A 60-year old mCRC patient with obstructive colon cancer in the left flexur and multiple liver metastases,...NGS sequencing revealed the presence of a candidate gene fusion transcript: NTRK1-TP53 (Chr1:156843781-Chr17:7572360)...The patient started oral larotrectinib at 100 mg twice daily and has been enrolled in an observational registry trial (GASTRY) to monitor the effect of targeted therapy...Restaging CT scans, performed six weeks later, demonstrated a RECIST partial response. At this moment the patient is still on treatment and continues to be followed up with an ongoing PR and no significant treatment-related toxicities.