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clinical / clinicalCRYSTAL/PRIME Trials, RAS Testing & Anti-EGFR CRC

Eric Van Cutsem

埃里克·范·库特森

MD, PhD

🏢University Hospitals Leuven / KU Leuven(鲁汶大学医院 / 鲁汶天主教大学)🌐Belgium

Head, Department of Digestive Oncology, University Hospitals Leuven; Professor, KU Leuven鲁汶大学医院消化肿瘤科主任;鲁汶天主教大学教授

118
h-index
4
Key Papers
5
Awards
4
Key Contributions

👥Biography 个人简介

Eric Van Cutsem, MD, PhD is Head of the Department of Digestive Oncology at University Hospitals Leuven and Professor at KU Leuven in Belgium. He is one of the most prolific and globally influential clinical investigators in gastrointestinal oncology, having led or co-led landmark trials that shaped the current treatment paradigm for metastatic colorectal cancer. Dr. Van Cutsem was the principal investigator of the CRYSTAL trial, which first established that adding cetuximab to FOLFIRI in first-line metastatic CRC significantly improved progression-free survival and response rate — and that this benefit was tightly restricted to patients with KRAS wild-type tumors, cementing KRAS testing as a mandatory biomarker. He subsequently co-led the PRIME trial with Douillard, confirming that extended RAS (all KRAS and NRAS mutations) testing is required before anti-EGFR therapy. Dr. Van Cutsem has also led studies on bevacizumab, aflibercept, ramucirumab, and combination maintenance strategies in mCRC. He has authored more than 700 peer-reviewed publications and is among the most highly cited oncologists in the world, with an h-index exceeding 115. He has served as Editor-in-Chief of Annals of Oncology and is a member of multiple international guideline panels.

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🧪Research Fields 研究领域

CRYSTAL Trial — Cetuximab plus FOLFIRI in First-Line mCRCCRYSTAL试验——西妥昔单抗联合FOLFIRI一线治疗转移性结直肠癌
RAS Mutation Testing as Mandatory Biomarker for Anti-EGFR SelectionRAS突变检测作为抗EGFR选择的必检生物标志物
PRIME Trial — Panitumumab in RAS Wild-Type mCRCPRIME试验——RAS野生型转移性结直肠癌帕尼单抗治疗
Comprehensive CRC Treatment Sequence and Guidelines全面的结直肠癌治疗序列与指南
Hepatic Metastases and Conversion Therapy in CRC结直肠癌肝转移与转化治疗

🎓Key Contributions 主要贡献

CRYSTAL Trial — Cetuximab + FOLFIRI First-Line Standard in KRAS Wild-Type mCRC

Led the CRYSTAL phase III trial demonstrating that cetuximab added to FOLFIRI chemotherapy significantly improved progression-free survival (8.9 vs 8.0 months) and response rate in first-line metastatic CRC, with the benefit restricted to patients with KRAS wild-type tumors, establishing KRAS testing as the foundational biomarker for anti-EGFR therapy selection in mCRC.

Extended RAS Testing Validation and PRIME Trial Co-Leadership

Co-led the PRIME trial analyses demonstrating that extended RAS testing (encompassing KRAS and NRAS exons 2, 3, 4) identifies a larger group of patients (approximately 15% of KRAS exon 2 wild-type) who do not benefit from and may be harmed by panitumumab, establishing the current international standard requiring extended RAS testing before any anti-EGFR therapy.

Anti-VEGF Therapy Landscape — Bevacizumab, Aflibercept, and Ramucirumab in mCRC

Led or co-led multiple pivotal trials evaluating VEGF-targeting agents in metastatic CRC, including foundational bevacizumab studies, the VELOUR trial establishing aflibercept plus FOLFIRI as a second-line option, and the RAISE trial for ramucirumab, providing comparative evidence for anti-VEGF agent selection across lines of therapy.

Conversion Therapy and Resectability of Liver-Only Metastases

Has been a leading voice on conversion therapy strategies in initially unresectable liver-only metastatic CRC, emphasizing that the selection of high-response-rate first-line regimens (including anti-EGFR in RAS/RAF wild-type patients with left-sided tumors) can convert a proportion of patients to resectability with curative intent — contributing to ESMO consensus guidelines on this approach.

Representative Works 代表性著作

[1]

Cetuximab and chemotherapy as initial treatment for metastatic colorectal cancer (CRYSTAL)

New England Journal of Medicine (2009)

CRYSTAL trial demonstrating significant PFS and response rate improvement with cetuximab added to FOLFIRI in KRAS wild-type first-line metastatic CRC, founding the biomarker-driven anti-EGFR paradigm.

[2]

Aflibercept versus placebo in combination with fluorouracil, leucovorin and irinotecan in the treatment of previously treated metastatic colorectal cancer (VELOUR)

Journal of Clinical Oncology (2012)

VELOUR phase III trial establishing aflibercept plus FOLFIRI as a second-line option in metastatic CRC after oxaliplatin-based therapy failure.

[3]

Metastatic colorectal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up

Annals of Oncology (2023)

Current ESMO guidelines for metastatic CRC covering molecular testing, treatment algorithms, sequencing strategies, and emerging therapies including HER2, BRAF, and KRAS G12C inhibitors.

[4]

Bevacizumab in combination with oxaliplatin, fluorouracil, and leucovorin (FOLFOX4) for previously treated metastatic colorectal cancer: results from the Eastern Cooperative Oncology Group Study E3200

Journal of Clinical Oncology (2007)

E3200 trial demonstrating bevacizumab plus FOLFOX4 improved OS in second-line metastatic CRC, expanding anti-VEGF therapy indications.

🏆Awards & Recognition 奖项与荣誉

🏆ESMO Lifetime Achievement Award in GI Oncology
🏆Annals of Oncology Editor-in-Chief (2011–2020)
🏆Belgian Royal Academy of Medicine Fellow
🏆AACR Distinguished Lectureship in Cancer Research
🏆European Society of Digestive Oncology (ESDO) Founding President

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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