Comparing the effectiveness of panitumumab combined with FOLFOX4 treatment in patients with colon cancer vs. rectal cancer

Siyao Chen, Xiya Zhao, Haoyang Xu
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Abstract

The greatest cause of cancer-related fatalities globally is colorectal cancer (CRC). Targeted therapies like panitumumab are revolutionizing its treatment. Our study focuses on the impact of KRAS and NRAS genotypes on the efficacy of panitumumab and also on the significance of tumor location (colon vs. rectum) in treatment outcomes. We selected a specific clinical trial (NCT00364013) for further statistical analysis. Our work adds to what has already been learned by showing that KRAS and NRAS genotypes are important for how well panitumumab works to treat CRC. Meanwhile, the P-value of 0.49 demonstrated that, in contrast to what we had previously believed, the tumor site had no significant impact on progression-free survival outcomes. Our research highlights the critical role of genotyping in personalized CRC therapy and raises questions about the established opinion that tumor location impacts therapy outcomes significantly. These findings may help CRC management move toward a more genotype-centric approach, optimizing therapies and reducing expenses. Nevertheless, future studies with more significant cohorts would be needed to confirm these findings, given the larger sample size.
比较帕尼单抗联合 FOLFOX4 治疗结肠癌与直肠癌患者的疗效
结直肠癌(CRC)是全球癌症致死的最大原因。帕尼单抗等靶向疗法正在彻底改变其治疗方法。我们的研究重点是 KRAS 和 NRAS 基因型对帕尼单抗疗效的影响,以及肿瘤位置(结肠与直肠)对治疗结果的影响。我们选择了一项特定的临床试验(NCT00364013)进行进一步统计分析。我们的研究结果表明,KRAS 和 NRAS 基因型对帕尼单抗治疗 CRC 的疗效非常重要,这进一步丰富了我们的研究成果。同时,0.49 的 P 值表明,与我们之前认为的不同,肿瘤部位对无进展生存结果没有显著影响。我们的研究凸显了基因分型在个性化 CRC 治疗中的关键作用,并对肿瘤位置对治疗结果有重大影响的既有观点提出了质疑。这些发现可能会帮助 CRC 的治疗朝着更加以基因型为中心的方向发展,从而优化疗法并降低费用。尽管如此,鉴于样本量较大,未来还需要更多的研究来证实这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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