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. 2016 Sep 8;13(9):892. doi: 10.3390/ijerph13090892

Table 1.

Studies evaluating the impact of MMR status on the efficacy of 5-FU-based treatment in CRC.

References Analyzed/Total MSI Frequency Disease Stage Treatment Result
Sargent et al. (2010) [53] 457 15% Stage II & III FU/LEV or FU/LV vs. No Treatment Reduced OS in dMMR Tumors Receiving FU-based Adjuvant Therapy (HR, 2.95; 95% CI, 1.02–8.54; p = 0.04)
Jover et al. (2009) [60] 505/754 10.1% Stage II & III 5-FU-based vs. No Treatment Reduced Survival in dMMR Tumors Receiving FU-based Adjuvant Therapy (pMMR Log Rank p = 0.00001; dMMR Log Rank p = 0.7)
Tejpar et al. (2009) [61] 1254/3278 22% stage II
12% stage III
Stage II & III 5-FU/FO vs. 5-FU/FO/CPT-11 Prognostic Effect of dMMR in Patients Treated with 5-FU
Sargent et al. (2008) [62] 341 13.8% Stage II & III 5-FU/LEV, 5-FU/FO vs. No Treatment Reduced OS (pMMR HR, 0.69; p = 0.047; dMMR HR, 1.26; p = 0.68) and DFS (pMMR HR, 0.59; p = 0.004; dMMR HR, 1.41; p = 0.53) in dMMR Tumors Receiving 5-FU-based Adjuvant Therapy
Kim et al. (2007) [56] 542 18.1% Stage II & III FU/LV vs. No Treatment No Difference was Found by dMMR Status.
Westra et al. (2005) [54] 273/391 16% Stage III FU-based Chemotherapy In a Multivariate Model, dMMR Status was not Associated with DFS.
Ribic et al. (2003) [52] 570 16.7% Stage II & III 5-FU-based Chemotherapy vs. No Treatment Reduced OS (pMMR HR, 0.72; p = 0.04; dMMR HR, 1.07; p = 0.80) in dMMR Tumors Receiving 5-FU-based Adjuvant Therapy
Hemminki et al. (2000) [55] 1044 12% Stage III 5-FU-based Chemotherapy Improved RFS in dMMR Tumors (p = 0.020)
Elsaleh et al. (2000) [57] 656 8.5% Stage III 5-FU-based Chemotherapy Better Survival in dMMR Tumors (p = 0.0007)

Abbreviations: dMMR, deficient mismatch repair; CRC, colorectal cancer; 5-FU, 5-fluorouracil; FO, folinic acid; CPT-11, irinotecan; LV, leucovorin; LEV, levamisole; PFS, progression-free survival; HR, hazard ratio; MSI, microsatellite instability; OS, overall survival; DFS, disease-free survival; RFS, recurrence-free survival; pMMR, proficient mismatch repair.