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Amphiregulin and epiregulin mRNA expression in primary tumors predicts outcome in metastatic colorectal cancer treated with cetuximab
Journal of Clinical Oncology, 09/11/09
Jacobs B et al. – Expression of EGFR ligands in primary tumors significantly predicts outcome in KRAS WT cmCRC treated with cetuximab and irinotecan.
Methods- Gene expression measurements and KRAS mutation analysis were performed on archival formalin-fixed paraffin-embedded primary tumors of 220 cmCRC patients
- Response was measured using RECIST criteria
- Findings were externally validated on a series of 67 samples treated in a similar setting
- In KRAS w/t patients, there was a significant association between log-transformed ligand expression and response for EREG (OR for objective response, 1.90; concordance index [c-index], 0.681) and for AREG (OR for objective response, 1.862; c-index, 0.673)
- Dichotomized ligand expression was significantly associated with PFS and OS
- EREG PFS HR was 0.41 and AREG PFS HR was 0.43
- EREG OS HR was 0.42 and AREG OS HR was 0.40
- There was no predictive power of ligand expression in patients with KRAS mutation
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Metastatic colorectal cancer cells from patients previously treated with chemotherapy are sensitive to T-cell killing mediated by CEA/CD3-bispecific T-cell-engaging BiTE antibody
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Melphalan 200 mg/m2 versus Melphalan 100 mg/m2 in newly diagnosed myeloma patients: A prospective, multi-center phase III study
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