Colorectal Cancer, Liver Metastases
Conditions
Brief summary
establishment and validation of the prediction model of avastin plus chemotherapy as first line treatment in simultaneous ras mutant unresectable CRLM patients
Detailed description
Ras mutant unresectable CRLM patients with primary tumor resection followed by avastin in combination with chemotherapy were included in this study. The tumor response was assessed by local MDT group. Based on tumor response, 58 CRLM patients were classified into two groups (CR+PR vs SD+PD). Primary samples of the two group patients will be sequenced by mass spectrum. After MS sequencing, a prediction model will be estimated. Another 58 CRLM patients will be inclued for validation of the prediction model.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
age 18-75 years, histologically proven colorectal adenocarcinoma, with liver-dominant disease, a life expectancy of \> 3 months, ras mutation, unresectable simultaneous liver metastasis, ECOG 0-1, written informed consent for participation in the trial.
Exclusion criteria
patients with known hypersensitivity reactions to any of the components of the study treatments, pregnancy or breast-feeding, accepted chemotherapy, radiotherapy and target therapy before primary tumor resection, other previous malignancy within 5 years, known drug abuse/alcohol abuse, ECOG\>1, legal incapacity or limited legal capacity.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| response rate | 6 months | response rate will be assessed by local MDT every two months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| overall survival | 3 years | overall survival will be assessed by researchers every two months during treatment, and telephone follow-up every three month after treatment |
| progression free survival | 3 years | progression free survival will be assessed by local MDT every two months during treatment, and telephone follow-up every three month after treatment |