Evidence map›Paper›PMID 35665778›Full record

ArticleBritish journal of cancer2022

Benefit from upfront FOLFOXIRI and bevacizumab in BRAFV600E-mutated metastatic colorectal cancer patients: does primary tumour location matter?

Roberto Moretto, Andrew Elliott, Daniele Rossini, Rossana Intini, Veronica Conca, Filippo Pietrantonio, Andrea Sartore-Bianchi, Carlotta Antoniotti, Cosimo Rasola, Mario Scartozzi and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in British journal of cancer, 2022. 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
1.4field-weighted citation impact, top 17% of its field
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, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. BRAFAdvances in therapy · 2023
    Article
  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

24 authors at 12 institutions in 2 countries.

Roberto Moretto *Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.ORCID http://orcid.org/0000-0001-8456-9269
Andrew Elliott *Clinical & Translational Research, Medical Affairs, Caris Life Sciences, Phoenix, AZ, USA.
Daniele RossiniUnit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Rossana IntiniOncology Unit 1, Veneto Institute of Oncology-IRCCS, Padua, Italy.
Veronica ConcaUnit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.ORCID http://orcid.org/0000-0001-7713-4005
Filippo PietrantonioMedical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.ORCID http://orcid.org/0000-0002-8530-8420
Andrea Sartore-BianchiDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0003-0780-0409
Carlotta AntoniottiUnit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Cosimo RasolaOncology Unit 1, Veneto Institute of Oncology-IRCCS, Padua, Italy.
Mario ScartozziMedical Oncology, University and University Hospital of Cagliari, Cagliari, Italy.
Massimiliano SalatiDivision of Oncology, Department of Oncology and Hematology, University Hospital of Modena, Modena, Italy.
Nicoletta PellaDepartment of Oncology, ASUFC University Hospital of Udine, Udine, Italy.
Maria Alessandra CalegariComprensive Cancer Center, UOC di Oncologia Medica, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Martina CarulloUnit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Francesca CortiMedical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Gianluca MauriDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Matteo FassanDepartment of Medicine (DIMED), Surgical Pathology Unit, University of Padua, Padua, Italy.ORCID http://orcid.org/0000-0001-6515-5482
Gianluca MasiUnit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Pavel BrodskiyClinical & Translational Research, Medical Affairs, Caris Life Sciences, Phoenix, AZ, USA.
Heinz-Josef LenzDivision of Medical Oncology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0003-2178-9568
Anthony ShieldsDepartment of Oncology, Karmanos Cancer Institute, Wayne State University, Detroit, MI, USA.
Sara LonardiOncology Unit 3, Veneto Institute of Oncology-IRCCS, Padua, Italy. sara.lonardi@iov.veneto.it.ORCID http://orcid.org/0000-0002-7593-8138
Michael KornClinical & Translational Research, Medical Affairs, Caris Life Sciences, Phoenix, AZ, USA.
Chiara CremoliniUnit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.ORCID http://orcid.org/0000-0002-0520-4841
University of Pisa · ITCaris Life Sciences (United States) · USFondazione IRCCS Istituto Nazionale dei Tumori · ITIstituto Oncologico Veneto · ITUniversity of Milan · ITUniversity of Padua · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera Universitaria Pisana · ITUniversity of Cagliari · ITUniversity of Modena and Reggio Emilia · ITUniversity of Southern California · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent data suggest that BRAFV600E-mutated metastatic colorectal cancer (mCRC) patients with right-sided tumours and ECOG-PS = 0 may achieve benefit from the triplet regimen differently than those with left-sided tumours and ECOG-PS > 0.

methodsThe predictive impact of primary sidedness and ECOG-PS was evaluated in a large real-life dataset of 296 BRAFV600E-mutated mCRC patients treated with upfront triplet or doublet ± bevacizumab. Biological differences between right- and left-sided BRAFV600E-mutated CRCs were further investigated in an independent cohort of 1162 samples.

resultsA significant interaction effect between primary sidedness and treatment intensity was reported in terms of both PFS (p = 0.010) and OS (p = 0.003), with a beneficial effect of the triplet in the right-sided group and a possible detrimental effect in the left-sided. No interaction effect was observed between ECOG-PS and chemo-backbone. In the MSS/pMMR population, a consistent trend for a side-related subgroup effect was observed when FOLFOXIRI ± bevacizumab was compared to oxaliplatin-based doublets±bevacizumab (p = 0.097 and 0.16 for PFS and OS, respectively). Among MSS/pMMR tumours, the BM1 subtype was more prevalent in the right-sided group (p = 0.0019, q = 0.0139). No significant differences were observed according to sidedness in the MSI-H/dMMR population.

conclusionsReal-life data support the use of FOLFOXIRI ± bevacizumab only in BRAFV600E-mutated mCRC patients with right-sided tumours.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabColorectal NeoplasmsRectal NeoplasmsCamptothecinColonic NeoplasmsFluorouracilHumansLeucovorinOrganoplatinum CompoundsBevacizumabCamptothecinFluorouracilLeucovorinOrganoplatinum Compounds

Identifiers

PMID35665778
PMCPMC9428147
OpenAlexW4281628342

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.