%0 Journal Article %T Consensus statement on essential patient characteristics in systemic treatment trials for metastatic colorectal cancer: Supported by the ARCAD Group. %A Goey KKH %A Sørbye H %A Glimelius B %A Adams RA %A André T %A Arnold D %A Berlin JD %A Bodoky G %A de Gramont A %A Díaz-Rubio E %A Eng C %A Falcone A %A Grothey A %A Heinemann V %A Hochster HS %A Kaplan RS %A Kopetz S %A Labianca R %A Lieu CH %A Meropol NJ %A Price TJ %A Schilsky RL %A Schmoll HJ %A Shacham-Shmueli E %A Shi Q %A Sobrero AF %A Souglakos J %A Van Cutsem E %A Zalcberg J %A van Oijen MGH %A Punt CJA %A Koopman M %J Eur J Cancer %V 100 %N 0 %D 09 2018 %M 29936065 %F 10.002 %R 10.1016/j.ejca.2018.05.010 %X Patient characteristics and stratification factors are key features influencing trial outcomes. However, there is substantial heterogeneity in reporting of patient characteristics and use of stratification factors in phase 3 trials investigating systemic treatment of metastatic colorectal cancer (mCRC). We aimed to develop a minimum set of essential baseline characteristics and stratification factors to include in such trials.
We performed a modified, two-round Delphi survey among international experts with wide experience in the conduct and methodology of phase 3 trials of systemic treatment of mCRC.
Thirty mCRC experts from 15 different countries completed both consensus rounds. A total of 14 patient characteristics were included in the recommended set: age, performance status, primary tumour location, primary tumour resection, prior chemotherapy, number of metastatic sites, liver-only disease, liver involvement, surgical resection of metastases, synchronous versus metachronous metastases, (K)RAS and BRAF mutation status, microsatellite instability/mismatch repair status and number of prior treatment lines. A total of five patient characteristics were considered the most relevant stratification factors: RAS/BRAF mutation status, performance status, primary tumour sidedness and liver-only disease.
This survey provides a minimum set of essential baseline patient characteristics and stratification factors to include in phase 3 trials of systemic treatment of mCRC. Inclusion of these patient characteristics and strata in study protocols and final study reports will improve interpretation of trial results and facilitate cross-study comparisons.