11.2-15.9) 0.53 (0.41-0.68) — P<0.001 Standard Care 7.1 (6.8-8.5) — — EC 100 6.8 (5.7-8.3) 1.09 (0.84-1.42) 2.05 (1.56-2.68) 90 80 Estimated Percentage of Patients 70 Free from Event 60 50 40 EC+mFOLFOX6 30 20 Standard Care 10 EC 0 0 6 12 18 24 30 36 42 Months No. at Risk EC+mFOLFOX6 236 156 96 39 16 4 1 Standard care 243 100 34 11 3 1 0 EC 158 60 24 12 6 3 0 B Subgroup Analysis Standard Hazard Ratio for Disease Progression Subgroup EC+mFOLFOX6 Care or Death (95% CI) no. of events/no. of patients All patients (stratified analysis) 122/236 132/243 0.53 (0.41-0.68) All patients (unstratified analysis) 122/236 132/243 0.51 (0.40-0.65) Age <65 yr 78/150 71/139 0.51 (0.37-0.71) >65 yr 44/86 61/104 0.51 (0.34-0.75) Sex Male 59/123 63/119 0.50 (0.35-0.72) Female 63/113 69/124 0.53 (0.37-0.75) ECOG performance-status score 0 60/131 74/136 0.43 (0.30-0.61) 1 62/105 58/107 0.63 (0.44-0.90) No. of organs involved <2 52/119 66/127 0.40 (0.28-0.58) >3 70/117 66/116 0.64 (0.45-0.90) Location of tumor Left side of colon 51/90 53/98 0.49 (0.33-0.73) Right side of colon 71/146 79/145 0.52 (0.37-0.72) Liver metastases Yes 87/147 86/160 0.60 (0.44-0.81) No 35/89 46/83 0.36 (0.23-0.57) 0.2 1.0 2.0 EC+mFOLFOX6 Standard Care Better Better --- [Slide 3] A Overall Survival Median Hazard Ratio Hazard Ratio Overall for Death vs. for Death vs. Survival Standard Care EC+mFOLFOX6 (95% CI) (95% CI) (95% CI) mo EC+mFOLFOX6 30.3 (21.7-NE) 0.49 (0.38-0.63) — P<0.001 Standard Care 15.1 (13.7-17.7) — — 100 EC 19.5 (17.6-22.5) 0.69 (0.53-0.90) 1.45 (1.08-1.93) 90 80 Estimated Percentage of Patients Alive 70 60 50 EC+mFOLFOX6 40 30 EC 20 Standard Care 10 0 0 6 12 18 24 30 36 42 Months No. at Risk EC+mFOLFOX6 236 216 182 121 48 17 2 0 Standard care 243 202 147 64 27 9 0 0 EC 158 137 107 78 44 16 1 0 B Subgroup Analysis Standard Hazard Ratio for Death Subgroup EC+mFOLFOX6 Care (95% CI) no. of deaths/no. of patients All patients (stratified analysis) 94/236 148/243 0.49 (0.38-0.63) All patients (unstratified analysis) 94/236 148/243 0.48 (0.37-0.62) Age <65 yr 56/150 85/139 0.44 (0.31-0.62) >65 yr 38/86 63/104 0.54 (0.36-0.82) Sex Male 54/123 71/119 0.59 (0.42-0.85) Female 40/113 77/124 0.38 (0.26-0.56) ECOG performance-status score 0 42/131 76/136 0.42 (0.29-0.62) 1 52/105 72/107 0.54 (0.38-0.77) No. of organs involved <2 32/119 66/127 0.39 (0.25-0.59) >3 62/117 82/116 0.52 (0.38-0.73) Location of tumor Left side of colon 38/90 62/98 0.48 (0.32-0.72) Right side of colon 56/146 86/145 0.49 (0.35-0.68) Liver metastases Yes 73/147 104/160 0.58 (0.43-0.78) No 21/89 44/83 0.31 (0.18-0.52) 0.2 1.0 2.0 EC+mFOLFOX6 Standard Care Better Better
Oncology Brothers
Oncology Brothers @OncBrothers
BREAKWATER Data
8.3K impressions · 87 likes · May 30, 2025
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[Slide 1] 2025 ASCO ANNUAL MEETING May 30 — June 3, 2025 McCormick Place | Chicago, IL & Online am.asco.org #ASCO25
Dr Amol Akhade
Dr Amol Akhade @SuyogCancer
BREAKWATER Data
5.5K impressions · 52 likes · May 30, 2025
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[Slide 1] 2 Key Takeaway Points Precision oncology has now fully entered the first-line setting of mCRC, with early combinations tailored to molecular subtypes delivering clinically transformative outcomes: encorafenib + cetuximab + mFOLFOX based on BREAKWATER in BRAF V600E is to be considered practice changing Pause nivolumab + ipilimumab based on Checkmate 8HW in MSI-H is to be considered practice changing Oral Multikinase inhibitors including antiangiogenic properties remain anchored in broader applicability, but the ANCHOR trial of anlotinib + chemotherapy does not shift current standards in 1L RAS/BRAF WT disease 2025 ASCO #ASCO25 PRESENTED BY: Andrea Sartore-Bianchi, MD ASCO AMERICAN SOCIETY OF CLINICAL ONCOLOGY ANNUAL MEETING Presentation is property of the author and ASCO Permission required for reuse contact permissions@@asco.org KNOWLEDGE CONQUERS CANCER --- [Slide 2] 12 The evolution of BRAF targeting in mCRC 2L+ 1L 70 14 O 60 12 50 10 ORR 40 8 PFS 30 O 6 20 4 10 2 vemurafenib EC