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The Efficacy and Safety of Anti-Egfr Target Agents in Patients with Potentially Resectable Metastatic Colorectal Cancer: a Meta-Analysis of Randomized Controlled Trials

Yang Wang,Xiangyuan Li,Tongmin Huang,Dongying Wang,Yujing He,Mengfei Wei, Yujie Chen, Matao Zheng,Yetan Shi, Jianjian Zhang

World journal of surgical oncology(2023)

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摘要
Adding anti-epidermal growth factor receptor (anti-EGFR) target agents to conversion therapy may improve the resection rates and survival of patients with potentially resectable metastatic colorectal cancer (mCRC). This study aims to analyze the efficacy and safety of additional anti-EGFR target agents. A systematic search was conducted on PubMed, Web of Science, Embase, and Cochrane Library. And all relevant studies published in English before January 2023 were collected to explore the impact of additional anti-EGFR targeted agent on the efficacy and safety of patients with potentially resectable mCRC (PROSPERO: CRD42022340523, https://www.crd.york.ac.uk/PROSPERO/ ). This study included a total of 8 articles, including 2618 patients. The overall response rate (ORR) and R0 resection rates of the experimental group were higher than those of the control group, while there was no significant difference in progression-free survival (PFS) and overall survival (OS) between the two groups. In RAS/KRAS wild-type patients, the ORR (RR: 1.20, 95
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关键词
Anti-epidermal growth factor receptor (anti-EGFR) target agent,Cetuximab,Panitumumab,Conversion therapy,Colorectal cancer,Colorectal cancer metastases
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