Seventeen patients (81%) had Ring Finger Protein 43 (RNF43) alterations, and the majority, eleven patients, was treated with the dual-combination. These 11 patients had a median of 112 days of PFS (range, 1 to 589), with three patients having a PR and one a CR. The six patients with RNF43 alterations that were treated with the triple-combination treatment responded well to treatment and had median PFS of 130 days (120–386).