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Poster display session: Biomarkers, Gynaecological cancers, Haematological malignancies, Immunotherapy of cancer, New diagnostic tools, NSCLC - early stage, locally advanced & metastatic, SCLC, Thoracic malignancies, Translational research

4670 - Association of microRNA-21 (miR-21) with efficacy of cetuximab (cet) and bevacizumab (bev) in patients with metastatic colorectal cancer (mCRC) within the FIRE-3 study (AIO KRK-0306)


20 Oct 2018


Poster display session: Biomarkers, Gynaecological cancers, Haematological malignancies, Immunotherapy of cancer, New diagnostic tools, NSCLC - early stage, locally advanced & metastatic, SCLC, Thoracic malignancies, Translational research


Tumour Site

Colon and Rectal Cancer


Lisa Miller-Phillips


Annals of Oncology (2018) 29 (suppl_8): viii14-viii57. 10.1093/annonc/mdy269


L. Miller-Phillips1, L. Fischer von Weikersthal2, F. Kaiser3, S. Al-Batran4, T. Heintges5, D. Neureiter6, C. Kahl7, F. Kullmann8, M. Moehler9, W. Scheithauer10, C. Vazart11, K. Fontaine11, S. Held12, D.P. Modest1, J. Neumann13, A. Jung13, T. Kirchner13, V. Heinemann1, S. Stintzing1

Author affiliations

  • 1 Department Of Medicine Iii, University Hospital, LMU Munich, 81377 - Munich/DE
  • 2 Health Center, Health Center St. Marien, Amberg/DE
  • 3 Studien Gbr, VK&K, Landshut/DE
  • 4 Department Of Hematology And Oncology, Nordwest-Krankenhaus, 60488 - Frankfurt am Main/DE
  • 5 Department Of Medicine Ii, Staedtische Kliniken Neuss, Neuss/DE
  • 6 Institute Of Pathology, Paracelsus Medical University Salzburg, Salzburg/AT
  • 7 Haematology And Oncology, Klinikum Magdeburg, 39130 - Magdeburg/DE
  • 8 Department Of Medicine I, Klinikum Weiden, 92637 - Weiden in der Oberpfalz/DE
  • 9 Department Of Medicine I, Universitiy Hospital, 55131 - Mainz/DE
  • 10 Department Of Internal Medicine I & Comprehensive Cancer Center, Medical University of Vienna, Vienna/AT
  • 11 R&d, IntegraGen SA, 91000 - Evry/FR
  • 12 Statistik, Clinassess, 51379 - Leverkusen/DE
  • 13 Institute Of Pathology, Ludwig Maximilians University, 80337 - Munich/DE


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Abstract 4670


FIRE-3 compared first-line therapy with FOLFIRI plus either cet or bev in KRAS exon 2 wildtype (wt) patients with mCRC. Identification of RAS mutations as a predictor for the efficacy of EGFR-antibody therapy raised the question of whether miR-21 as a potential regulator of the EGFR dependent pathway influences therapy outcome.


A reverse-transcription quantitative polymerase chain reaction (RT-qPCR) assay was used to identify quantitative miR-21 expression in formalin-fixed paraffin-embedded (FFPE) tumor samples of FIRE-3 patients. The median of miR-21 expression within the FIRE-3 population was determined and subsequently used to segment the population into low and high miR-21 expression groups. Overall response rate (ORR) between treatment groups was compared using Fisheŕs exact test. Median progression free (PFS) and overall survival (OS) were calculated using Kaplan-Meier estimation and compared through log-rank test.


RAS wt population with low miR-21 expression (n = 146) showed a significantly higher ORR when cet instead of bev was added to FOLFIRI chemotherapy (80.0% vs. 57.9%; p = 0.005). High miR-21 expression in RAS wt population (n = 149) showed no significant difference in ORR between treatment groups (74.6% vs. 64.0%; p = 0.21). ORR of RAS mutated patients with high miR-21 expression (n = 48) showed no significant difference between cet or bev when added to FOLFIRI (38.1% vs. 59.3%; p = 0.24). ORR (50.0% vs. 48.3%; p > 0.99) also showed no significant difference in RAS mutated patients with low miR-21 expression (n = 59). The following table presents statistical results of PFS and OS by comparing FOLFIRI plus cet versus FOLFIRI plus bev depending on RAS and miR-21 status.Table: 124P

RAS wtRAS mut
low miR-21 (n = 166)high miR-21 (n = 167)low miR-21 (n = 67)high miR-21 (n = 62)
PFS (months)10.6 vs. 10.3 p = 0.310.1 vs. 9.9 p = 0.58.5 vs. 12.2 p = 0.37.7 vs. 8.9 p = 0.044
OS (months)35.8 vs. 25.9 p = 0.00524.5 vs. 23.8 p = 0.420.2 vs. 26.0 p = 0.416.4 vs. 20.2 p = 0.2


Along with RAS status, miR-21 expression level may be a promising predictive biomarker for anti-EGFR-therapy.

Clinical trial identification

NCT00433927; Study Start Date: January 2007; First Posted: February 12, 2007.

Legal entity responsible for the study

University Hospital, LMU Munich.



Editorial Acknowledgement


C. Vazart, K. Fontaine: Employee: Integragen. D.P. Modest: Honoraria and advisory boards: Amgen, Bayer, Merck, MSD, Roche, Servier, Taiho, BMS, Sirtex; Travel support/research funding: Amgen, Bayer, Merck, Roche, Servier. V. Heinemann: Advisory boards: Merck KgaA, Roche AG, Amgen, Sanofi, Lilly, Sirtex, Boehringer Ingelheim, Taiho, Servier; Honoraria for talks: Merck KgaA, Roche AG, Amgen, Sanofi, Sirtex, