This invention relates, e.g., to a method for predicting the prognosis, the likelihood of
metastasis in, or the desirability of administering an aggressive therapy to, a subject with
colorectal cancer, comprising determining, in a sample from the subject, the level of
phosphorylation compared to a positive and / or negative reference standard, of one or more of: (a) AKT (S473); (b) BAD (S112); (c) cABL (T735); (d) ERK (T42 / 44); (e) MARCKS (S152-156); (0 p38MAPK (T180-182): (g) STAT 1 (Y701 ); (h)
PTEN (S380); (i) EGFR (Y992); (j) PAK 1 / 2 (S 1 19 / 204); or (k) PKC zeta /
lambda (T410-403); or the total amount of (1) COX-2
protein; wherein if the level of
phosphorylation of one or more of a-i or the total amount of COX-2
protein (1) is elevated compared to the negative reference standard, and / or if the level of
phosphorylation of j or k is decreased compared to the positive reference standard, the subject has
poor prognosis, is likely to undergo
metastasis, and / or is a good candidate for aggressive therapy. Also described are methods for treating subjects likely to develop metastatic colorectal
carcinoma, and pharmaceutical compositions and kits for implementing methods of the invention.