Review Article

Efficacy of Adding Bevacizumab in the First-Line Chemotherapy of Metastatic Colorectal Cancer: Evidence from Seven Randomized Clinical Trials

Table 1

Characteristics of trials about the first-line therapy.

StudiesInterventionPatientsMedian follow-up (mo)Median OS and 95% CI (mo)HR and 95% CI for OSMedian PFS and 95% CI (mo)HR and 95% CI for PFSJadad score

Hurwitz et al. 2004 (AVF2107) [3]IFL + B402Not reported20.30.69 0.59, 0.81 10.60.66 0.58, 0.76 4
IFL411   15.6   6.2     

Kabbinavar et al. 2003 [12]Fu + LV + Bh33Not reported16.1 11.0–20.7 Not reported7.2 3.8–9.2 0.54 0.33, 0.88 3
Fu + LV + Bl35   21.5 17.3-undetermined   9.0 5.8–10.9      
Fu + LV36   13.8 9.1–23.0   5.2 3.5–5.6      

Kabbinavar et al. 2005 [13]Fu + LV + B104Not reported16.60.79 0.56, 1.10 9.20.50 0.34, 0.73 4
Fu + LV105   12.9  5.5     

Saltz et al. 2008 (N016966)* [14]XELOX + B35027.6Not reported0.84 0.71, 1.01 Not reported0.77 0.65, 0.92 4
XELOX350   Not reported  Not reported     
FOLFOX-4 + B35027.6Not reported0.94 0.77, 1.15 Not reported0.89 0.74, 1.06 4
FOLFOX-4351  Not reported  Not reported      

ITACA* [11]FOLFOX-4 or FOLFIRI + B179Unclear#20.6 15.3, 22.6 1.18 0.88, 1.58 9.2 8.0, 10.0 0.88 0.70, 1.10 ≥3
FOLFOX-4 or FOLFIRI197   20.6 18.2, 23.3   8.4 7.0, 8.9      

Stathopoulos et al. 2010 [15]mIFLl + B1147222.0 18.1, 25.9 1.05 0.81, 1.36 Not reportedNot reported3
mIFL108  25.0 18.1–31.9   Not reported    

Tebbutt et al. 2010 (MAX) 2 [16]CBM15821.516.40.94 0.73, 1.21 8.4 7.5–9.0 0.59 0.47, 0.75 3
C156  18.9  5.7 5.4–6.2      

Tebbutt et al. 2010 (MAX) 1 [16]CB15748Not reported0.88 0.68, 1.13 8.5 7.3–9.2 0.63 0.50, 0.79 3
C156  Not reported  5.7 5.4–6.2      

The most used combination chemotherapy in metastatic colorectal cancer. #The data is unclear because it is just extracted from the abstract from 2013 ASCO annual meeting. 95% CI was not reported.
B: bevacizumab, Bl: bevacizumab in low doses, Bh: bevacizumab in high doses, XELOX: Xeloda plus oxaliplatin regimen, FOLFOX: 5-Fu, LV, and oxaliplatin regimen.
FOLFIRI: 5-Fu, LV, and irinotecan regimen, mIFL: modified irinotecan, LV, and 5-Fu regimen, CBM: capecitabine, bevacizumab, and mitomycin regimen.
CB: capecitabine and bevacizumab regimen, C: capecitabine.