Table 3.
Approved anti-angiogenic agents: main trials results after the first-line.
| Trial (phase) | Line | Treatment arms (n.) | Primary endpoint | PFS | OS | ORR (%) |
|---|---|---|---|---|---|---|
| E3200 (III) [50] | 2nd | FOLFOX4 + bevacizumab (n.286) FOLFOX4 + placebo (n.291) Bevacizumab (n.243) prematurely closed due to futility |
OS | 7.3 m 4.7 m [HR 0.61; 95% CI, 0.51–0.73; p < 0.0001] |
12.9 m 10.8 m [HR 0.75; 95% CI, 0.63–0.89; p = 0.0011] |
22.7 8.6 [p < 0.0001] |
| TML (ML1847) (III) [54] | 2nd | FOLFOX/FOLFIRI + bevacizumab (n.409) FOLFOX/FOLFIRI + placebo (n.411) |
OS | 5.7 m 4.1 m [HR 0.68; 95% CI, 0.59–0.68; p < 0.0001] |
11.2 m 9.8 m [HR 0.81; 95% CI, 0.69–0.94; p = 0.0006] |
5.4 3.9 * |
| VELOUR (III) [16] | 2nd | FOLFIRI + aflibercept (n.612) FOLFIRI + placebo (n.614) |
OS | 6.9 m 4.7 m [HR 0.76; 95% CI, 0.66–0.87; p < 0.0001] |
13.5 m 12.0 m [HR 0.82; 95% CI, 0.71–0.94; p = 0.032] |
19.8 11.1 [p < 0.0001] |
| RAISE (III) [19] | 2nd | FOLFIRI + ramucirumab (n.536) FOLFIRI + placebo (n.536) |
OS | 5.7 m 4.5 m [HR 0.79; 95% CI, 0.70–0.90; p = 0.0005] |
13.5 m 12.0 m [HR 0.82; 95% CI, 0.71–0.94; p = 0.0219] |
13.4 12.5 [p = 0.6336] |
| CORRECT (III) [21] | After 2nd | regorafenib + BSC (n.505) placebo + BSC (n.255) |
OS | 1.9 m 1.7 m [HR 0.49; 95% CI, 0.42–0.58; p < 0.0001] |
6.4 m 5.0 m [HR 0.77; 95% CI, 0.64–0.94; one-sided p = 0.0052] |
1 0.4 [p =0.19] |
C: confidence interval; HR: hazard ratio; m: months; n: number of patients; PFS: progression free survival; ORR: objective response rate; OS: overall survival.
p = not reported.