Table 4 Association of baseline characteristics, treatment, and response parameters with relapse-free and overall survival
Univariate analysis | Multivariate analysis | p | ||||
|---|---|---|---|---|---|---|
N | Median | HR for RFS (95% CI) | p | HR for RFS (95% CI) | ||
Baseline characteristics | ||||||
>ECOG PS | ||||||
0 | 152 | 12.2 | 1 | — | ||
1–2 | 7 | 13.4 | 1.03 (0.39–2.76) | 0.953 | — | — |
Time to metastases | ||||||
Synchronous | 131 | 11.0 | 1 | 1 | ||
Metachronous | 28 | 19.8 | 0.59 (0.41–0.96) | 0.034 | 0.95 (0.53–1.70) | 0.854 |
No. of liver metastases | ||||||
≥4 | 59 | 9.3 | 1 | 1 | ||
<4 | 93 | 19.8 | 0.62 (0.40–0.91) | 0.018 | 0.92 (0.49–1.72) | 0.804 |
NA | 7 | — | — | |||
Primary resected | ||||||
No | 39 | 9.7 | 1 | 1 | ||
Yes | 120 | 13.8 | 0.61 (0.34–0.91) | 0.020 | 0.50 (0.17–1.50) | 0.221 |
Location of primary tumour | ||||||
Right colon | 40 | 11.3 | 1 | — | ||
Left colon | 116 | 12.0 | 0.81 (0.52–1.23) | 0.301 | — | — |
NA | 3 | — | — | — | ||
Nodal status of primary tumour | ||||||
Node positive | 85 | 12.6 | 1 | 1 | ||
Node negative | 35 | 37.1 | 0.53 (0.36–0.85) | 0.009 | 0.50 (0.28–0.88) | 0.018 |
NA | 39 | — | — | — | ||
Tumour size, diameter | ||||||
>5 cm | 56 | 11.0 | 1 | — | ||
≤5 cm | 102 | 12.7 | 1.00 (0.68–1.48) | 0.993 | — | — |
NA | 1 | — | — | — | ||
Distribution of liver metastases | ||||||
Bilobar | 96 | 10.4 | 1 | 1 | ||
Unilobar | 54 | 16.7 | 0.68 (0.47–1.01) | 0.058 | 0.95 (0.52–1.72) | 0.864 |
NA | 9 | — | — | |||
No. of involved segments | ||||||
>6 | 19 | 9.2 | 1 | — | ||
≤6 | 116 | 13.8 | 0.71 (0.32–1.37) | 0.273 | — | — |
NA | 24 | — | — | — | ||
Disease-free interval | ||||||
<12 months | 137 | 11.3 | 1 | — | ||
>12 months | 22 | 13.3 | 0.88 (0.54–1.46) | 0.220 | — | — |
Mutational status | ||||||
RAS/BRAF wt | 91 | 12.6 | 1 | — | ||
RAS mut | 57 | 12.7 | 0.93 (0.63–1.38) | 0.729 | — | — |
BRAF mut | 6 | 2.4 | 1.99 (0.66–10.57) | 0.170 | — | — |
NA | 5 | — | — | |||
CEA | ||||||
<200 ng/ml | 112 | 11.0 | 1 | — | ||
>200 ng/ml | 21 | 13.8 | 0.91 (0.50–1.63) | 0.740 | — | — |
NA | 26 | — | — | |||
Treatment | ||||||
Targeted agent | ||||||
Cetuximab | 56 | 10.4 | 1 | — | ||
Bevacizumab | 103 | 12.7 | 0.87 (0.59–1.27) | 0.463 | — | — |
Targeted agent (wt only) | ||||||
Cetuximab | 56 | 10.4 | 1 | — | ||
Bevacizumab | 35 | 21.5 | 0.67 (0.41–1.14) | 0.151 | — | — |
Chemotherapy backbone | ||||||
FOLFOXIRI | 92 | 16.7 | 1 | 1 | ||
COI | 67 | 17.7 | 0.64 (0.45–0.94) | 0.022 | 0.74 (0.44–1.26) | 0.277 |
Response parameters | ||||||
RECIST response | ||||||
>No | 24 | 5.9 | 1 | 1 | ||
Yes | 134 | 13.4 | 0.53 (0.29–0.97) | 0.040 | 0.67 (0.36–1.28) | 0.231 |
NA | 1 | — | — | |||
Early response | ||||||
No | 23 | 4.9 | 1 | — | ||
Yes | 125 | 13.0 | 0.52 (0.23–0.72) | 0.005 | — | — |
NA | 11 | — | — | |||
Deepness of response | ||||||
Per 10% increase | 121 | — | 0.96 (0.87–1.05) | 0.350 | — | — |
Tumour regression grade | ||||||
Partial/no histopathologic response (TRG3–4–5) | 118 | 11.0 | 1 | 1 | ||
Major histopathologic response (TRG1–2) | 41 | 21.0 | 0.56 (0.40–0.89) | 0.012 | 0.41 (0.21–0.79) | 0.008 |
NA | 1 | — | ||||
