KRAS status and clinical outcome in metastatic colorectal cancer patients treated with first-line FOLFOX chemotherapy

作者: Terry Mashtare , Marwan Fakih , Maher Saifo , Ila R Tamaskar , Ramkumar Bhuvaneswari

DOI: 10.3978/J.ISSN.2078-6891.2010.022

关键词:

摘要: Background: Two previous first-line studies showed an improved trend in response rate (RR) and progression free survival (PFS) metastatic colorectal cancer (CRC) patients with KRAS mutation. Others have reported a worsened outlook for CRC mutation higher likelihood of disease to the lungs. In this study, we aimed address impact on pattern at presentation RR PFS 5-fluorouracil, leucovorin, oxaliplatin (FOLFOX) chemotherapy. Methods: Patients who underwent testing using DxS assay Roswell Park Cancer Institute (RPCI) were identified. treated FOLFOX +/- bevacizumab assessed RECIST 1.1 guidelines. A two-sided Fisher\'s exact test was used determine statistical significance. Results: 181 83/181 (+/- bevacizumab) setting RPCI evaluable as per study (MT) occurred 40.31% cases. There no difference organ-metastases distribution, (56.60% wild-type (WT) 50% mutant) or (9.3 months WT 8.7 MT) based status. Conclusion: single institute our findings do not support any predictive role KRAS-MT terms chemotherapy, sites mCRC presentation.

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