Health-related quality of life in patients with metastatic colorectal cancer, association with systemic inflammatory response and RAS and BRAF mutation status

作者: Maria Thomsen , Marianne Grønlie Guren , Eva Skovlund , Bengt Glimelius , Marianne Jensen Hjermstad

DOI: 10.1016/J.EJCA.2017.04.026

关键词: Health related quality of lifeOncologyMutationIn patientMedicineChemotherapyCetuximabInternal medicineQuality of lifeCancerColorectal cancer

摘要: Abstract Background The aim of this study was to evaluate the effect cetuximab on health-related quality life (HRQoL) in NORDIC-VII trial metastatic colorectal cancer (mCRC), and assess HRQoL relation RAS BRAF mutation status inflammatory biomarkers. Patient methods assessed using European Organisation for Research Treatment Cancer Quality Life Questionnaire Core 30 (QLQ-C30) at baseline, after every fourth cycle chemotherapy, end treatment. during 12 cycles chemotherapy evaluated over time, compared between treatment arms, association with tumour markers. Results QLQ-C30 completed by 512 patients (90%) before start variables were well balanced across arms no statistically significant differences seen. Patients -mutated tumours reported poorer baseline subsequent time points than or / wild-type tumours. high serum interleukin-6 (IL-6) C-reactive protein (CRP) had markedly impaired normal levels. There a reduction IL-6 CRP levels improvement from 4. Conclusion addition did not affect mCRC patients. have both worse prognosis poor HRQoL. associations systemic markers reduced suggest that might benefit anti-inflammatory

参考文章(40)
Halfdan Sorbye, Anca Dragomir, Magnus Sundström, Per Pfeiffer, Ulf Thunberg, Monica Bergfors, Kristine Aasebø, Geir Egil Eide, Fredrik Ponten, Camilla Qvortrup, Bengt Glimelius, High BRAF Mutation Frequency and Marked Survival Differences in Subgroups According to KRAS/BRAF Mutation Status and Tumor Tissue Availability in a Prospective Population-Based Metastatic Colorectal Cancer Cohort PLOS ONE. ,vol. 10, ,(2015) , 10.1371/JOURNAL.PONE.0131046
Andrew Rowland, Mafalda M Dias, Michael D Wiese, Ganessan Kichenadasse, Ross A McKinnon, Christos S Karapetis, Michael J Sorich, Meta-analysis of BRAF mutation as a predictive biomarker of benefit from anti-EGFR monoclonal antibody therapy for RAS wild-type metastatic colorectal cancer. British Journal of Cancer. ,vol. 112, pp. 1888- 1894 ,(2015) , 10.1038/BJC.2015.325
D Osoba, G Rodrigues, J Myles, B Zee, J Pater, Interpreting the significance of changes in health-related quality-of-life scores. Journal of Clinical Oncology. ,vol. 16, pp. 139- 144 ,(1998) , 10.1200/JCO.1998.16.1.139
James H. Park, David G. Watt, Campbell S. D. Roxburgh, Paul G. Horgan, Donald C. McMillan, Colorectal Cancer, Systemic Inflammation, and Outcome: Staging the Tumor and Staging the Host Annals of Surgery. ,vol. 263, pp. 326- 336 ,(2016) , 10.1097/SLA.0000000000001122
L Bennett, Z Zhao, B Barber, X Zhou, M Peeters, J Zhang, F Xu, J Wiezorek, J-Y Douillard, Health-related quality of life in patients with metastatic colorectal cancer treated with panitumumab in first- or second-line treatment British Journal of Cancer. ,vol. 105, pp. 1495- 1502 ,(2011) , 10.1038/BJC.2011.409
Donald C. McMillan, Joseph E. M. Crozier, Khalid Canna, Wilson J. Angerson, Colin S. McArdle, Evaluation of an inflammation-based prognostic score (GPS) in patients undergoing resection for colon and rectal cancer. International Journal of Colorectal Disease. ,vol. 22, pp. 881- 886 ,(2007) , 10.1007/S00384-006-0259-6
Filippo Pietrantonio, Fausto Petrelli, Andrea Coinu, Maria Di Bartolomeo, Karen Borgonovo, Claudia Maggi, Mary Cabiddu, Roberto Iacovelli, Ilaria Bossi, Veronica Lonati, Mara Ghilardi, Filippo de Braud, Sandro Barni, Predictive role of BRAF mutations in patients with advanced colorectal cancer receiving cetuximab and panitumumab: a meta-analysis European Journal of Cancer. ,vol. 51, pp. 587- 594 ,(2015) , 10.1016/J.EJCA.2015.01.054
Christina Therkildsen, Troels K. Bergmann, Tine Henrichsen-Schnack, Steen Ladelund, Mef Nilbert, The predictive value of KRAS, NRAS, BRAF, PIK3CA and PTEN for anti-EGFR treatment in metastatic colorectal cancer: A systematic review and meta-analysis Acta Oncologica. ,vol. 53, pp. 852- 864 ,(2014) , 10.3109/0284186X.2014.895036
Heike Knüpfer, Rainer Preiss, Serum interleukin-6 levels in colorectal cancer patients--a summary of published results. International Journal of Colorectal Disease. ,vol. 25, pp. 135- 140 ,(2010) , 10.1007/S00384-009-0818-8