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Blomarkers for cetuximab: a complex pattern and need for validation

机译:西妥昔单抗的Blomarkers:复杂的模式,需要验证

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摘要

Treatment with monoclonal antibodies targeting the EGF receptor for meta-static colorectal cancer comes with a substantial degree of skin toxicity together with major financial cost. Consequently, the role of skin reactions, optimal treatment schedules and a better selection of patients are intensively debated aspects. A major step towards individualized treatment has been made with the discovery of a strong negative-predictive value of KRAS mutations for response to the EGF receptor inhibitors cetuximab and pani-tumumab [1,2]. Retrospective single-arm studies followed by the results of randomized trials have all contributed to the general conclusion that patients with KRAS mutations do not benefit from EGF receptor monoclonal antibodies.
机译:用靶向EGF受体的单克隆抗体治疗转移性结直肠癌的治疗具有相当大的皮肤毒性以及主要的财务成本。因此,皮肤反应的作用,最佳治疗方案和患者的更好选择一直是人们争论的焦点。随着对EGF受体抑制剂西妥昔单抗和pani-tumumab的反应,KRAS突变具有很强的阴性预测价值,迈出了朝着个体化治疗迈出的重要一步[1,2]。回顾性单臂研究以及随后的随机试验结果均得出以下普遍结论:具有KRAS突变的患者不能从EGF受体单克隆抗体中受益。

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