A Meta-Analysis to Assess the Efficacy of HER2-Targeted Treatment Regimens in HER2-Positive Metastatic Colorectal Cancer (mCRC).

Recent trials provide evidence that HER2 is a potential new target for patients with colorectal cancer. While HER2-positive tumors do not show a very encouraging response to anti-HER2-positive agents like trastuzumab alone, promising results have been observed when combined with other synergisticall...

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Publicado en:Current Oncology Vol. 30; no. 9; pp. 8266 - 8278
Autores principales: Chitkara, Akshit, Bakhtiar, Muhammad, Sahin, Ibrahim Halil, Hsu, Dennis, Zhang, Janie, Anamika, FNU, Mahnoor, Mahnoor, Ahmed, Rabeea, Gholami, Sepideh, Saeed, Anwaar
Formato: Journal Article
Publicado: MDPI Sep2023
Acceso en línea:Ver este registro en EBSCOhost
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        10.3390/curroncol30090600
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        atl: A Meta-Analysis to Assess the Efficacy of HER2-Targeted Treatment Regimens in HER2-Positive Metastatic Colorectal Cancer (mCRC).
      aug:
        au:
          Chitkara, Akshit
          Bakhtiar, Muhammad
          Sahin, Ibrahim Halil
          Hsu, Dennis
          Zhang, Janie
          Anamika, FNU
          Mahnoor, Mahnoor
          Ahmed, Rabeea
          Gholami, Sepideh
          Saeed, Anwaar
        affil: Department of Internal Medicine, University of California, Riverside, CA 92521, USA
      sug:
      ab: Recent trials provide evidence that HER2 is a potential new target for patients with colorectal cancer. While HER2-positive tumors do not show a very encouraging response to anti-HER2-positive agents like trastuzumab alone, promising results have been observed when combined with other synergistically acting tyrosine kinase inhibitors (TKIs). Our meta-analysis was conducted following the Cochrane Handbook and written following the PRISMA guidelines. The protocol was registered on PROSPERO with the registration number CRD42022338935. After a comprehensive search for relevant articles, 14 CTs were identified and uploaded to Rayyan, and six trials were ultimately selected for inclusion. The meta-analysis revealed that a median of three prior lines of therapy was used before enrolling in the six trials comprising 238 patients with HER2-positive metastatic colorectal cancer (mCRC). The pooled objective response rate (ORR) and disease control rate (DCR) were 31.33% (95% confidence interval [CI] 24.27–38.39) and 74.37% (95% CI 64.57–84.17), respectively. The pooled weighted progression-free survival (PFS) was 6.2 months. The pooled ORR and DCR meta-analysis indicate a significant response to HER2-targeted therapy in this patient in HER2-positive mCRC. Additionally, a pooled PFS of 6.2 months suggests that HER2-targeted treatment regimens are associated with a meaningful improvement in survival outcomes in this population.
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    language: English
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