Abstract | INTRODUCTION: METHODS: An electronic literature search was performed of publications within the past 6 years. The following key words, singly or in combination, were used: KRAS, cetuximab, metastatic colorectal cancer and colorectal liver metastases. All randomized controlled trials and cohort studies were included. RESULTS: Fifteen prospective studies reviewed the clinical application of cetuximab. Seven studies included sub-group analysis of KRAS mutational status, with only one study performed prospectively. Until the MRC COIN trial, the evidence consistently demonstrated cetuximab significantly improved progression-free survival, overall survival and surgical resection rates, especially in KRAS wild-type tumours. However, the MRC COIN trial found cetuximab had no additional benefit when combined with standard chemotherapy. CONCLUSIONS: The literature does not support the routine use of cetuximab as the standard first-line treatment of colorectal liver metastases, rather highlighting the need for the optimization of treatment on an individual basis, especially depending on tumour KRAS status.
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Authors | Claire Jones, Mark A Taylor, Billy McWilliams |
Journal | HPB : the official journal of the International Hepato Pancreato Biliary Association
(HPB (Oxford))
Vol. 15
Issue 1
Pg. 11-7
(Jan 2013)
ISSN: 1477-2574 [Electronic] England |
PMID | 23216774
(Publication Type: Journal Article, Review)
|
Copyright | © 2012 International Hepato-Pancreato-Biliary Association. |
Chemical References |
- Antibodies, Monoclonal
- Antibodies, Monoclonal, Humanized
- Antineoplastic Agents
- KRAS protein, human
- Proto-Oncogene Proteins
- Proto-Oncogene Proteins p21(ras)
- ras Proteins
- Cetuximab
|
Topics |
- Antibodies, Monoclonal
(therapeutic use)
- Antibodies, Monoclonal, Humanized
- Antineoplastic Agents
(therapeutic use)
- Cetuximab
- Chemotherapy, Adjuvant
- Colorectal Neoplasms
(genetics, pathology)
- Disease-Free Survival
- Hepatectomy
- Humans
- Liver Neoplasms
(drug therapy, genetics, mortality, secondary, surgery)
- Mutation
- Neoadjuvant Therapy
- Patient Selection
- Precision Medicine
- Proto-Oncogene Proteins
(genetics)
- Proto-Oncogene Proteins p21(ras)
- Survival Analysis
- Time Factors
- Treatment Outcome
- ras Proteins
(genetics)
|