Predictive value of ERCC1 and KRAS in colorectal cancer patients with FOLFOX chemotherapy.

Authors

null

In Kyu Lee

The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, South Korea

In Kyu Lee , Sung-Bong Choi , DaeYoung Cheung , Jin Il Kim

Organizations

The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, South Korea, Yeouido St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea, The Catholic University of Korea College of Medicine, Seoul, South Korea, Catholic University of Korea, Seoul, South Korea

Research Funding

No funding sources reported

Background: To determine the clinical significance of KRAS mutation and ERCC1 overexpression as a predictive factor of resistance in oxaliplatin based treatment. Methods: We retrospectively analyzed the clinicopathologic features, status of KRAS mutation and ERCC1 overexpression of 386 colorectal cancer patients who received curative intent surgery. Among them 84 patients were treated by FOLFOX regimen as the first line. Their disease-free survival and overall survival according to the KRAS and ERCC1 were analyzed. Results: About a quarter of patients (25.5%) were represented KRAS wild type with ERCC1 overexpression. Among the patients who treated by FOLFOX regimen, 73 patients were evaluated both of the KRAS and ERCC1. There were no significant differences of disease-free survival and overall survival according to KRAS status and ERCC1 expression each. Under the subgroup analysis, overall survival of ERCC1 overexpression group in wild type KRAS was poor than ERCC1 negative group (p=.029), but no significant difference was in mutant KRAS group (p=.671). Conclusions: Our results suggest that the KRAS wild type with ERCC1 overexpression would be associated with the resistance of oxaliplatin.If oxaliplatin based chemotherapy would beconsidered, status of KRAS mutation and ERCC1 overexpression should be evaluated.

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Abstract Details

Meeting

2016 Gastrointestinal Cancers Symposium

Session Type

Poster Session

Session Title

Poster Session C: Cancers of the Colon, Rectum, and Anus

Track

Cancers of the Colon, Rectum, and Anus

Sub Track

Translational Research

Citation

J Clin Oncol 34, 2016 (suppl 4S; abstr 588)

DOI

10.1200/jco.2016.34.4_suppl.588

Abstract #

588

Poster Bd #

E15

Abstract Disclosures

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