PI3Kai BEACON ANCHOR BREAKWATER Study Phase/Line Regimen ORR PFS OS Prahallad et al (2012) Preclinical Discovery of EGFR feedback activation - - - Kopetz et al (2015) l/advanced Vemurafenib monotherapy 5% 2.1 mo - Van Geel et al (2017) I/II/advanced Encorafenib + Cetuximab + Alpelisib 18% 4.2 mo - BEACON CRC (2020) III/2L+ Encorafenib + Cetuximab 20% 4.2 mo 8.4 mo ANCHOR CRC (2021) II/1L Encorafenib + Binimetinib + Cetuximab 47.4% 5.8 mo 18.3 mo BREAKWATER (2025) III/1L Encorafenib + Cetuximab + mFOLFOX6 65.7% 12.8 mo 30.3 mo 2025 ASCO #ASCO25 PRE SENTED BY: Andrea Sartore-Bianchi, MD ASCO AMERICAN SOCIETY OF CLINICAL ONCOLOGY ANNUAL MEETING Presentation is property of the author and ASCO Permission required for reuse, contact permissions@asco.org KNOWLEDGE CONQUERS CANCER --- [Slide 3] 22 3501: CheckMate 8HW expanded results Clinical interpretation framework BUT YES, NIVO IPI NIVO (n 352) (n 351) Checkmate All treated patients, n (%) Any grade Grade 3/4 Any grade Grade 3/4 Progression-free survival: NIVO + IPI vs NIVO (all lines) TRAEs* Any TRAEs 285 (81) 78 (22) 249 (71) 50 (14) Centrally confirmed NIVO 100 MSI-M/diam (n = 296) ( - 286) Serious TRAEs 65 (18) 55 (16) 29 (8) 24 (7) Median PFS,' mo NR 19.3 90 12-mo rate 24-mo rate 95% CI 53.8-NE 22.1-NE TRAEs leading to discontinuation 48 (14) 33(9) 21 (6) 14 (4) 36-mo rate 60 76% 71% MR (95% o) elated deaths 2 1)* 1 1)* 67% Progression-free survival (%) 70 rted in 2 10% of patients 60 62% 91 (26) 0 63 (18) 0 50 55% 51% 71 (20) 3 (< 1) 59 (17) 2 (< 1) 40 idism 61 (17) 2 (< 1) 31(9) 0 10 20 58 (16) 2 (< 1) 44 (13) 2 (< 1) 10 42 (12) 1(<1) 35 (10) 1 (< 1) 0 Hyperthyroidism 40 (11) 0 16(5) 0 0 1 5 9 12 15 18 21 24 27 30 13 36 39 42 45 48 51 54 57 60 No. risk Months Arthralgia 38 (11) 1 (<1) 23 (7) 0 NIVO 296 248 234 225 214 207 200 180 164 146 136 134 121 102 100 61 54 29 23 0 0 Rash 34 (10) 3 (< 1) 29(8) 1 1) HIVO 286 210 E 179 169 184 158 141 124 109 " = = 72 19 19 " 15 12 1 0 Adrenal insufficiency 34(10) 8(2) 12(3) 3 (< 1) The long-term benefit of upfront dual ICI justifies the up-front immune-related risk when patients are well selected I ( clinical scores?) and toxicities managed proactively NIVO + IPI should be considered a standard of care option in 1L MSI-H mCRC 2025 ASCO #ASCO25 PRE SENTED BY: Andrea Sartore-Bianchi, MD ASCO AMERICAN SOCIETY OF CLINICAL ONCOLOGY ANNUAL MEETING Presentation is property of the author and ASCO Permission required for reuse, contact permissions@asco.org KNOWLEDGE CONQUERS CANCER --- [Slide 4] 5 The evolution of precision oncology in 1L mCRC Treatment of mCRC slowly progressed from primarily relying on chemotherapy to incorporating targeted therapies and immunotherapy The key advancements that catalyzed the transition of precision oncology into the 1L therapeutic landscape have been RAS selection for anti-EGFR, MMR selection, and histology-specific BRAF, KRAS G12C and HER2 targeting Bevacizumab Panitumumab chemo-sensitive Cetuximab FOLFOX Histology (CRC) - Encorafenib + 5FU 5FU/LV FOLFIRI Capecitabine RAS selection specific targeting cetuximab + CT 1960 1980 2000 2004 2006 2012 2014 2015 2020 2023 2025 Cetuximab Encorafenib + Sotorasib + Regorafenib chemo-refractory Ramucirumab cetuximab Tucatinib + Panitumumab panitumumab trastuzumab Ziv-aflibercept 2025 ASCO #ASCO25 PRESENTED BY: Andrea Sartore-Bianchi, MD ASCO AMERICAN SOCIETY OF CLINICAL ONCOLOGY ANNUAL MEETING Presentation is property of the author and ASCO Permission required for reuse, contact permissions@asco.org KNOWLEDGE CONQUERS CANCER
gilberto lopes
gilberto lopes @GlopesMd
BREAKWATER Data
4.7K impressions · 45 likes · May 30, 2025
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[Slide 1] The NEW ENGLAND 10 JOURNAL of MEDICINE Progression-free Survival 100 90 80 Estimated Percentage of Patients 70 Free from Event 60 50 40 EC+mFOLFOX6 30 20 Standard Care 10 EC 0 0 6 12 18 24 30 36 42 Months ORIGINAL ARTICLE MAY 30, 2025 MEETING OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY Targeted Therapy in BRAF V600E Metastatic Colorectal Cancer E. Elez and Others

