The nationwide screening project on plasma angiogenesis-related mediators for treatment selection of optimal antiangiogenic inhibitors in metastatic colorectal cancer: GI-SCREEN CRC-Ukit.

Authors

Satoshi Yuki

Satoshi Yuki

Hokkaido University Hospital, Sapporo, Japan

Satoshi Yuki , Kentaro Yamazaki , Hiroya Taniguchi , Yu Sunakawa , Akihito Kawazoe , Yoshinori Kagawa , Ken Kato , Hiroki Hara , Tadamichi Denda , Eiji Oki , Toshikazu Moriwaki , Manabu Shiozawa , Taroh Satoh , HIsato Kawakami , Taito Esaki , Junji Furuse , Yukiko Abe , Shogo Nomura , Atsushi Ohtsu , Takayuki Yoshino

Organizations

Hokkaido University Hospital, Sapporo, Japan, Shizuoka General Hospital Cancer Center, Shizuoka, Japan, Aichi Cancer Center Hospital, Nagoya, Japan, St. Marianna University School of Medicine, Kawasaki, Japan, National Cancer Center Hospital, Chiba, Japan, Kansai Rosai Hospital, Amagasaki, Japan, National Cancer Center Hospital, Tokyo, Japan, Saitama Cancer Center, Saitama, Japan, Chiba Cancer Center, Chiba, Japan, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan, University of Tsukuba, Tsukuba, Japan, Kanagawa Cancer Center, Yokohama, Japan, Osaka University Graduate School of Medicine, Osaka, Japan, Kindai University, Osaka, Japan, National Kyushu Cancer Center, Fukuoka, Japan, Kyorin University, Tokyo, Japan, G&G Science Co., Ltd., Fukushima, Japan, National Cancer Center Hospital East, Chiba, Japan, National Cancer Center Hospital East, Kashiwa, Japan

Research Funding

Other Foundation

Background: Antiangiogenic treatments are a proven useful tool to improve clinical outcomes in patients (pts) with metastatic colorectal cancer (mCRC). Recently, higher levels of vascular endothelial growth factor-D (VEGF-D) are a potential predictive biomarker for ramucirumab efficacy on overall and progression-free survival in mCRC (Tabernero J, et al. ESMO 2017). However, there are limited data on mCRC associating the efficacy of antiangiogenic therapy with angiogenesis-related mediators, such as VEGF family members and their receptors, and with dynamic transition among these mediators during clinical courses. In addition, immune-related factors such as interferon gamma (IFNγ) and transforming growth factor β1 (TGFβ1) may be associated with the regulation of angiogenesis. Methods: This prospective longitudinal study aims to investigate the association between plasma angiogenesis-related mediators and clinical outcomes in mCRC. The key eligibility criteria include pts with mCRC who will receive one of the following regimens: first-line chemotherapy plus bevacizumab, first-line chemotherapy plus anti-EGFR antibody (either cetuximab or panitumumab), second-line FOLFIRI plus ramucirumab, second-line FOLFIRI plus aflibercept, or second-line chemotherapy plus bevacizumab. Plasma is collected twice in pairs from all pts pre- and post-treatment. Comprehensive measurements of plasma angiogenesis-related mediators, such as placental growth factor (PlGF), hepatocyte growth factor (HGF), IL-6, IL-8, angiopoietin-2, neuropillin-1, tissue inhibitor of metalloproteinase-1 (TIMP-1), soluble intercellular adhesion molecule-1 (sICAM-1), soluble vascular cell adhesion molecule-1 (sVCAM-1), thrombospondin-2 (TSP-2), osteopontin (OPN), sVEGFR-1, sVEGFR-2, sVEGFR-3, VEGF-A, VEGF-D, as well as key targets associated with immunotherapy such as IFNγ and TGFβ1 are analyzed in parallel by the multiplex assay with Luminex® technology. The target sample size is 1,000. This study was initiated in September 2017. Clinical trial information: UMIN000028616.

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Abstract Details

Meeting

2018 Gastrointestinal Cancers Symposium

Session Type

Trials in Progress Poster Session

Session Title

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

Track

Cancers of the Colon, Rectum, and Anus

Sub Track

Multidisciplinary Treatment

Clinical Trial Registration Number

UMIN000028616

Citation

J Clin Oncol 36, 2018 (suppl 4S; abstr TPS885)

DOI

10.1200/JCO.2018.36.4_suppl.TPS885

Abstract #

TPS885

Poster Bd #

Q13

Abstract Disclosures