Primary tumor location is an important predictive factor for wild-type KRAS metastatic colon cancer treated with cetuximab as front-line bio-therapy

Hsueh Ju Lu, Jen Kou Lin, Wei Shone Chen, Jeng Kai Jiang, Shung Haur Yang, Yuan Tzu Lan, Chun Chi Lin, Shih Ching Chang, Hao Wei Teng*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Introduction: Left- and right-sided colon cancers were significantly different in epidemiologic, clinical and histological parameters. However, the impact of primary tumor location in metastatic colon cancer treated with front-line targeted triplet regimens is unclear, particularly in Asian populations. Methods: A total of 121 patients with KRAS exon 2 codon 12/13 wild-type metastatic colon cancer were enrolled between January 2007 and December 2013. All patients received one target agent, such as cetuximab or bevacizumab, as a front-line targeted triplet regimen. The impact of primary tumor location for cetuximab and bevacizumab groups was analyzed, respectively. Results: In cetuximab group, left-sided metastatic colon cancer was superior to right-sided metastatic colon cancer in objective response rate (70.1% vs 33.3%, P = 0.024), progression-free survival (15.0 vs 5.3 months, P < 0.001) and overall survival (35.8 vs 14.4 months, P = 0.031). Primary tumor location was an independent prognostic factor for progression-free survival (hazard ratio 0.240, 95% confidence interval 0.114–0.508, P < 0.001). However, in the bevacizumab group, there were no differences in outcomes for either side. Primary tumor location was insignificant for progression-free survival and overall survival in univariate analysis. Conclusion: Left-sided primary tumors were favored in cetuximab-based front-line targeted triplet regimen for metastatic colon cancer.

Original languageEnglish
Pages (from-to)207-215
Number of pages9
JournalAsia-Pacific Journal of Clinical Oncology
Volume12
Issue number3
DOIs
StatePublished - 1 Sep 2016

Keywords

  • KRAS wild-type
  • cetuximab
  • metastatic colon cancer
  • primary tumor location

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