BREAKWATER Top Tweets

Top tweets by impressions — click to view on X

Dr. Cathy Eng
Dr. Cathy Eng@CathyEngMD

Results of Phase III BREAKWATER for BRAF V600E MT stage IV tx naive pts fulfilled primary endpoint for ORR (61% vs. 40%) and early trend for OS (add&#x27;l data to follow) defining a NEW standard of care.…

👁 19.2K ♡ 124 ↻ 49 Jan 25, 2025
Nicholas Hornstein
Nicholas Hornstein@GIMedOnc

#ASCO2025
🚨 BREAKWATER OS data lands—and it must redefine 1L standard of care in BRAF V600E-mutant mCRC.

EC + mFOLFOX6 vs SOC (chemo ± bevacizumab):
📊 PFS: 12.8 vs 7.1 mo (HR 0.53, p &lt; 0.0001)
🧬…

👁 12K ♡ 142 ↻ 57 May 30, 2025
Yakup Ergün
Yakup Ergün@dr_yakupergun

#ASCO25 @NEJM
BREAKWATER: Encorafenib + cetuximab + mFOLFOX6 vs standard care in 1L BRAF V600E mCRC

PFS➡️12.8 vs 7.1 mo✅️
OS➡️ 30.3 vs 15.1 mo✅️👏

💥For one of the hardest-to-treat mCRC subtypes,…

👁 8.7K ♡ 99 ↻ 39 May 30, 2025
Oncology Brothers
Oncology Brothers@OncBrothers

Day 1 #ASCO25 highlights:

1. Review on recent approvals

2. #BREAKWATER (update): BRAF+ mCRC

3. #CM8HW (update): MSI-H mCRC

4. #DYNAMIC: ctDNA in colon ca

5. #CAIRO6: periOP Rx in peritoneal…

👁 8.3K ♡ 87 ↻ 34 May 30, 2025
Dr Amol Akhade
Dr Amol Akhade@SuyogCancer

Excellent slides to summarize top gi data from day 1 of #asco25 @ASCO @OncoAlert https://t.co/kedPg1SRtG

