Plasma ICAM-1 (pICAM-1) and plasma IL-8 (pIL-8) level as biomarker of metastatic colorectal cancer patients (mCRC) treated with mFOLFOX6/XELOX plus bevacizumab (BV) (WJOG7612GTR).

Authors

null

Yoshiyuki Yamamoto

University of Tsukuba, Tsukuba, Japan

Yoshiyuki Yamamoto , Wataru Okamoto , Akitaka Makiyama , Kohei Shitara , Tadamichi Denda , Takashi Ogura , Yasuyuki Nakano , Tomohiro Nishina , Masato Komoda , Hiroki Hara , Yukinori Ozaki , HIsato Kawakami , Narikazu Boku , Ichinosuke Hyodo , Kentaro Yamazaki , Shuichi Hironaka , Kazuko Sakai , Takeharu Yamanaka , Kei Muro , Kazuto Nishio

Organizations

University of Tsukuba, Tsukuba, Japan, National Cancer Center, Kashiwa, Japan, Kyushu Hospital, Kitakyushu, Japan, National Cancer Center Hospital East, Kashiwa, Japan, Chiba Cancer Center, Chiba, Japan, St. Marianna University School of Medicine, Kawasaki, Japan, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan, Shikoku Cancer Center, Matsuyama, Japan, National Kyushu Cancer Center, Fukuoka, Japan, Saitama Cancer Center, Saitama, Japan, Toranomon Hospital, Tokyo, Japan, Kindai University, Osaka, Japan, National Cancer Center Hospital, Tokyo, Japan, Shizuoka General Hospital Cancer Center, Shizuoka, Japan, Yokohama City University, Yokohama, Japan, Aichi Cancer Center Hospital, Nagoya, Japan

Research Funding

Pharmaceutical/Biotech Company

Background: Bevacizumab (BV)-containing chemotherapy has been established as the standard first-line treatment for metastatic colorectal cancer (mCRC). However, no biomarkers have been established to predict the clinical benefit of BV for patients (pts) with mCRC. Methods: Blood samples were collected in EDTA before the first-line treatment with BV+mFOLFOX6 or +XELOX for mCRC. Plasma samples were analyzed at Roche Diagnostics Ltd. (Penzberg, Germany) using IMPACT-2 (Roche proprietary multiplex enzyme-linked immunosorbent assay platform). Median values of pICAM-1 and pIL-8 were used as cut-off points to categorize pts into the low and high groups. Progression free survival (PFS) and overall survival (OS) were compared between two groups, using Cox proportional hazards model. Results: Among 102 pts enrolled between January 2014 and April 2015, 100 (53 BV+mFOLFOX6 and 47 BV+XELOX) were eligible. Median PFS was 11.4 months [95% CI, 9.5-13.0]. Response rate was 64.6 % [53.3-74.9]. pICAM-1 and pIL-8 were measured in 99 pts and the median values were 190.0 ng/ml [range, 58.0- 1080.1] and 311.5 pg/ml [range, 83.2-4541.4], respectively. The hazard ratios of PFS and OS between the high and low pICAM-1 groups were 2.08 [95%CI, 1.28-3.40, p = 0.003] and 2.04 [0.92-4.50, p = 0.079], respectively. The hazard ratios of PFS and OS between the high and low pIL-8 groups were 1.63 [95%CI, 1.00-2.65, p = 0.048] and 3.42[1.57-7.44, p = 0.002], respectively. Conclusions: High pICAM-1 and pIL-8 were associated with short PFS and OS of mCRC pts treated with BV-containing chemotherapy, suggesting that pICAM-1 and pIL-8 could be predictive markers for prognosis of mCRC treated with BV. Clinical trial information: UMIN000012442.

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Abstract Details

Meeting

2018 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

Clinical Trial Registration Number

UMIN000012442

Citation

J Clin Oncol 36, 2018 (suppl 4S; abstr 670)

DOI

10.1200/JCO.2018.36.4_suppl.670

Abstract #

670

Poster Bd #

F7

Abstract Disclosures