Cetuximab Might Be Detrimental to Metastatic Colorectal Cancer Patients with KRAS Codon 12 Mutations

Anti-epidermal growth factor receptor (EGFR) monoclonal antibodies benefit patients with wild-type KRAS exon 2 metastatic colorectal cancer (mCRC). However, their effect in KRAS-mutant mCRC remains unclear. This was a retrospective study enrolling 163 patients with unresectable KRAS-mutant mCRC diag...

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Veröffentlicht in:Anticancer research 2015-07, Vol.35 (7), p.4207-4214
Hauptverfasser: Liang, Yi-Hsin, Lin, Yu-Lin, Liau, Jau-Yu, Tsai, Jia-Huei, Liang, Jin-Tung, Lin, Been-Ren, Hung, Ji-Shiang, Tseng, Li-Hui, Lin, Liang-In, Chang, Yih-Leong, Cheng, Ann-Lii, Yeh, Kun-Huei
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container_end_page 4214
container_issue 7
container_start_page 4207
container_title Anticancer research
container_volume 35
creator Liang, Yi-Hsin
Lin, Yu-Lin
Liau, Jau-Yu
Tsai, Jia-Huei
Liang, Jin-Tung
Lin, Been-Ren
Hung, Ji-Shiang
Tseng, Li-Hui
Lin, Liang-In
Chang, Yih-Leong
Cheng, Ann-Lii
Yeh, Kun-Huei
description Anti-epidermal growth factor receptor (EGFR) monoclonal antibodies benefit patients with wild-type KRAS exon 2 metastatic colorectal cancer (mCRC). However, their effect in KRAS-mutant mCRC remains unclear. This was a retrospective study enrolling 163 patients with unresectable KRAS-mutant mCRC diagnosed at the National Taiwan University Hospital between 2007 and 2011. The median overall survival (mOS) was 29.5 months in patients who had never used cetuximab and 19.0 months in those who had (p=0.040). The mOS was 32.0 months in patients with mutant KRAS codon 12 who had never used cetuximab and 17.5 months in those who had (p=0.017). In patients with mutant KRAS codon 13, the mOS was not significantly different. Univariate and multivariate Cox proportional hazards analysis revealed that absence of cetuximab treatment was an independent prognostic factor for longer mOS in patients with unresectable KRAS-mutant mCRC. Cetuximab usage might be detrimental to patients with mCRC with mutant KRAS codon 12.
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However, their effect in KRAS-mutant mCRC remains unclear. This was a retrospective study enrolling 163 patients with unresectable KRAS-mutant mCRC diagnosed at the National Taiwan University Hospital between 2007 and 2011. The median overall survival (mOS) was 29.5 months in patients who had never used cetuximab and 19.0 months in those who had (p=0.040). The mOS was 32.0 months in patients with mutant KRAS codon 12 who had never used cetuximab and 17.5 months in those who had (p=0.017). In patients with mutant KRAS codon 13, the mOS was not significantly different. Univariate and multivariate Cox proportional hazards analysis revealed that absence of cetuximab treatment was an independent prognostic factor for longer mOS in patients with unresectable KRAS-mutant mCRC. 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subjects Adult
Aged
Aged, 80 and over
Antibodies, Monoclonal, Humanized - therapeutic use
Antineoplastic Agents - therapeutic use
Cetuximab
Codon - genetics
Colorectal Neoplasms - drug therapy
Colorectal Neoplasms - genetics
Female
Humans
Male
Middle Aged
Mutation - genetics
Neoplasm Metastasis - genetics
Prognosis
Proto-Oncogene Proteins - genetics
Proto-Oncogene Proteins p21(ras)
ras Proteins - genetics
Retrospective Studies
Taiwan
Young Adult
title Cetuximab Might Be Detrimental to Metastatic Colorectal Cancer Patients with KRAS Codon 12 Mutations
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