A Randomized Phase Ii Study To Investigate The Deepness Of Response (Dpr) Of Folfoxiri Plus Cetuximab (Erbitux) Versus Folfoxiri Plus Bevacizumab As The First-Line Therapy In Metastatic Colorectal Cancer (Mcrc) Patients With Ras Wild-Type Tumors: Deeper.

JOURNAL OF CLINICAL ONCOLOGY(2017)

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摘要
TPS818Background: The FIRE-3 study proved that early tumor shrinkage (ETS) and DpR were superior with FOLFIRI plus cetuximab (cet) compared to bevacizumab (bev) in mCRC patients with RAS wild-type tumors (Stintzing S, et al. Lancet Oncol 2016). A retrospective analysis of treatment groups between FOLFOXIRI plus anti-EGFR antibody and bev showed significantly better DpR and ETS in the anti-EGFR antibody group (48.6% vs. 37.8% for the median DpR; 40.8% vs. 26.4% for the median ETS)(Salvatore L, et al. ESMO 2014). However, there have been few studies comparing cet with bev in combination with the FOLFOXIRI regimen used as a platform. Therefore, it is great interest to investigate whether cet will be more beneficial than bev when combined with the triplet regimen as a promising treatment option. Methods: Key eligibility criteria are as follows: histologically proven unresectable metastatic/recurrent CRC; RAS wild-type tumors; patients who have not received any prior chemotherapies or patients with relapse aft...
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