Review Article

Antiepidermal Growth Factor Receptor Monoclonal Antibodies: Applications in Colorectal Cancer

Table 4

Anti-EGFR mAbs monotherapy or in combination with chemotherapy for therapy naïve mCRC selected by KRAS.

Trial (author) Phase KRAS Protocol Number enrolledResults HR (95% CI) value
PFSOS

Crystal (Van Cutsem et al.) [20]IIIWTFOLFIRI + cetuximab
FOLFIRI
172
176
9.9 mos.
8.7 mos.
24.9 mos.
21.0 mos.
PFS: 0.68 (0.50–0.94)
OS: 0.84 (0.64–1.11)
0.07
NR
MUTFOLFIRI + cetuximab
FOLFIRI
105
87
7.6 mos.
8.1 mos.
17.5 mos.
17.7 mos.
PFS: 1.07 (0.71–1.61)
OS: 1.03 (0.74–1.44)
0.44
NR

OPUS (Bokemeyer et al.) [21]IIWTFOLFOX + cetuximab
FOLFOX
61
73
7.7 mos.
7.2 mos.
PFS: 0.57 (0.35–0.90)0.0163
MUTFOLFOX + cetuximab
FOLFOX
52
47
5.5 mos.
8.6 mos.
PFS: 1.83 (1.09–3.05)0.192

PRIME (Douillard et al.) [22]IIIWTFOLFOX + panitumumab
FOLFOX
325
331
9.6 mos.
8.0 mos.
23.9 mos.
19.7 mos.
PFS: 0.80 (0.66–0.97)
OS: 0.83 (0.67–1.01)
0.02
0.072
MUTFOLFOX + panitumumab
FOLFOX
221
219
7.3 mos.
8.8 mos.
15.5 mos.
19.3 mos.
PFS: 1.29 (1.04–1.62)
OS: 1.24 (0.98–1.57)
0.02
0.68

WT: wild type, MUT: mutated, PFS: progression free survival, OS: overall survival, and NR: not reported.