Metastatic Colorectal Adenocarcinoma
Conditions
Keywords
EGFR, Targeted therapy ,metastatic colorectal cancer
Brief summary
Colorectal cancer ranks the second lethal cancer and third prevalent malignant tumour worldwide, Despite of different odern modalities for diagnosis,large number of cases diagnosed at metastatic advanced stage . New treatment approach has been discovered habe been discovered making a huge revolution in metastatic colorectal cancer represented by targeted therapy including anti\_EGFR ,anti\_angiogenic and kinase inhibitors .
Detailed description
Retrospective study aims to evaluate the effect of EGFR expression in metastatic colorectal cancer and the outcome of treatment with anti\_EGFR targeted therapy between left colon and rectal cancer
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. age above 18 2. Both sex 3. Performance status zero to one according to ECOG scale system 4. Histo-pathologial diagnosis adenocarcinoma of left colon or rectum. 5. Patients diagnosed with left colon and rectal cancer. 6. Patients eligible to receive chemotherapy (with renal and liver chemistry, and normal CBC. 7. Patients diagnosed with metastatic stage. 8. K-RAS wild type.
Exclusion criteria
1. Second malignancy 2. Histo-pathological types other than adenocarcinoma. 3. Right colon cancer patients. 4. Patients refused receiving anti\_EGFR targeted therapy. 5. Patients with any abnormalities preventing to receive chemotherapy. 6. Early stages of colorectal cancer. 7. K-RAS mutant type.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| OS and DFS of patients with metastatic colorectal cancer patients received anti_EGFR targeted therapy | Anti_EGFR targeted therapy in assuit university hospitals from 2015 to 2022 | Evaluation of anti-EGFR targeted therapy on metastatic cancer rectum and left colon and factors affecting response to treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Response rate (RR) in patients received chemotherapy only or with combination with targeted therapy. | The response of patients to EGFR targeted therapy in AUH at period from 2015 to 2022 | Factors affecting response to targeted therapy |