Evidence map›Paper›PMID 41097724›Full record

ArticleCancers2025

Real-World Study of Patients with Metastatic Colorectal Cancer and Long-Term Response to Regorafenib in the USA.

Richard D Kim, Xiaoyun Pan, Yiqiao Zhang, Orsolya Lunacsek, Federica Pisa, Helene Ostojic, Marc Peeters

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Synergistic mechanisms and clinical translation of regorafenib combination therapies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  2. Article
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

7 authors.

Richard D KimDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, FL 33612, USA.
Xiaoyun PanReal World Evidence Oncology, Bayer HealthCare Pharmaceuticals Inc., Whippany, NJ 07981, USA.
Yiqiao ZhangReal World Evidence Oncology, Bayer HealthCare Pharmaceuticals Inc., Whippany, NJ 07981, USA.
Orsolya LunacsekReal World Evidence Oncology, Bayer HealthCare Pharmaceuticals Inc., Whippany, NJ 07981, USA.
Federica PisaReal World Evidence Oncology, Bayer AG, 13353 Berlin, Germany.
Helene OstojicBayer Consumer Care AG, 4052 Basel, Switzerland.ORCID 0000-0002-0448-9195
Marc PeetersCenter for Oncological Research, Antwerp University Hospital, 2650 Edegem, Belgium.

Funding

Bayer Healthcare Pharmaceuticals N/A
6 · The paper itself

Abstract

backgroundSeveral narrative reports document long-term responses to regorafenib treatment in patients with metastatic colorectal cancer (mCRC). However, no large-scale study has assessed long-term responses and there are no established predictors of potential long-term benefit. We carried out an observational study of characteristics of patients treated in real-world clinical practice in the USA using duration of treatment (DoT) as a surrogate for treatment response. PATIENTS AND

methodsThis retrospective cohort study used a de-identified electronic health record-derived database and included patients aged ≥18 years with mCRC who initiated regorafenib monotherapy between 1 July 2013 and 30 June 2023. Patient cohorts were defined by DoT ≥4 months (LTR4), ≥5 months (LTR5), or ≥6 months (LTR6) and are not mutually exclusive.

resultsOf 2444 patients who initiated regorafenib monotherapy during the study, those with long-term response were analyzed: 544 had LTR4 (22%), 367 had LTR5 (15%), and 250 had LTR6 (10%). Most patients with long-term responses had left-sided tumors (65-70%), Eastern Cooperative Oncology Group performance status of 0/1 (67-68%), and liver metastases (55-61%) and had received prior bevacizumab treatment (60-67%). The median age in each group was 66 years, and patients most frequently initiated regorafenib as third-line treatment (31-33%). Median time to regorafenib discontinuation was 6.0-9.3 months among long-term responders.

conclusionsMost patients with long-term responses to regorafenib had favorable performance status at treatment initiation, left-sided tumors, and liver metastases and had received prior bevacizumab treatment. The study highlights that patients in the real-world setting were able to tolerate and maintain long-term responses to regorafenib treatment.

Indexed as

colorectal cancerduration of treatmentneoplasm metastasesresponse

Identifiers

PMID41097724
PMCPMC12523651

What OpenQuestion holds

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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.