ArticleTherapeutic advances in medical oncology2026
Cancer-derived inflammation is associated with bevacizumab resistance and inferior clinical outcomes in patients with metastatic colorectal cancer.
Article in Therapeutic advances in medical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Cancer-derived inflammation has been shown to attenuate the efficacy of chemotherapy (CT) in colorectal cancer. However, its role in clinical response to bevacizumab (Bev) remains unclear in patients with metastatic colorectal cancer (mCRC). Objectives: To investigate the clinical significance of the fibrinogen-to-prealbumin ratio (FPR) as a biomarker in mCRC patients receiving first-line Bev plus CT (Bev/CT). Design: A retrospective, single-center, observational study. Methods: Patients treated with first-line Bev/CT were enrolled across discovery ( Results: Elevated pretreatment FPR was significantly associated with increased tumor burden. FPR-H patients exhibited an unfavorable DCR compared to the FPR-L patients in the overall Bev/CT-treated population (adjusted odds ratio (OR) = 2.18, 95% confidence interval (CI) = 1.32-3.61, Conclusion: Cancer-derived inflammation appears to play a crucial role in mediating both intrinsic and acquired resistance to Bev. The FPR emerges as a robust, independent biomarker for predicting response to Bev, monitoring disease progression, and informing personalized therapeutic decision-making in patients with mCRC.
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