👁 5.5K ♡ 52 ↻ 20 May 30, 2025
gilberto lopes
gilberto lopes@GlopesMd

And the fun starts!
From @asco #asco25 press release

Overall survival was 30.3 months in the encorafenib/cetuximab with mFOLFOX6 arm, 19.5 months in the encorafenib/cetuximab alone arm, and 15.1…

👁 4.7K ♡ 45 ↻ 18 May 30, 2025
Suneel Kamath MD
Suneel Kamath MD@SKamath_MD

You don&#x27;t see survival curves like this often in colorectal cancer, let alone for BRAF mutated CRC.
And Median OS: 30.3 vs. 15.1 months. Wow.
What a win for our patients! #ASCO25

👁 4.5K ♡ 60 ↻ 17 May 30, 2025
Krishan Jethwa
Krishan Jethwa@KrishanJethwa

🔥🔥🔥BREAKWATER🔥🔥🔥

BRAF V600E mut #CRC

SOC (FOLFOX) +/- encorafenib + cetuximab

EC + FOLFOX shows:

✅⬆️ORR
✅Strong suggestion of ⬆️OS

🚨EC + FOLFOX is a new SOC‼️

#GI25 @ASCO @OncoAlert

👁 4.4K ♡ 55 ↻ 17 Jan 25, 2025
Pashtoon Kasi MD, MS
Pashtoon Kasi MD, MS@pashtoonkasi

#ASCO25 1st practice changing presentation, which has already been our practice since the initial readout for our patients with #BRAFV600E mutant colorectal cancer.

More options for our patients.👏🏽…

👁 4.4K ♡ 47 ↻ 21 May 30, 2025
Dr. Cathy Eng
Dr. Cathy Eng@CathyEngMD

Along this same theme pls visit Board E10 #GI26 @asco Abs# 122 #Breakwater @PfizerOncMed #BRAFV600E post hoc analysis of EOCRC vs AOCRC:

- Better ORR
BUT
- Shorter OS

Indicating the unmet need…

👁 4.2K ♡ 10 ↻ 3 Jan 10, 2026

About the BREAKWATER Trial

New 1L standard of care for BRAF V600E-mutant mCRC. Near-tripled OS (30.3 vs 15.1 mo, HR 0.49) in a historically aggressive subtype. Cohort 3 (FOLFIRI backbone) is extending evidence to patients with oxaliplatin contraindications.

FDA Approval

FDA APPROVED BRAFTOVI (encorafenib) + Erbitux (cetuximab) — Adult patients with metastatic colorectal cancer with a BRAF V600E mutation, as detected by an FDA-authorized test, in combination with cetuximab and fluorouracil-based chemotherapy (mFOLFOX6 or FOLFIRI)

FDA granted accelerated approval on 2024-12-20 based on ORR/PFS data, followed by traditional approval on 2026-02-24 after mature PFS and OS data.

📄 Source: FDA Press Release →

Trial Methodology & Results

Progression-Free Survival (PFS) — Dual Primary Endpoint

Median PFS was 12.8 months with encorafenib+cetuximab+mFOLFOX6 vs. 7.1 months with standard chemotherapy (HR 0.53, 95% CI 0.41-0.68, P<0.0001). ORR was 61% vs. 40% (odds ratio 2.443).

✓ mPFS 12.8 vs. 7.1 mo (HR 0.53)

📄 Source: KOL commentary on X →

Overall Survival (OS)

Median OS was 30.3 months with EC+mFOLFOX6 vs. 15.1 months with SOC (HR 0.49, 95% CI 0.38-0.63, P<0.0001). Near-tripled median survival in this historically aggressive subtype.


📄 Source →

Safety & Tolerability

Grade ≥3 all-cause AEs occurred in 74.0% with EC+mFOLFOX6 vs. 61.0% with SOC. Grade ≥3 treatment-related AEs: 69.7% vs. 53.9%. Safety consistent with individual component profiles; no unexpected signals. Cutaneous malignancy monitoring per BRAF inhibitor class effect.

Consistent with individual component profiles

📄 Source →

Clinical Implications

New 1L standard of care for BRAF V600E-mutant mCRC. New 1L standard of care for BRAF V600E-mutant mCRC. Near-tripled OS (30.3 vs 15.1 mo, HR 0.49) in a historically aggressive subtype. Cohort 3 (FOLFIRI backbone) is extending evidence to patients with oxaliplatin contraindications.

