Overweight is associated with better prognosis in metastatic colorectal cancer patients treated with bevacizumab plus FOLFOX chemotherapy.

bevacizumab body mass index metastatic colorectal cancer obesity time to progression

Journal

Contemporary oncology (Poznan, Poland)
ISSN: 1428-2526
Titre abrégé: Contemp Oncol (Pozn)
Pays: Poland
ID NLM: 101233223

Informations de publication

Date de publication:
2020
Historique:
received: 22 02 2020
accepted: 13 03 2020
entrez: 10 6 2020
pubmed: 10 6 2020
medline: 10 6 2020
Statut: ppublish

Résumé

Previous studies showed that high and low body mass index (BMI) was associated with worse prognosis in metastatic CRC (mCRC). Whether BMI is a prognostic or predictive factor in mCRC is unclear. We aimed to assess efficacy outcomes according to BMI in patient with metastatic colorectal cancer treated with bevacizumab plus FOLFOX chemotherapy regimen in second-line treatment. The analysis of 237 patients with metastatic colorectal cancer treated with bevacizumab plus FOLFOX in the second line (treated from January 2014 to August 2018) in 4 reference oncological centers in Poland. The median age of the patients was 65 years (range 34-82). The median overall survival (OS) and progression-free survival (PFS) of the all 237 patient was 14.6 and 8.8 months, respectively. Comparison of obese patient (BMI > 30 kg/m Patients with mCRC treated with chemotherapy with bevacizumab in second-line treatment with higher BMI compared with normal weight patients have better prognosis in terms of PFS and OS. In this group, we found no evidence of changes in safety profile depending on BMI. Nevertheless, further large randomized studies are needed to assess the body weight on the effectiveness of chemotherapy in combination with bevacizumab.

Identifiants

pubmed: 32514236
doi: 10.5114/wo.2020.94728
pii: 94728
pmc: PMC7265962
doi:

Types de publication

Journal Article

Langues

eng

Pagination

34-41

Informations de copyright

Copyright: © 2020 Termedia Sp. z o. o.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Bożena Cybulska-Stopa (B)

Clinical Oncology Clinic, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Crakow, Poland.

Iwona Ługowska (I)

Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.

Rafał Wiśniowski (R)

Clinical Oncology Department, Beskid Oncology Center, Bielsko-Biała, Poland.

Małgorzata Domagała-Haduch (M)

Clinical Oncology Clinic, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Crakow, Poland.

Marcin Rajczykowski (M)

2 Department of Radiotherapy and Chemotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland.

Karolina Piejko (K)

Clinical Oncology Clinic, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Crakow, Poland.

Ilona Bar-Letkiewicz (I)

Department of Diagnostics and Cancer Immunology, Greater Poland Cancer Centre, Poznan, Poland.

Rafał Suwiński (R)

2 Department of Radiotherapy and Chemotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland.

Krzysztof Regulski (K)

Department of Applied Computer Science and Modelling, AGH University of Science and Technology, Cracow, Poland.

Jacek Mackiewicz (J)

Department of Diagnostics and Cancer Immunology, Greater Poland Cancer Centre, Poznan, Poland.
Department of Medical and Experimental Oncology, Heliodor Świecicki University Hospital, Poznan University of Medical Sciences, Poznan, Poland.
Department of Biology and Environmental Studies, Poznan University of Medical Sciences, Poznan, Poland.

Classifications MeSH