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Table 1 Basic characteristics of the 19 eligible studies

From: EGFR gene copy number as a predictive biomarker for the treatment of metastatic colorectal cancer with anti-EGFR monoclonal antibodies: a meta-analysis

Study

Design

 N 

 KRAS  mutation

Agent; treatment modality

Line

Response criteria

Tumor sample

GCN assay

Bengala 200925

Retrospective

55

36.5 %

Cmab/Pmab; CT

NA

NA

NA

FISH

Campanella 201026

Retrospective

88

37.7 %

Cmab; mixed

Mixed

RECIST

NA

FISH

Cappuzzo 200823

Retrospective

85

NA

Cmab; CT

≥2nd

RECIST

Mixed

FISH

Frattini 200727

Retrospective

27

37.0 %

Cmab; CT

Mixed

RECIST

Primary

FISH

Gevorgyan 200728

Retrospective

40

NA

Cmab; CT

NA

NA

Primary

FISH

Goncalves 200829

Retrospective

29

44.8 %

Cmab; CT

≥2nd

WHO

Mixed

FISH

Italiano 200815

Retrospective

41

NA

Cmab; CT

NA

RECIST

Primary

FISH

Khambata-Ford 200730

Prospective

56

34.6 %

Cmab; MT

≥2nd

WHO

Metastatic

Q-PCR

Laurent-Puig 200916

Retrospective

96

0 %

Cmab; CT

≥2nd

RECIST

Mixed

FISH + CISH

Lievre 200631

Retrospective

30

43.3 %

Cmab; CT

≥2nd

RECIST

Primary

CISH

Mancuso 200832

Retrospective

31

32.3 %

Cmab; NA

NA

NA

NA

FISH

Moroni 200514

Retrospective

29

31.0 %

Cmab/Pmab; mixed

Mixed

RECIST

Primary

FISH

Perrone 200924

Retrospective

31

24.1 %

Cmab; CT

≥2nd

RECIST

Mixed

FISH

Personeni 200833

Retrospective

87

33.3 %

Cmab; mixed

≥3rd

RECIST

NA

FISH

Razis 200834

Retrospective

66

NA

Cmab; CT

≥2nd

NA

Metastatic

FISH

Sartore-Bianchi 200717

Retrospective

58

NA

Pmab; MT

≥2nd

RECIST

NA

FISH

Sastre 200935

Prospective

36

21.7 %

Cmab; MT

1st

WHO

NA

FISH

Scartozzi 200936

Retrospective

37

0 %

Cmab; CT

≥2nd

RECIST

Primary

FISH

Tol 201037

Retrospective

155

0 %

Cmab; CT

1st

RECIST

Primary

FISH

Study

Criteria for GCN+

GCN + %

Bengala 200925

Gene copies/nucleus ≥ 2.9

30.9

Campanella 201026

Polysomy: CEP7 ≥ 3; amplification: gene/CEP7 ≥ 2.0

68.2

Cappuzzo 200823

Gene copies/nucleus ≥2.92*

50.6

Frattini 200727

High polysomy: CEP7 > 4 in ≥ 50 % of cells; amplification: gene/CEP7 > 3 in ≥ 10 % of cells

88.9

Gevorgyan 200728

High polysomy: ≥ 4 gene copies in ≥ 40 % of cells; amplification: gene clusters, gene/CEP7 ≥ 2, or ≥ 15 gene copies in ≥ 10 % of cells

20.0

Goncalves 200829

High polysomy: ≥ 4 gene copies in ≥ 40 % of cells and gene/CEP7 ≤ 2; amplification: gene/CEP7 ≥ 2 or ≥ 15 gene copies in ≥ 10 % of cells

6.9

Italiano 200815

High polysomy: ≥ 4 gene copies in ≥ 40 % of cells; amplification: gene/CEP7 ≥ 2, or ≥ 15 gene copies in ≥ 10 % of cells

19.5

Khambata-Ford 200730

NA

7.1

Laurent-Puig 200916

High polysomy: ≥ 4 gene copies in ≥ 40 % of cells; amplification: gene clusters, gene/CEP7 ≥ 2, or ≥ 10 gene copies in ≥10 % of cells

17.7

Lievre 200631

Amplification: ≥ 6 gene copies in > 50 % of cells, or gene clusters

10.0

Mancuso 200832

Gene copies/nucleus ≥ 3

58.1

Moroni 200514

Gene copies/nucleus ≥ 3

31.0

Perrone 200924

Gene copies/nucleus ≥ 2.79*

74.2

Personeni 200833

Gene copies/nucleus ≥ 2.83*

37.9

Razis 200834

gene/CEP7 > 1.2

7.6

Sartore-Bianchi 200717

Polysomy: gene copies/nucleus ≥ 3; amplification: gene/CEP7 ≥ 2; in ≥ 43 % of cells

32.8

Sastre 200935

High polysomy: ≥ 4 gene copies in ≥ 40 % of cells; amplification: gene/CEP7 ≥ 2, or ≥ 15 gene copies in ≥ 10 % of cells

30.6

Scartozzi 200936

Gene copies/nucleus ≥ 2.6*

40.5

Tol 201037

Gene copies/nucleus ≥ 3, or gene/CEP7 ≥ 2

15.3

  1. N, sample size; GCN, gene copy number; GCN+, increased gene copy number; Cmab, cetuximab; Pmab, panitumumab; CT, combination therapy; NA, not available; RECIST, Response Evaluation Criteria in Solid Tumors; FISH, fluorescent in situ hybridization; CEP7, chromosome 7; WHO, World Health Organization criteria; MT, monotherapy; Q-PCR, quantitative polymerase chain reaction; CISH, chromogenic in situ hybridization.
  2. * the cutoff point was identified by Receiver Operating Characteristics analysis.