BREAKWATER in the News

Key KOL Sentiments — BREAKWATER

DoctorSentimentComment
Nicholas Hornstein ● POSITIVE #ASCO2025 🚨 BREAKWATER OS data lands—and it must redefine 1L standard of care in BRAF V600E-mutant mCRC. EC + mFOLFOX6 vs SOC (chemo ± bevacizumab): 📊 PFS: 12.8 vs 7.1 mo (HR 0.53, p &lt; 0.0001) 🧬 OS: 30.3 vs 15.1 mo (HR 0.49, p &lt; 0.0001) ✅ Dual primary endpoints met 🛡️
gilberto lopes ● POSITIVE And the fun starts! From @asco #asco25 press release Overall survival was 30.3 months in the encorafenib/cetuximab with mFOLFOX6 arm, 19.5 months in the encorafenib/cetuximab alone arm, and 15.1 months in the control arm. PFS pic below @NEJM https://t.co/5KqUaIMuFu https://t.co/93DeCxalHK
Suneel Kamath MD ● POSITIVE You don't see survival curves like this often in colorectal cancer, let alone for BRAF mutated CRC. And Median OS: 30.3 vs. 15.1 months. Wow. What a win for our patients! #ASCO25 https://t.co/bTJKDcdRq7
Pashtoon Kasi MD, MS ● POSITIVE #ASCO25 1st practice changing presentation, which has already been our practice since the initial readout for our patients with #BRAFV600E mutant colorectal cancer. More options for our patients.👏🏽 @OncoAlert https://t.co/HMQSlcCkE2
Dr. Cathy Eng ● POSITIVE Great discussion from Dr. Wells Messersmith @CUAnschutz on the impact of #BREAKWATER BRAF V600E MT tumor types, the DEEPER trial (JACCRO CC-13), and Checkmate 8HW. #ASCOGI25 @ASCO #colorectal #cancer #cancerresearch https://t.co/aIJRu7VR6K
Oncology Brothers ● POSITIVE 2. #BREAKWATER: Ph 3, Enco + Cetux + mFOLFOX vs SoC in BRAFV600E mCRC - mPFS improved: 12.8 vs 7.1 mos (HR: 0.53) - mOS improved: 30.3 vs 15.1 mos (HR: 0.49) - Gr≥3 AEs: 46.1% vs 38.9% - This is the new SoC for BRAFV600E. This was @US_FDA approved in December 2024! 3/6 https://t.co/yB5CzeHtAZ https://t.co/sZ8Xra7otI
OncLive.com ● POSITIVE Thank you to @skopetz of @MDAndersonNews for stopping by to discuss exciting results from the BREAKWATER trial of encorafenib plus cetuximab and chemotherapy in CRC. Check back on https://t.co/g5oyjechmx tomorrow for a clip from our interview! @ASCO #GI25 #medtwitter #oncology https://t.co/CNp9ULBBWy
Pashtoon Kasi MD, MS ● POSITIVE @OncoAlert Concurrent publication @NEJM! #ASCO25 1st 🎤drop. Encorafenib, Cetuximab, and mFOLFOX6 in BRAF-Mutated Colorectal Cancer. @OncoAlert https://t.co/d0S5S2XzPa
Nicholas Hornstein ● POSITIVE @UGrewalMD @OncBrothers @TwoOncDocs @TimothyJBrownMD @SuyogCancer @ShaalanBeg @realbowtiedoc @RenoHemonc Yea. New standard of care. Hands down. Already have a few patients on this and they are tolerating much better than I would have guessed with the number of agents they’re on.
Jun Gong ● POSITIVE Dr. Elez @vallhebron @VHIO updated results of BREAKWATER #1L #BRAFV600E MT #mCRC ➡️ PFS 12.8 mos/OS 30.3 mos FOLFOX-EC vs PFS 7. 1 mos/OS 15.1 mos SOC, impressive OS benefit even w/EC access in control arm. Activity shown for EC alone arm as well #ASCO25 @OncoAlert https://t.co/UbQnFNMx28
