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. 2011 Jun 21;105(2):255–262. doi: 10.1038/bjc.2011.223

Table 4. Tumour response of patients with KRAS WT (n=54) and KRAS MT (n=10) metastatic or locally advanced colorectal cancer treated with anti-EGFR therapy according to ROC curve based cut-off values of EGFR GCN and chromosome 7 number evaluated by SISH.

  Treatment response
PFS
OS
  Total no. of patients PR SD PD P-value Fisher's exact test PFS time median (days) P-value log-rank test P-value Cox testa HR 95% CI OS time median (days) P-value log-rank test P-value Cox testa HR 95% CI
KRAS WT and MT patients 54                            
KRAS status
  KRAS WT 44 11 (25) 15 (34.1) 18 (40.9) NS 151 0.01 0.01 0.40 0.20–0.84 352 0.3 0.3 0.67 0.32–1.38
  KRAS MT 10 0 3 (30) 7 (70)   81         249        
                               
EGFR GCN status
  EGFR GCN ⩾4.0 34 10 (29.4) 15 (44.1) 9 (26.5) 0.0006 224 <0.0001 <0.0001 0.21 0.10–0.43 483 0.004 0.006 0.41 0.22–0.77
  EGFR GCN <4.0 20 1 (5) 3 (15) 16 (80)   84         134        
                               
KRAS WT patients
EGFR GCN
  ⩾4.0 28 10 (35.7) 13 (46.4) 5 (17.9) 0.0002 244 <0.0001 <0.0001 0.17 0.07–0.39 598 0.001 0.002 0.32 0.16–0.66
  <4.0 16 1 (6.2) 2 (12.5) 13 (81.3)   84         134        
                               
 Chromosome 7 number
  ⩾4.5 24 9 (37.5) 10 (41.7) 5 (20.8) 0.009 214 0.2 0.2 0.67 0.35–1.29 520 0.1 0.1 0.56 0.28–1.13
  <4.5 20 2 (10) 5 (25) 13 (65)   94         225        
                               
KRAS MT patients
EGFR GCN
  ⩾4.0 6 0 2 (33.3) 4 (66.7) NS 94 NS       369 NS      
  <4.0 4 0 1 (25) 3 (75)   77         134        
                               
 Chromosome 7 number
  ⩾4.5 6 0 2 (33.3) 4 (66.7) NS 94 NS       369 NS      
  <4.5 4 0 1 (25) 3 (75)   77         134        

Abbreviations: CI=confidence interval; CR=complete response; EGFR=epidermal growth factor receptor; GCN=gene copy number; HR=hazards ratio; MT=mutated; NS=not significant; OS=overall survival; PD=progressive disease; PFS=progression-free survival; PR=partial response; ROC= receiver operating characteristic; SD=stable disease; SISH=silver in situ hybridisation; WT=wild type.

a

Cox proportional hazards regression model. Treatment response values are given n (%). Significant P-values are shown in bold type.