Colorectal cancer patients with a KRAS mutation in their tumors benefit when Avastin® (bevacizumab) is added to chemotherapy, as do patients with no mutation or wild-type KRAS.
Both the time until cancer got worse (progression-free survival) and time patients lived after beginning treatment (survival) were better when Avastin was added to chemotherapy regardless of tumor KRAS mutation. Avastin did not improve overall response rates in the patients with KRAS mutations.
However, overall prognosis is worse for patients with KRAS mutations than those with wild-type KRAS with either chemotherapy alone or chemotherapy with Avastin. As a group, they tend to live for a shorter time and have their tumors progress more quickly.
Results of an analysis of 280 tumor samples from an earlier Phase III trial comparing chemotherapy with Camptosar® (irinotecan), 5FU, and leucovorin to the same chemotherapy plus Avastin were presented at the World Congress on Gastrointestinal Cancer in Barcelona in June, 2008. Read the rest of this entry »