Dr. Cathy Eng ● NEUTRAL Results of Phase III BREAKWATER for BRAF V600E MT stage IV tx naive pts fulfilled primary endpoint for ORR (61% vs. 40%) and early trend for OS (add'l data to follow) defining a NEW standard of care. #colorectal #cancer @ASCO #ASCOGI25 #colorectal #CancerResearch @NatureMedicine… https://t.co/Wuk3JHDnbA https://t.co/2Ab6ki3ZAl
Yakup Ergün ● NEUTRAL #ASCO25 @NEJM BREAKWATER: Encorafenib + cetuximab + mFOLFOX6 vs standard care in 1L BRAF V600E mCRC PFS➡️12.8 vs 7.1 mo✅️ OS➡️ 30.3 vs 15.1 mo✅️👏 💥For one of the hardest-to-treat mCRC subtypes, this triplet shows substantial survival benefit. https://t.co/dzjsTD9wiF https://t.co/g4sfAfQ0OL
Oncology Brothers ● NEUTRAL Day 1 #ASCO25 highlights: 1. Review on recent approvals 2. #BREAKWATER (update): BRAF+ mCRC 3. #CM8HW (update): MSI-H mCRC 4. #DYNAMIC: ctDNA in colon ca 5. #CAIRO6: periOP Rx in peritoneal mets #OncTwitter @ASCO 1/6 https://t.co/4WaYxe1Cfz
Dr Amol Akhade ● NEUTRAL Excellent slides to summarize top gi data from day 1 of #asco25 @ASCO @OncoAlert https://t.co/kedPg1SRtG
Krishan Jethwa ● NEUTRAL 🔥🔥🔥BREAKWATER🔥🔥🔥 BRAF V600E mut #CRC SOC (FOLFOX) +/- encorafenib + cetuximab EC + FOLFOX shows: ✅⬆️ORR ✅Strong suggestion of ⬆️OS 🚨EC + FOLFOX is a new SOC‼️ #GI25 @ASCO @OncoAlert https://t.co/igbriUKC77 https://t.co/gFSdoLkTEd
Dr. Cathy Eng ● NEUTRAL Along this same theme pls visit Board E10 #GI26 @asco Abs# 122 #Breakwater @PfizerOncMed #BRAFV600E post hoc analysis of EOCRC vs AOCRC: - Better ORR BUT - Shorter OS Indicating the unmet need for #cancerresearch in our #earlyonset #colorectalcancer patients @VUMCDiscoveries https://t.co/AfDcGduOWW
Krishan Jethwa ● NEUTRAL 🚨BREAKWATER🚨 BRAF V600E mut mCRC 🔎 Randomized Encorafenib + Cetuximab (EC) vs. EC + FOLFOX vs. SOC chemo +/- bevacizumab ‼️EC + FOLFOX vs. SOC first report‼️ 🔥EC + FOLFOX has improved response and suggestion of surival benefit🔥 #GI25 @ASCO #CRC https://t.co/McPA4szhub
Nicholas Hornstein ● NEUTRAL BREAKWATER Cohort 3 at #GI26 👀 Presented by @skopetz @ASCO Important context first. This is unlikely to be practice changing in the US, where we generally favor upfront FOLFOX. But in Europe and Canada, FOLFIRI is used upfront a meaningful amount of the time, so these data https://t.co/AvJORelCqy
Daisuke Kotani, MD, Ph.D 小谷 大輔 ● NEUTRAL ASCO-GI 2026, abstr 13 🔷BREAKWATER Cohort 3: 1L EC + FOLFIRI (n = 73) vs FOLFIRI +/- bev (n = 74) in BRAF V600E mut mCRC ◾️ORR: 64.4 vs 39.2%, p = 0.001 ◾️OS: NR in both arms, HR 0.49 (0.24-1.03) 👉Supports EC + FOLFIRI as a potential new SOC, alongside EC + FOLFOX #GI26 @ASCO
Aparna Raj Parikh ● NEUTRAL BREAKWATER Cohort 3 at #GI26 Encorafenib + cetuximab + FOLFIRI 64.4% ORR vs 39.2% with standard chemo in 1st line BRAF V600E mCRC, meeting the primary endpoint and offering a key non‑oxaliplatin option. OS immature but trending https://t.co/YM4WWnB59k
