Table 5.
Efficacy results for RAS wild-type CRYSTAL, FIRE-3 and CALGB 80405 cetuximab trial patients, according to tumour location
|
CRYSTAL |
FIRE-3 |
CALGB 80405 |
||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Right-sided tumours N=84 |
Left-sided tumours N=280 |
Right-sided tumours N=88 |
Left-sided tumours N=306 |
Right-sided tumours N=149 |
Left-sided tumours N=325 |
|||||||||
| Parameter | FOLFIRI | FOLFIRI +cetux | FOLFIRI | FOLFIRI +cetux | FOLFIRI +bev | FOLFIRI +cetux | FOLFIRI +bev | FOLFIRI +cetux | CTa+bev | CTa+cetux | CTa+bev | CTa+cetux | ||
| n = 51 | n = 33 | n = 138 | n = 142 | n = 50 | n = 38 | n = 149 | n = 157 | n = 78 | n = 71 | n = 152 | n = 173 | |||
| OS | ||||||||||||||
| Median, months | 15.0 | 18.5 | 21.7 | 28.7 | 23.0 | 18.3 | 28.0 | 38.3 | 29.2 | 13.7 | 32.6 | 39.3 | ||
| HR (95% CI) | 1.08 (0.65–1.81) | 0.65 (0.50–0.86) | 1.31 (0.81–2.11) | 0.63 (0.48–0.85) | 1.36 (0.93–1.99) | 0.77 (0.59–0.99) | ||||||||
| P value | 0.77 | 0.002 | 0.27 | 0.002 | 0.11b | 0.05b | ||||||||
| P value for interaction | 0.09 | 0.01 | 0.02 | |||||||||||
| PFS | ||||||||||||||
| Median, months | 7.1 | 8.1 | 8.9 | 12.0 | 9.0 | 7.6 | 10.7 | 10.7 | 10.2 | 7.5 | 11.2 | 12.7 | ||
| HR (95% CI) | 0.87 (0.47–1.62) | 0.50 (0.34–0.72) | 1.44 (0.92–2.26) | 0.90 (0.71–1.14) | 1.64 (1.15–2.36) | 0.84 (0.66–1.06) | ||||||||
| P value | 0.66 | <0.001 | 0.11 | 0.38 | 0.007b | 0.15b | ||||||||
| P value for interaction | 0.13 | 0.07 | 0.002 | |||||||||||
| ORR | ||||||||||||||
| Rate, % | 33.3 | 42.4 | 40.6 | 72.5 | 50.0 | 52.6 | 61.7 | 68.8 | 39.7 | 42.3 | 57.9 | 69.4 | ||
| Odds ratio (95% CI) | 1.45 (0.58–3.64) | 3.99 (2.40–6.62) | 1.11 (0.48–2.59) | 1.37 (0.85–2.19) | 1.11 (0.61–2.01)b | 1.65 (1.16–2.34)b | ||||||||
| P value | 0.43 | <0.001 | 0.81 | 0.19 | 0.73 | 0.005 | ||||||||
| P value for interaction | 0.06 | 0.67 | 0.26 | |||||||||||
Investigator choice of FOLFIRI/FOLFOX.
Adjusted for treatment arm, protocol chemotherapy, prior adjuvant therapy, prior radiotherapy, age, sex, synchronous disease, in place primary, liver metastases.
Bev, bevacizumab; cetux, cetuximab; CI, confidence interval; CT, chemotherapy; FOLFIRI, fluorouracil, leucovorin and irinotecan; FOLFOX, fluorouracil, leucovorin and oxaliplatin; HR, hazard ratio; ORR, objective response rate; OS, overall survival; PFS, progression-free survival.