Resection margins | ||||||
R0 | 133 | 12.7 | 1 | — | ||
R1 | 26 | 10.4 | 1.02 (0.63–1.67) | 0.931 | — | — |
Baseline characteristics | ||||||
ECOG PS | ||||||
0 | 152 | 46.0 | 1 | 1 | ||
1–2 | 7 | 23.3 | 2.86 (1.19–31.75) | 0.032 | 6.25 (0.67–58.09) | 0.109 |
Time to metastases | ||||||
Synchronous | 131 | 41.6 | 1 | 1 | ||
Metachronous | 28 | Undef | 0.53 (0.33–1.04) | 0.068 | 0.97 (0.27–3.43) | 0.958 |
No. of liver metastases | ||||||
≥4 | 59 | 34.8 | 1 | 1 | ||
<4 | 93 | 51.0 | 0.50 (0.29–0.83) | 0.008 | 1.20 (0.32–4.41) | 0.789 |
NA | 7 | — | — | — | ||
Primary resected | ||||||
No | 39 | 33.4 | 1 | 1 | ||
Yes | 120 | 44.6 | 0.59 (0.28–0.99) | 0.051 | 0.84 (0.09–7.84) | 0.879 |
Location of primary tumour | ||||||
Right colon | 40 | 42.7 | 1 | — | ||
Left colon | 116 | 43.2 | 0.96 (0.55–1.70) | 0.896 | — | |
NA | 3 | — | — | — | ||
Nodal status of primary tumour | ||||||
Node positive | 85 | 42.4 | 1 | 1 | ||
Node negative | 35 | 58.6 | 0.54 (0.31–1.07) | 0.080 | 0.45 (0.14–1.42) | 0.175 |
NA | 39 | — | — | — | ||
Tumour size, diameter | ||||||
>5 cm | 56 | 36.5 | 1 | — | ||
≤5 cm | 102 | 58.6 | 0.69 (0.40–1.14) | 0.143 | — | |
NA | 1 | — | — | — | ||
Distribution of liver metastases | ||||||
Bilobar | 96 | 36.5 | 1 | 1 | ||
Unilobar | 54 | 58.6 | 0.52 (0.32–0.91) | 0.021 | 0.69 (0.24–1.98) | 0.496 |
NA | 9 | — | — | |||
No. of involved segments | ||||||
>6 | 19 | 33.4 | 1 | 1 | ||
≤6 | 116 | 46.6 | 0.43 (0.11–0.79) | 0.016 | 2.06 (0.36–11.89) | 0.422 |
NA | 24 | — | — | — | ||
Disease-free interval | ||||||
<12 months | 137 | 42.4 | 1 | — | ||
>12 months | 22 | 43.2 | 0.82 (0.43–1.61) | 0.589 | — | — |
Mutational status | ||||||
RAS/BRAF wt | 91 | 46.0 | 1 | 1 | ||
RAS mut | 57 | 42.7 | 1.16 (0.67–2.03) | 0.580 | 1.77 (0.80–3.94) | 0.873 |
BRAF mut | 6 | 18.7 | 6.71 (2.36–180.20) | <0.001 | 3.80 (0.30–210.50) | 0.632 |
NA | 5 | — | — | |||
CEA | ||||||
<200 ng/ml | 112 | 34.9 | 1 | 1 | ||
>200 ng/ml | 21 | 58.6 | 0.57 (0.22–1.10) | 0.089 | 0.48 (0.15–1.54) | 0.220 |
NA | 26 | — | — | — | ||
Treatment | ||||||
Targeted agent | ||||||
Cetuximab | 56 | 46.6 | 1 | — | ||
Bevacizumab | 103 | 42.4 | 1.21 (0.75–2.00) | 0.445 | — | — |
Targeted agent (wt only) | ||||||
Cetuximab | 56 | 46.6 | 1 | — | ||
Bevacizumab | 35 | 34.8 | 1.08 (0.50–2.35) | 0.839 | — | — |
Chemotherapy backbone | ||||||
FOLFOXIRI | 92 | 36.5 | 1 | 1 | ||
COI | 67 | 64.3 | 0.52 (0.33–0.90) | 0.019 | 0.94 (0.27–3.31) | 0.928 |
RECIST response | ||||||
No | 24 | 29.5 | 1 | 1 | ||
Yes | 134 | 46.0 | 0.58 (0.23–1.13) | 0.098 | 0.51 (0.17–1.55) | 0.239 |
NA | 1 | — | — | |||
Early response | ||||||
No | 23 | 21.3 | 1 | — | ||
Yes | 125 | 46.0 | 0.45 (0.16–0.74) | 0.006 | — | — |
NA | 11 | — | — | |||
Deepness of response | ||||||
Per 10% increase | 121 | — | 0.95 (0.84–1.06) | 0.343 | — | — |
Histopathologic response | ||||||
Partial/no response (TRG3–4–5) | 118 | 42.1 | 1 | 1 | ||
Major response (TRG1–2) | 41 | Undef | 0.51 (0.32–0.99) | 0.045 | 0.26 (0.07–0.89) | 0.033 |
NA | 1 | — | ||||
Resection margins | ||||||
R0 | 133 | 42.7 | 1 | |||
R1 | 26 | 70.1 | 0.67 (0.37–1.34) | 0.284 | ||