Cetuximab and chemotherapy as initial treatment for metastatic colorectal cancer.

作者: Eric Van Cutsem , Claus-Henning Köhne , Erika Hitre , Jerzy Zaluski , Chung-Rong Chang Chien

DOI: 10.1056/NEJMOA0805019

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摘要: Background We investigated the efficacy of cetuximab plus irinotecan, fluorouracil, and leucovorin (FOLFIRI) as first-line treatment for metastatic colorectal cancer sought associations between mutation status KRAS gene in tumors clinical response to cetuximab. Methods randomly assigned patients with epidermal growth factor receptor–positive unresectable metastases receive FOLFIRI either alone or combination The primary end point was progression-free survival. Results A total 599 received FOLFIRI, alone. hazard ratio survival cetuximab–FOLFIRI group compared 0.85 (95% confidence interval [CI], 0.72 0.99; P=0.048). There no significant difference overall two groups (hazard ratio, 0.93; 95% CI, 0.81 1.07; P=0.31). a interaction ...

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