RT Journal Article T1 Patient profiles as an aim to optimize selection in the second line setting: the role of aflibercept. A1 González Astorga, B A1 Salvà Ballabrera, F A1 Aranda Aguilar, E A1 Élez Fernández, E A1 García-Alfonso, P A1 González Flores, E A1 Vera García, R A1 Fernández Montes, A A1 López Muñoz, A M A1 Salud Salvia, A K1 Aflibercept K1 BRAF K1 Colorectal cancer K1 Metastatic K1 Mutation K1 Patient profile K1 Patient selection K1 RAS K1 Treatment AB Colorectal cancer is the second leading cause of cancer-related death worldwide. For metastatic colorectal cancer (mCRC) patients, it is recommended, as first-line treatment, chemotherapy (CT) based on doublet cytotoxic combinations of fluorouracil, leucovorin, and irinotecan (FOLFIRI) and fluorouracil, leucovorin, and oxaliplatin (FOLFOX). In addition to CT, biological (targeted agents) are indicated in the first-line treatment, unless contraindicated. In this context, most of mCRC patients are likely to progress and to change from first line to second line treatment when they develop resistance to first-line treatment options. It is in this second line setting where Aflibercept offers an alternative and effective therapeutic option, thought its specific mechanism of action for different patient's profile: RAS mutant, RAS wild-type (wt), BRAF mutant, potentially resectable and elderly patients. In this paper, a panel of experienced oncologists specialized in the management of mCRC experts have reviewed and selected scientific evidence focused on Aflibercept as an alternative treatment. YR 2021 FD 2021-02-25 LK http://hdl.handle.net/10668/17231 UL http://hdl.handle.net/10668/17231 LA en DS RISalud RD Apr 8, 2025