Table 1.
randomized trials evaluating the prognosis/predictive impact of the mismatch repair status in stage II and III colorectal cancer
References | Tumor stage |
Treatment | MMR status |
Number of patients |
HR for DFS/TTR/RFS (95% CI) |
P value | HR for OS (95% CI) |
P value |
---|---|---|---|---|---|---|---|---|
5-FU-based adjuvant chemotherapy | ||||||||
Sargent et al. (39) (pooled analysis) |
II & III | Surgery alone 5-FU |
pMMR | 436 426 |
0.69 (0.55-0.86) DFS |
0.001 | 0.73 (0.58-0.91) | 0.006 |
Surgery alone 5-FU |
dMMR | 79 86 |
1.61 (0.84-3.10) DFS |
0.15 | 1.58 (0.81-3.09) | 0.18 | ||
Sargent et al. (44) (from ACCENT) |
II | Surgery alone | pMMR dMMR |
244 63 |
0.27 (0.10-0.75) RFS |
0.012 | 0.27 (0.10-0.74) | 0.011 |
5-FU | pMMR dMMR |
920 235 |
0.81 (0.55-1.19) RFS |
0.285 | 0.87 (0.61-1.26) | 0.469 | ||
III | Surgery alone | pMMR dMMR |
277 37 |
0.59 (0.28-1.23) RFS |
0.162 | 0.69 (0.35-1.36) | 0.283 | |
5-FU | pMMR dMMR |
2333 390 |
0.80 (0.66-0.97) RFS |
0.025 | 0.79 (0.65-0.97) | 0.023 | ||
Oxaliplatin-based adjuvant chemotherapy | ||||||||
Gavin et al. (54) (from the NSABP C-07 study) |
II & III | 5-FU 5-FU+oxaliplatin |
pMMR | 635 675 |
0.82 (0.67-1.00) TTR |
0.054 | NA | |
5-FU 5-FU+oxaliplatin |
dMMR | 86 85 |
1.01 (0.45-2.25) TTR |
0.98 | NA | |||
Gavin et al. (54) (from the NSABP C-07 and C-08 studies) |
II & III | 5-FU+oxaliplatin | pMMR dMMR |
806 102 |
0.58 (0.35-0.96) TTR |
0.03 | NA | |
Flejou et al. (45) (from MOSAIC) |
II & III | 5-FU 5-FU+oxaliplatin |
dMMR | 50 40 |
0.52 (0.24-1.14) DFS |
NA | 0.45 (0.19-1.05) | NA |
III | 5-FU 5-FU+oxaliplatin |
dMMR | 28 17 |
0.51 (0.18-1.41) DFS |
NA | 0.44 (0.15-1.34) | NA | |
Sinicrope et al. (67) (from N0147) |
III | 5-FU+oxaiplatin | pMMR dMMR |
2575 329 |
0.82 (0.64-1.04) DFS |
0.106 | 0.83 (0.63-1.09) | 0.182 |
5-FU+oxaiplatin | pMMR dMMR |
2575 329 |
0.71 (0.55-0.93) TTR |
0.014 |
DFS, disease free survival; RFS, recurrence free survival; TTR, time to recurrence; 5-FU, 5-fuluorouracil; HR, hazard ratio; CI, confidence interval; OS, overall survival; MMR, mismatch repair; pMMR, proficient MMR; dMMR, dMMR, deficient MMR; NA, not available