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Blood-based biomarkers in metastatic colorectal cancer patients treated with FOLFIRI plus regorafenib or placebo: Results from LCCC1029.

Publication ,  Conference
Liu, Y; Burdett, K; Starr, MD; Brady, JC; Hatch, AJ; Ivanova, A; Moore, DT; Hammond, K; Lee, MS; O'Neil, B; Innocenti, F; Owzar, K; Nixon, AB ...
Published in: Journal of Clinical Oncology
February 1, 2019

587 Background: The LCCC1029 trial demonstrated that addition of the multitargeted kinase inhibitor regorafenib (Rego) to FOLFIRI in metastatic colorectal cancer (mCRC) patients (pts) modestly prolonged progression-free survival (PFS). In this preplanned analysis, circulating angiogenic and inflammatory proteins were explored as potential prognostic and predictive biomarkers of Rego benefit. Methods: Plasma samples from 149 mCRC pts (107 in Rego + FOLFIRI and 42 in placebo + FOLFIRI) were evaluated for 20 markers at baseline (n = 149) and cycle 1 day 21 (C1D21, n = 81). Predictive and prognostic values of each marker at baseline were analyzed for both PFS and overall survival (OS) using Cox proportional hazard models. On-treatment changes were quantified as fold change [log(C1D21/baseline)] and differences between arms were evaluated using the Mann-Whitney test. Results: The primary objective of this study was to determine whether any marker was predictive of benefit with Rego for PFS. Although no treatment by marker interactions were significant after adjusting for multiple testing, the top three markers of interest were OPN (unadjusted p-values of 0.02), VCAM-1 (0.02), and PDGF-AA (0.04). VCAM-1 was also predictive for OS benefit in pts treated with Rego (unadjusted p = 0.01). Baseline levels of multiple markers (including HGF, IL-6, PlGF, VEGF-R1, OPN) were prognostic for both PFS and OS. Higher levels of these markers were associated with worse survival. Biomarker changes in response to treatment were explored and compared between arms. Fold change of three markers (PlGF, VEGF-A, VCAM-1) were significantly different between arms (p < 0.0001), all being markedly up-regulated in the Rego arm compared to the placebo after treatment. Conclusions: In this hypothesis generating report, VCAM-1, OPN, and PDGF-AA were the top biomarkers when analyzing the potential predictive association with PFS, where a lower hazard was observed for pts receiving Rego. Candidate prognostic markers were identified, including PlGF and VEGF-R1, key factors in VEGF biology. Biomarker changes observed here may offer insights into potential combinatorial strategies with Rego for future studies.

Duke Scholars

Published In

Journal of Clinical Oncology

DOI

EISSN

1527-7755

ISSN

0732-183X

Publication Date

February 1, 2019

Volume

37

Issue

4_suppl

Start / End Page

587 / 587

Publisher

American Society of Clinical Oncology (ASCO)

Related Subject Headings

  • Oncology & Carcinogenesis
  • 3211 Oncology and carcinogenesis
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Liu, Y., Burdett, K., Starr, M. D., Brady, J. C., Hatch, A. J., Ivanova, A., … Nixon, A. B. (2019). Blood-based biomarkers in metastatic colorectal cancer patients treated with FOLFIRI plus regorafenib or placebo: Results from LCCC1029. In Journal of Clinical Oncology (Vol. 37, pp. 587–587). American Society of Clinical Oncology (ASCO). https://doi.org/10.1200/jco.2019.37.4_suppl.587
Liu, Yingmiao, Kirsten Burdett, Mark D. Starr, J Chris Brady, Ace Joseph Hatch, Anastasia Ivanova, Dominic T. Moore, et al. “Blood-based biomarkers in metastatic colorectal cancer patients treated with FOLFIRI plus regorafenib or placebo: Results from LCCC1029.” In Journal of Clinical Oncology, 37:587–587. American Society of Clinical Oncology (ASCO), 2019. https://doi.org/10.1200/jco.2019.37.4_suppl.587.
Liu Y, Burdett K, Starr MD, Brady JC, Hatch AJ, Ivanova A, et al. Blood-based biomarkers in metastatic colorectal cancer patients treated with FOLFIRI plus regorafenib or placebo: Results from LCCC1029. In: Journal of Clinical Oncology. American Society of Clinical Oncology (ASCO); 2019. p. 587–587.
Liu, Yingmiao, et al. “Blood-based biomarkers in metastatic colorectal cancer patients treated with FOLFIRI plus regorafenib or placebo: Results from LCCC1029.Journal of Clinical Oncology, vol. 37, no. 4_suppl, American Society of Clinical Oncology (ASCO), 2019, pp. 587–587. Crossref, doi:10.1200/jco.2019.37.4_suppl.587.
Liu Y, Burdett K, Starr MD, Brady JC, Hatch AJ, Ivanova A, Moore DT, Hammond K, Lee MS, O’Neil B, Innocenti F, Owzar K, Sanoff HK, Nixon AB. Blood-based biomarkers in metastatic colorectal cancer patients treated with FOLFIRI plus regorafenib or placebo: Results from LCCC1029. Journal of Clinical Oncology. American Society of Clinical Oncology (ASCO); 2019. p. 587–587.

Published In

Journal of Clinical Oncology

DOI

EISSN

1527-7755

ISSN

0732-183X

Publication Date

February 1, 2019

Volume

37

Issue

4_suppl

Start / End Page

587 / 587

Publisher

American Society of Clinical Oncology (ASCO)

Related Subject Headings

  • Oncology & Carcinogenesis
  • 3211 Oncology and carcinogenesis
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences