Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Data support maintenance in metastatic colorectal cancer
Key clinical point: Maintenance therapy may prolong progression-free survival (PFS), but not overall survival (OS), after first-line therapy in patients with metastatic colorectal cancer.
Major finding: Maintenance provided a PFS benefit over observation (hazard ratio, 0.58; 95% confidence interval, 0.43-0.77), but there was no OS benefit with maintenance (HR, 0.91; 95% CI, 0.83-1.01). Continuous induction did not provide a PFS or OS benefit over maintenance or observation.
Study details: A review and network meta-analysis of 12 phase 2 and 3 trials including a total of 5,540 patients.
Disclosures: Dr. Sonbol did not disclose any conflicts of interest. Other authors disclosed relationships with multiple pharmaceutical companies.
Sonbol MB et al. JAMA Oncol. 2019 Dec 19. doi: 10.1001/jamaoncol.2019.4489.