Skip to main content

Table 1 KRAS and treatment response to Cetuximab or Panitumumab in previously treatment patients with colorectal cancer.

From: Individualized therapies in colorectal cancer: KRAS as a marker for response to EGFR-targeted therapy

Study

Treatments

KRAS

N (%)

RR, N (%)

TTP (months)

OS (months)

Remarks

Cetuximab Studies

       

Moroni, 2005

CTX = 12

WT

16

6 (38%)

NA

NA

KRAS MT has worse RR.

 

CTX + IRI = 9

MT

5 (24%)

0 (0%)

NA

NA

 

Lievre, 2006a

CTX = 1

WT

17

11 (36.7%)

NA

16.3

KRAS MT has worse RR and OS.

 

CTX + IRI = 25

MT

13 (43.3%)

0

NA

6.9

 
 

CTX + FOLFIRI = 4

      

Benvenuti, 2007

CTX = 12

WT

32

10 (31.3%)

NAb

NA

KRAS MT has worse RR and TTP.b

 

CTX + IRI = 11

MT

16 (33.3%)

1 (6.3%)

NAb

NA

 

Finocchiaro, 2007

CTX = 5

WT

49

13 (26.5%)

6.1

10.8

KRAS MT has worse RR, TTP, and OS.

 

CTX + IRI = 77

MT

32 (39.5%)

2 (6.3%)

3.7

8.3

 
 

CTX + OX = 3

      

Di Fiore, 2007

CTX + IRI/OX

WT

37

12 (32.4%)

5.5

NA

KRAS MT has worse RR and TTP.

  

MT

22 (37.3%)

0

3.o

NA

 

Khambata-Ford, 2007

CTX

WT

50

6 (12%)

2.0

NA

KRAS MT has worse RR.

  

MT

30 (37.5%)

0

2.0

NA

 

Lievre, 2008a

CTX = 2

WT

65

26 (40.0%)

7.9

14.3

KRAS MT has worse RR, TTP, and OS.

 

CTX + IRI = 78

MT

24 (27.0%)

0

2.5

10.1

 
 

CTX + FOLFIRI = 9

      

DeRoock, 2008

CTX = 30

WT

67

27 (40.9%)

6.0

10.8

KRAS MT has worse RR, TTP, and OS.

 

CTX + IRI = 83

MT

46 (40.7%)

0

3.0

6.8

 

Tejpar, et al. 2008

CTX + IRI

WT

62

NA

NA

11.5

KRAS WT has worse OS.

  

MT

33 (35%)

NA

NA

4.2

 

Stoehlmacher, 2008

CTX + IRI/OX

WT

22

NA

NA

NA

KRAS WT did not respond.

  

MT

8 (26%)

0

NA

NA

 

Tejpar, et al. 2008a

IRI + CTX standard dose

WT

23

7 (30.4%)

NA

NA

KRAS MT has worse RR.

  

MT

20 (44.4%)

0

NA

NA

 
 

IRI + CTX escalated dose

WT

31

13 (41.9%)

NA

NA

Escalated dose did not overcome KRAS MT.

  

MT

12 (27.3%)

0

NA

NA

 

Karapetis, et al. 2008

CTX

WT

117

15 (12.8%)

3.7

9.5

CTX also improved quality of life in KRAS WT patients.

  

MT

81 (40.9%)

1 (1.2%)

1.8

4.5

 
 

BSC

WT

113

NA

1.9

4.8

 
  

MT

83 (42.3%)

NA

1.8

4.6

 

Panitumumab Studies

       

Moroni, 2005

PAN

WT

5

2 (40%)

NA

NA

KRAS MT did not have impact on response.

  

MT

5 (50%)

2 (40%)

NA

NA

 

Benvenuti, 2007

PAN

WT

15

3 (20%)

NAb

NA

KRAS MT has worse RR and TTP.b

  

MT

10

1 (10%)

NAb

NA

 

Amado, 2008

PAN

WT

124

21 (16.9%)

3.1

8.1

KRAS MT has worse RR, TTP, and OS.

  

MT

84 (40.4%)

0

1.9

4.9

 
 

BSC

WT

119

0

1.8

7.6

 
  

MT

100 (45.7%)

0

1.8

4.4

 

Freeman, 2008

PAN

WT

38

4 (10.5%)

4.1

10.7

KRAS MT has worse RR, TTP, and OS.

  

MT

24 (38.7%)

0

1.9

5.6

 
  1. a The 2006 and 2008 studies by Lievre and coworkers were based on independent patient series.
  2. b For all patients (CTX and PAN), average TTP was 3.7 months for patients with wild type KRAS versus 1.7 months for patients with mutant KRAS.
  3. Abbreviations: CTX = cetuximab; PAN = panitumumab; IRI = irinotecan; Ox = oxaliplatin; Cap = capcitabine; BSC = best supportive care; WT = wild type; MT = mutant-type; RR = objective response rate (complete response + partial response); TTP = time to progression, OS = overall survival; NA = Not Available or Not Applicable.