Evidence map›Paper›PMID 29961759›Full record

Trial reportBritish journal of cancer2018

Early metabolic response in sequential FDG-PET/CT under cetuximab is a predictive marker for clinical response in first-line metastatic colorectal cancer patients: results of the phase II REMOTUX trial.

Anne Katrin Berger, Stephan Lücke, Ulrich Abel, Georg Martin Haag, Carsten Grüllich, Annika Stange, Mareike Dietrich, Leonidas Apostolidis, Angelika Freitag, Claudia Trierweiler and 7 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Immuno-Imaging (PET/SPECT)-Quo Vadis?Molecules (Basel, Switzerland) · 2022
    Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Anne Katrin BergerDepartment of Medical Oncology, National Center for Tumor Diseases (NCT), University Hospital Heidelberg, Heidelberg, Germany. anne.berger@med.uni-heidelberg.de.
Stephan LückeNational Center for Tumor Diseases (NCT), Trial Center, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Ulrich AbelNational Center for Tumor Diseases (NCT), Trial Center, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Georg Martin HaagDepartment of Medical Oncology, National Center for Tumor Diseases (NCT), University Hospital Heidelberg, Heidelberg, Germany.
Carsten GrüllichDepartment of Medical Oncology, National Center for Tumor Diseases (NCT), University Hospital Heidelberg, Heidelberg, Germany.
Annika StangeDepartment of Surgery, University Hospital Dresden, Dresden, Germany.
Mareike DietrichDepartment of Medical Oncology, National Center for Tumor Diseases (NCT), University Hospital Heidelberg, Heidelberg, Germany.
Leonidas ApostolidisDepartment of Medical Oncology, National Center for Tumor Diseases (NCT), University Hospital Heidelberg, Heidelberg, Germany.
Angelika FreitagNational Center for Tumor Diseases (NCT), Trial Center, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Claudia TrierweilerNational Center for Tumor Diseases (NCT), Trial Center, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Carl von GallSiemens Medical Solutions USA, Knoxville, USA.
Jennifer OseCancer Institute University of Utah, Salt Lake City, USA.
Frederik GieselDepartment of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Tim Frederik WeberDepartment of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany.
Florian LordickUniversity Cancer Center Leipzig (UCCL), University Medicine Leipzig, University of Leipzig, Leipzig, Germany.
Uwe HaberkornDepartment of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Dirk JägerDepartment of Medical Oncology, National Center for Tumor Diseases (NCT), University Hospital Heidelberg, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the predictive value of early metabolic response (ΔSUV) after short-term treatment with first-line cetuximab in patients (pts) with RAS-wt metastatic colorectal cancer (mCRC).

methodsIn this prospective phase II study, RAS-wt mCRC pts received a single-agent cetuximab run-in therapy of 2 weeks. ΔSUV was assessed with FDG-PET/CT on days 0 and 14. Early clinical response (ECR) was evaluated with CT on day 56 after treatment with FOLFIRI-cetuximab. Primary endpoint was the predictive significance of ΔSUV for ECR. Secondary endpoints were PFS (progression free survival), OS and the influence of ΔSUV on survival.

resultsForty pts were enroled and 33 pts were evaluable for the primary endpoint. The CT response rate was 57.6%. For responders, ΔSUV was significantly higher (p = 0.0092). A significant association of ΔSUV with ECR was found (p = 0.02). Median PFS was 11.7 months and median OS was 33.5 months with a 1-year survival rate of 87.9%. ΔSUV was found to significantly impact the hazard for OS (p = 0.045).

conclusionsWe demonstrate that cetuximab induces metabolic responses in mCRC pts. The study endpoint was met with the ΔSUV discriminating between responders and non-responders. However, these data should be validated in larger patient cohorts.

Indexed as

AdultAgedCamptothecinCetuximabColorectal NeoplasmsFemaleFluorodeoxyglucose F18FluorouracilHumansLeucovorinMaleMiddle AgedPositron Emission Tomography Computed TomographyProgression-Free SurvivalProspective StudiesCamptothecinCetuximabFluorodeoxyglucose F18FluorouracilLeucovorin

Identifiers

PMID29961759
PMCPMC6048023

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.