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Cited by 1,341

The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.

Chemotherapy, Bevacizumab, and Cetuximab in Metastatic Colorectal Cancer

Open access
Tol, Jolien, Koopman, Miriam, Cats, Annemieke, Rodenburg, Cees J., Creemers, Geert J.M., Schrama, Jolanda G., Erdkamp, Frans L.G., Vos, Allert H., van Groeningen, Cees J., Sinnige, Harm A.M., Richel, Dirk J., Voest, Emile E., Dijkstra, Jeroen R., Vink-Börger, Marianne E., Antonini, Ninja F., Mol, Linda, van Krieken, Johan H.J.M., Dalesio, Otilia, Punt, Cornelis J.A.·2009·New England Journal of Medicine

Abstract

BACKGROUND: Fluoropyrimidine-based chemotherapy plus the anti-vascular endothelial growth factor (VEGF) antibody bevacizumab is standard first-line treatment for metastatic colorectal cancer. We studied the effect of adding the anti-epidermal growth factor receptor (EGFR) antibody cetuximab to a combination of capecitabine, oxaliplatin, and bevacizumab for metastatic colorectal cancer. METHODS: We randomly assigned 755 patients with previously untreated metastatic colorectal cancer to capecitabine, oxaliplatin, and bevacizumab (CB regimen, 378 patients) or the same regimen plus weekly cetuximab (CBC regimen, 377 patients). The primary end point was progression-free survival. The mutation status of the KRAS gene was evaluated as a predictor of outcome. RESULTS: The median progression-free survival was 10.7 months in the CB group and 9.4 in the CBC group (P=0.01). Quality-of-life scores were lower in the CBC group. The overall survival and response rates did not differ significantly in the two groups. Treated patients in the CBC group had more grade 3 or 4 adverse events, which were attributed to cetuximab-related adverse cutaneous effects. Patients treated with cetuximab who had tumors bearing a mutated KRAS gene had significantly decreased progression-free survival as compared with cetuximab-treated patients with wild-type-KRAS tumors or patients with mutated-KRAS tumors in the CB group. CONCLUSIONS: The addition of cetuximab to capecitabine, oxaliplatin, and bevacizumab resulted in significantly shorter progression-free survival and inferior quality of life. Mutation status of the KRAS gene was a predictor of outcome in the cetuximab group. (ClinicalTrials.gov number, NCT00208546.)

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Metadata

Authors
Tol, J., Koopman, M., Cats, A., Rodenburg, C. J., Creemers, G. J. M., Schrama, J. G., Erdkamp, F. L. G., Vos, A. H., van Groeningen, C. J., Sinnige, H. A. M., Richel, D. J., Voest, E. E., Dijkstra, J. R., Vink-Börger, M. E., Antonini, N. F., Mol, L., van Krieken, J. H. J. M., Dalesio, O., & Punt, C. J. A.
Venue
New England Journal of Medicine
Published
2009-02-05
Volume
360
Issue
6
Pages
563-572
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2127640925
Cited by
1,341
References
6
FWCI
83.84
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Chemotherapy, Bevacizumab, and Cetuximab in Metastatic Colorectal Cancer. https://app.cochat.ai/papers/10.1056/nejmoa0808268
The paper
Tol, J., Koopman, M., Cats, A., Rodenburg, C. J., Creemers, G. J. M., Schrama, J. G., Erdkamp, F. L. G., Vos, A. H., van Groeningen, C. J., Sinnige, H. A. M., Richel, D. J., Voest, E. E., Dijkstra, J. R., Vink-Börger, M. E., Antonini, N. F., Mol, L., van Krieken, J. H. J. M., Dalesio, O., & Punt, C. J. A. (2009). Chemotherapy, Bevacizumab, and Cetuximab in Metastatic Colorectal Cancer. New England Journal of Medicine. https://doi.org/10.1056/nejmoa0808268

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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