Clinical Edge Journal Scan

No prognostic impact of primary tumor location in mCRC patients under later-line REG or FTD/TPI


 

Key clinical point: Primary tumor location (PTL) is not a significant prognostic factor in patients with metastatic colorectal cancer (mCRC) under later-line regorafenib (REG) or trifluridine/tipiracil (FTD/TPI).

Major finding: Although overall survival (OS) was significantly shorter in patients with right-sided vsvs left-sided tumors (log-rank P = .041), PTL was not an independent prognostic factor (adjusted hazard ratio, 0.95; P = .64). OS was comparable between REG and FTD/TPI in both right-sided (log-rank P = 0.71) and left-sided (log-rank P = 0.56) tumor groups regardless of PTL ( P for interactions = 0.60).

Study details: Findings are from a retrospective study of 550 patients with mCRC from the REGOTAS study treated with later-line REG (n=223) or FTD/TPI (n=327) chemotherapy. Right-sided tumors were reported in 60 and 62 patients in REG and FTD/TPI groups, respectively.

Disclosures: The authors did not declare any source of funding. Some of the authors reported receiving research funding and/or honoraria from various sources.

Source: Nakajima H et al. Front Oncol. 2021 Jun 15. doi: 10.3389/fonc.2021.688709 .

Recommended Reading

Early-onset CRC associated with longer survival
MDedge Hematology and Oncology
Antibiotic linked to rise in early onset colon cancer?
MDedge Hematology and Oncology
Mutational signature may reveal underlying link between red meat and CRC
MDedge Hematology and Oncology
Good survival, outcomes with TARE for HCC in practice
MDedge Hematology and Oncology
Higher preoperative dietary fiber intake may reduce complications after CRC surgery
MDedge Hematology and Oncology
No benefit of adding pembrolizumab to neoadjuvant chemoradiotherapy in LARC
MDedge Hematology and Oncology
Survival correlates with response to preoperative chemotherapy in CRPM patients undergoing CRS/HIPEC
MDedge Hematology and Oncology
Efficacy of EGFR treatment for metastatic CRC differs with primary tumor location
MDedge Hematology and Oncology
Adherence to CRC screening programs essential even in asymptomatic average-risk individuals
MDedge Hematology and Oncology
Higher total vitamin D intake tied to reduced risk for early-onset CRC
MDedge Hematology and Oncology