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Translational Medicine / 转化医学ANCHOR/BEACON BRAF+MEK CRC, Molecular Subtypes & ctDNA

Scott Kopetz

斯科特·科佩茨

MD, PhD

🏢The University of Texas MD Anderson Cancer Center(德克萨斯大学MD安德森癌症中心)🌐USA

Professor and Deputy Chair, Department of GI Medical Oncology, MD Anderson Cancer CenterMD安德森癌症中心胃肠道肿瘤内科学系教授兼副主任

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Scott Kopetz, MD, PhD is Professor and Deputy Chair of the Department of GI Medical Oncology at MD Anderson Cancer Center. He is one of the most influential translational investigators in colorectal cancer worldwide, combining deep molecular biology expertise with a highly productive clinical trials program. Dr. Kopetz was a principal investigator of the ANCHOR-CRC trial investigating encorafenib plus binimetinib plus cetuximab as first-line therapy in BRAFV600E-mutant mCRC, and has contributed extensively to the BEACON CRC program. He is internationally recognized for his work on consensus molecular subtypes (CMS) in CRC — as a co-developer of the CMS classification system (CMS1–4) that has become the standard molecular taxonomy for colorectal cancer research and is increasingly incorporated into clinical trial design. Dr. Kopetz has also been a pioneer in ctDNA-based minimal residual disease (MRD) detection in stage II–III CRC, demonstrating that post-operative ctDNA positivity predicts recurrence risk and can guide adjuvant therapy decisions. He leads a highly productive laboratory program studying KRAS signaling networks, MEK feedback reactivation, and adaptive resistance in CRC. He has authored more than 350 publications and is an editorial board member of Cancer Cell and the Journal of Clinical Oncology.

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🧪Research Fields 研究领域

BRAF/MEK/EGFR Combination Targeted Therapy in CRC (ANCHOR, BEACON)结直肠癌BRAF/MEK/EGFR联合靶向治疗(ANCHOR、BEACON试验)
Consensus Molecular Subtypes (CMS) Classification in CRC结直肠癌共识分子亚型(CMS)分类
ctDNA Minimal Residual Disease Detection in CRC结直肠癌ctDNA微小残留病灶检测
KRAS and RAS Signaling Biology in CRC结直肠癌KRAS与RAS信号生物学
Comprehensive Molecular Profiling and Biomarker-Driven CRC Trials综合分子谱分析与生物标志物驱动的结直肠癌试验

🎓Key Contributions 主要贡献

ANCHOR-CRC and BEACON — BRAF/MEK/EGFR Targeted Combinations

Served as principal investigator of the ANCHOR-CRC phase II trial evaluating first-line encorafenib plus binimetinib plus cetuximab in BRAFV600E-mutant mCRC, demonstrating a 47.8% objective response rate in a historically chemotherapy-resistant population, and co-led BEACON CRC analyses defining optimal doublet versus triplet regimens and long-term outcome data.

Consensus Molecular Subtypes (CMS) — CRC Molecular Taxonomy Co-Development

Was a co-developer of the Colorectal Cancer Subtyping Consortium (CRCSC) consensus molecular subtypes framework (CMS1–4), which integrated gene expression, genomic, epigenomic, and proteomic data from more than 4,000 CRC samples to define four biologically distinct CRC subtypes with different prognoses, immune phenotypes, and treatment sensitivities — now the standard molecular classification system in CRC research.

ctDNA MRD Detection in Stage II–III CRC — Clinical Utility

Led prospective studies demonstrating that post-surgical ctDNA detection (circulating tumor DNA minimal residual disease) in stage II–III colon cancer identifies patients at high risk of recurrence with greater sensitivity than standard clinicopathological risk factors, and that ctDNA clearance on adjuvant therapy correlates with improved outcomes — establishing ctDNA MRD as a clinically actionable biomarker informing adjuvant treatment decisions.

KRAS Signaling Networks, MEK Feedback, and Adaptive Resistance in CRC

Performed seminal studies demonstrating that KRAS G12C inhibition in CRC (unlike in NSCLC) leads to rapid adaptive feedback reactivation of EGFR signaling, explaining the inferior single-agent efficacy of KRAS G12C inhibitors in CRC versus lung cancer and providing the mechanistic rationale for mandatory combination strategies (KRAS G12C inhibitor + anti-EGFR antibody) that are now the clinical standard.

Representative Works 代表性著作

[1]

Consensus molecular subtypes and the evolution of precision medicine in colorectal cancer

Nature Reviews Cancer (2017)

Comprehensive review of CMS classification in CRC, describing the biology, clinical correlates, and therapeutic implications of CMS1–4 subtypes and their role in trial stratification.

[2]

Encorafenib, binimetinib, and cetuximab in BRAFV600E-mutated colorectal cancer (BEACON CRC)

New England Journal of Medicine (2019)

BEACON CRC phase III trial establishing encorafenib-based targeted combinations as standard of care in BRAFV600E-mutant mCRC with improved OS and response versus standard chemotherapy.

[3]

Circulating tumor DNA analysis detects minimal residual disease and predicts recurrence in patients with stage II colon cancer

Science Translational Medicine (2016)

Landmark study demonstrating that post-surgical ctDNA positivity predicts recurrence in stage II colon cancer with high sensitivity, establishing the clinical utility of ctDNA MRD testing.

[4]

Adagrasib with or without cetuximab in colorectal cancer with mutated KRAS G12C

New England Journal of Medicine (2023)

KRYSTAL-1 cohort demonstrating markedly higher response rates with adagrasib plus cetuximab versus adagrasib monotherapy in KRAS G12C-mutant mCRC, supporting the EGFR feedback combination approach.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Young Investigator Award — Gastrointestinal Oncology
🏆NCI Outstanding Investigator Award (R35)
🏆MD Anderson Cancer Center Distinguished Scientist Award
🏆Cancer Cell Editorial Board Member
🏆CRC Subtyping Consortium (CRCSC) Founding Investigator

📄Data Sources 数据来源

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

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