Dr. Cathy Eng ● NEUTRAL Results of cohort 3 #BREAKWATER FOLFIRI + encorafenib + cetuximab for newly dx'd #BRAFV600E MT #colorectal #cancer 👉ORR: 64.4% vs. 39.2% 👉60% with liver mets 👉Premature OS but trend (HR = 0.49); PFS: Pending 👉No dramatic increase in SAE 👉 Therefore, you can use FOLFOX or https://t.co/qyjUvRu3nN
Dr. Cathy Eng ● NEUTRAL For your interest: Abs #122 Here are the post-hoc analyses KM PFS and OS curves for #earlyonset #colorectalcancer vs. #averageonset patients in the original #BREAKWATER trial (FOLFOX+ encorafenib + cetuximab). @PfizerOncMed 👉⬇️Median PFS 10.9 vs. 14M 👉⬇️Median OS 23.8 vs. https://t.co/3QalHbCrmp https://t.co/CeuH6lGSND
Diego Felipe Ballen ● NEUTRAL Two CRC trials to close #GI26. BREAKWATER (FOLFIRI + EC cohort) showed similar efficacy to mFOLFOX + EC, but without neuropathy, potentially practice-changing. COMMIT: Atezo+ Bev + FOLFOX vs Atezo alone. As in ATOMIC, chemo seems to add mainly toxicity in MSI-H disease (No OS). https://t.co/mNjGyPC1jz
The ASCO Post ● NEUTRAL 🩺 BREAKWATER update: First-line encorafenib/cetuximab + FOLFIRI showed higher response rates than chemo alone (64% vs 40%) in pts with BRAF V600E–mutant mCRC, with similar safety—"supporting a potential new SOC." #colorectalcancer @skopetz | #ASCOGI26 🔗 https://t.co/pYH2DXq5ZE https://t.co/6Lh8YNVEoD
S. Daniel Haldar, MD ● NEUTRAL Congrats to @skopetz on FOLFIRI + EC readout from the Ph3 BREAKWATER study. Irinotecan has now entered the chat for first-line BRAF V600E mCRC #GI26 @MDAndersonNews https://t.co/0DzDxUPdSA
Gagan Brar ● NEUTRAL Top 5 #GI26 (not exhaustive) ✅ Abst#476 Lirafugratinib FGFR2+ CCA ✅ Abst#13 BREAKWATER FOLFIRI+EC BRAF v600E mCRC ✅ Abst#14 COMMIT FOLFOX/atezo dMMR mCRC ✅ Abst#20 CRLM liver transplant @cityofhope @curecc @CCAlliance
Sharlene Gill, MD, MPH, MBA, FASCO ● NEUTRAL #GI26 @ASCO @skopetz BREAKWATER Cohort 3 FOLFIRI+/- enco/cetux in 1L BRAFm mCRC n=147 Results consistent with FOLFOX ✅ORR 64% v 39% ✅OS HR 0.49 with median NR No new safety signals ➡️good news esp since we tend to favor FOLFIRI in 🇨🇦 @OncoAlert https://t.co/udeDC032Ru
Arndt Vogel ● NEUTRAL BREAKWATER: Primary analysis of 1L encorafenib + cetuximab + FOLFIRI in BRAF V600E-mutant mCRC #ASCOGI26 👉 ORR: 64 vs 39% 👉 trend for better OS 🧐 High response rates, support EC + FOLFIRI as option in 1l mBRAF CRC @myesmo @ASCO https://t.co/EvifO85sjq
Nieves Martinez Lago MD PhD ● NEUTRAL #GI26 🧬 BREAKWATER – Cohort 3 | 1L BRAF V600E mCRC Encorafenib + cetuximab + FOLFIRI vs FOLFIRI ± bev 📈 ORR: 64% vs 39% (p=0.001) ⚡ Rapid &amp; durable responses ⏳ Early OS signal (HR 0.49) 🛡️ Manageable toxicity, no new signals ➡️ EC + FOLFIRI emerges as a new 1L BRAF V600E https://t.co/M4Q6onfSXn
Dr Amol Akhade ● NEUTRAL 🚨 BREAKWATER Trial at #ASCO25 🧬 1L BRAF V600E-mutant mCRC 📍 EC vs EC+mFOLFOX6 vs SOC 📌 n = 637 | Phase 3 | Global 💥 EC+mFOLFOX6 = New SOC? Let’s break it down 👇 📊 Primary Results: ✅ PFS: 12.8 mo vs 7.1 mo (SOC) HR 0.53 (95% CI 0.41–0.68) 🔥 ✅ OS: 30.3 mo vs 15.1 mo (SOC) https://t.co/QIStIdscvN