% IMPORTANT: The following is UTF-8 encoded. This means that in the presence % of non-ASCII characters, it will not work with BibTeX 0.99 or older. % Instead, you should use an up-to-date BibTeX implementation like “bibtex8” or % “biber”. @ARTICLE{Stahler:275259, author = {A. Stahler and B. Hoppe and I.-K. Na$^*$ and L. Keilholz and L. Müller and M. Karthaus and S. Fruehauf and U. Graeven and L. Fischer von Weikersthal and E. Goekkurt and S. Kasper$^*$ and A. J. Kind and A. Kurreck and A. H. S. Alig and S. Held and A. Reinacher-Schick and V. Heinemann$^*$ and D. Horst$^*$ and A. Jarosch and S. Stintzing$^*$ and T. Trarbach and D. P. Modest$^*$}, title = {{C}onsensus {M}olecular {S}ubtypes as {B}iomarkers of {F}luorouracil and {F}olinic {A}cid {M}aintenance {T}herapy {W}ith or {W}ithout {P}anitumumab in {RAS} {W}ild-{T}ype {M}etastatic {C}olorectal {C}ancer ({P}ana{M}a, {AIO} {KRK} 0212).}, journal = {Journal of clinical oncology}, volume = {41}, number = {16}, issn = {0732-183X}, address = {Alexandria, Va.}, publisher = {American Society of Clinical Oncology}, reportid = {DKFZ-2023-00706}, pages = {2975-2987}, year = {2023}, note = {2023 Jun 1;41(16):2975-2987}, abstract = {Consensus molecular subtypes (CMSs) were evaluated as prognostic and predictive biomarkers of patients with RAS wild-type metastatic colorectal cancer (mCRC) receiving fluorouracil and folinic acid (FU/FA) with or without panitumumab (Pmab) after Pmab + mFOLFOX6 induction within the randomized phase II PanaMa trial.CMSs were determined in the safety set (ie, patients that received induction) and full analysis set (FAS; ie, randomly assigned patients who received maintenance) and correlated with median progression-free survival (PFS) and overall survival (OS) since the start of induction or maintenance treatment and objective response rates (ORRs). Hazard ratios (HRs) and $95\%$ CI were calculated by univariate/multivariate Cox regression analyses.Of 377 patients of the safety set, 296 $(78.5\%)$ had available CMS data: CMS1/2/3/4: 29 $(9.8\%)/122$ $(41.2\%)/33$ $(11.2\%)/112$ $(37.8\%)$ and unclassifiable: 17 $(5.7\%).$ The CMSs were prognostic biomarkers in terms of PFS (P < .0001), OS (P < .0001), and ORR (P = .02) since the start of induction treatment. In FAS patients (n = 196), with CMS2/4 tumors, the addition of Pmab to FU/FA maintenance therapy was associated with longer PFS (CMS2: HR, 0.58 $[95\%$ CI, 0.36 to 0.95], P = .03; CMS4: HR, 0.63 $[95\%$ CI, 0.38 to 1.03], P = .07) and OS (CMS2: HR, 0.88 $[95\%$ CI, 0.52 to 1.52], P = .66; CMS4: HR, 0.54 $[95\%$ CI, 0.30 to 0.96], P = .04). The CMS interacted significantly with treatment in terms of PFS (CMS2 v CMS1/3: P = .02; CMS4 v CMS1/3: P = .03) and OS (CMS2 v CMS1/3: P = .03; CMS4 v CMS1/3: P < .001).The CMS had a prognostic impact on PFS, OS, and ORR in RAS wild-type mCRC. In PanaMa, Pmab + FU/FA maintenance was associated with beneficial outcomes in CMS2/4, whereas no benefit was observed in CMS1/3 tumors.}, cin = {BE01 / MU01 / ED01}, ddc = {610}, cid = {I:(DE-He78)BE01-20160331 / I:(DE-He78)MU01-20160331 / I:(DE-He78)ED01-20160331}, pnm = {899 - ohne Topic (POF4-899)}, pid = {G:(DE-HGF)POF4-899}, typ = {PUB:(DE-HGF)16}, pubmed = {pmid:37018649}, doi = {10.1200/JCO.22.02582}, url = {https://inrepo02.dkfz.de/record/275259}, }