Evidence map›Paper›PMID 41647991›Full record

ArticleESMO gastrointestinal oncology2025

Analysis of fruquintinib in patients with metastatic colorectal cancer who were enrolled in Spain: results from the global FRESCO-2 study.

R Garcia-Carbonero, E Elez, P García-Alfonso, A Cubillo Gracían, R López López, P Jimenez-Fonseca, M L Limón Mirón, A Dasari, S Lonardi, H Zhu and 4 more

Abstract read
In one paragraph

Article in ESMO gastrointestinal oncology, 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. Article
  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

14 authors.

R Garcia-CarboneroHospital Universitario 12 de Octubre, Instituto de Investigación Sanitaria lmas12, Facultad de Medicina, Universidad Complutense de Madrid (UCM), Madrid, Spain.
E ElezVall d'Hebron Barcelona Hospital Campus, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
P García-AlfonsoHospital G. U. Gregorio Marañón, IiSGM, Universidad Complutense, Madrid, Spain.
A Cubillo GracíanHospital Universitario Madrid Sanchinarro Centro Integral Oncológico Clara Campal, Madrid, Spain.
R López LópezMedical Oncology Department and Translational Medical Oncology Group, University Clinical Hospital and Institute of Health Research (IDIS)-CIBERONC, School of Medicine, Santiago de Compostela, Spain.
P Jimenez-FonsecaHospital Universitario Central de Asturias, ISPA, Oviedo, Spain.
M L Limón MirónHospital Universitario Virgen del Rocío, Seville, Spain.
A DasariThe University of Texas MD Anderson Cancer Center, Houston, USA.
S LonardiVeneto Institute of Oncology IOV-IRCCS Padua, Padua, Italy.
H ZhuTakeda Development Center Americas, Inc. (TDCA), Cambridge, USA.
L ChenTakeda Development Center Americas, Inc. (TDCA), Cambridge, USA.
Z YangHUTCHMED International Inc., Florham Park, USA.
W R SchelmanHUTCHMED International Inc., Florham Park, USA.
J TaberneroVall d'Hebron Barcelona Hospital Campus, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In the phase III FRESCO-2 study, overall survival (OS) was significantly improved with fruquintinib plus best supportive care (BSC) versus placebo plus BSC in patients with refractory metastatic colorectal cancer (mCRC). Here, we present data from a FRESCO-2 subanalysis of patients enrolled in Spain. Patients and methods: In FRESCO-2, patients had received all standard chemotherapies, anti-vascular endothelial growth factor and anti-epidermal growth factor receptor therapies, if indicated, and had progressed on or were intolerant to trifluridine/tipiracil (TAS-102) and/or regorafenib. Patients were randomized 2 : 1 to receive fruquintinib 5 mg orally or matching placebo once daily for 21 days in 28-day cycles, plus BSC. The primary endpoint was OS; secondary endpoints included progression-free survival (PFS), safety, and health-related quality of life. Results: Of the 180 patients enrolled across 16 sites in Spain (26% of the global study population), 116 received fruquintinib and 64 received placebo. Baseline characteristics were balanced between arms. Patients treated with fruquintinib versus placebo had a median OS of 7.6 versus 4.6 months [hazard ratio (HR) 0.63, 95% confidence interval (CI) 0.44-0.91] and a median PFS of 3.7 versus 1.8 months (HR 0.24, 95% CI 0.17-0.36). Grade ≥3 treatment-emergent adverse events were reported in 60% versus 47% of patients treated with fruquintinib versus placebo. Median time to deterioration to an Eastern Cooperative Oncology Group performance status of two or more or death was 5.1 versus 2.9 months (HR 0.59, 95% CI 0.42-0.84) with fruquintinib versus placebo. Conclusions: Results were consistent with the global FRESCO-2 study population, therefore supporting fruquintinib as a new treatment option for patients with refractory mCRC.

Indexed as

fruquintinibmetastatic colorectal cancerSpain subgroup analysisVEGFR inhibitor

Identifiers

PMID41647991
PMCPMC12836649

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.