[Colorectal cancer chemotherapy and anti-EGFR therapy]

Gan To Kagaku Ryoho. 2011 Jun;38(6):901-6.
[Article in Japanese]

Abstract

Anti-EGFR antibodies show benefits for some K-ras wild-type patients. Addinganti -VEGF monoclonal antibodies to stateof- the-art adjuvant chemotherapy for stage II or III colon cancer does not improve disease-free survival. Bevacizumab shows an additive effect for FOLFOX/FOLFIRI therapy as a first-line chemotherapy. Anti-EGFR therapy has limited adaptation as a first-line chemotherapy based on current evidence and adverse events. When the disease is greatly influenced by tumor regression or has high risk with bevacizumab, anti-EGFR therapy may be used as first-line chemotherapy. Anti-EGFR therapy is recommended as second- or third-line chemotherapy. FOLFIRI therapy is recommended as a second-line therapy and IRI+ Cmab therapy is recommended as a third-line therapy in cases when it is possible to treat usingthree or higher lines. Supportive care is especially important to improve the treatment outcome.

MeSH terms

  • Antibodies / adverse effects
  • Antibodies / immunology
  • Antibodies / therapeutic use*
  • Clinical Trials as Topic
  • Colorectal Neoplasms / drug therapy*
  • Colorectal Neoplasms / genetics
  • ErbB Receptors / immunology*
  • Humans
  • Proto-Oncogene Proteins / genetics
  • Proto-Oncogene Proteins p21(ras)
  • Salvage Therapy
  • ras Proteins / genetics

Substances

  • Antibodies
  • KRAS protein, human
  • Proto-Oncogene Proteins
  • ErbB Receptors
  • Proto-Oncogene Proteins p21(ras)
  • ras Proteins