Chemotherapy, Bevacizumab, and Cetuximab in Metastatic Colorectal Cancer

作者: Jolien Tol , Miriam Koopman , Annemieke Cats , Cees J. Rodenburg , Geert J.M. Creemers

DOI: 10.1056/NEJMOA0808268

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摘要: Background Fluoropyrimidine-based chemotherapy plus the anti–vascular endothelial growth factor (VEGF) antibody bevacizumab is standard first-line treatment for metastatic colorectal cancer. We studied effect of adding anti–epidermal receptor (EGFR) cetuximab to a combination capecitabine, oxaliplatin, and Methods randomly assigned 755 patients with previously untreated cancer (CB regimen, 378 patients) or same regimen weekly (CBC 377 patients). The primary end point was progression-free survival. mutation status KRAS gene evaluated as predictor outcome. Results median survival 10.7 months in CB group 9.4 CBC (P=0.01). Quality-of-life scores were lower group. overall response rates did not differ significantly two groups. Treated ...

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