Final Analysis Of The Phase 2 Apec Study: Overall Survival (Os) Data And Biomarker Subanalyses For First-Line Folfox Or Folfiri With Cetuximab (Cet) Once Every 2 Weeks In Patients (Pts) With Kras Or Ras (Kras And Nras, Exons 2-4) Wild-Type (Wt) Metastatic Colorectal Cancer (Mcrc).

JOURNAL OF CLINICAL ONCOLOGY(2015)

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摘要
566 Background: The Asia-Pacific, multicenter, nonrandomized, phase II APEC study previously reported that first-line therapy for pts with KRAS ex 2 wt mCRC consisting of C once every 2 weeks combined with FOLFOX or FOLFIRI achieved efficacy and safety profiles comparable to those reported in analogous pivotal studies involving weekly C. This final analysis presents OS data from the KRAS wt intent-to-treat (ITT) population, as well as subgroup efficacy analyses stratified by BRAF, PIKC3A, and all RAS mutation status. Methods: Eligible pts received C once every 2 weeks (day 1 of each cycle, 500 mg/m2) with FOLFOX or FOLFIRI (investigator’s choice). Study treatment continued until disease progression, dose-limiting toxicity or consent withdrawal. The primary endpoint was best confirmed overall response as assessed by RECIST 1.0; progression-free survival (PFS) and OS were secondary endpoints. In the evaluable populations, the status of BRAF, PIK3CA, and all RAS mutations was assessed retrospectively by pyro...
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关键词
FOLFOX,FOLFIRI,KRAS,Cetuximab,Population,Neuroblastoma RAS viral oncogene homolog,Colorectal cancer,Clinical endpoint,Oncology,Gynecology,Medicine,Internal medicine
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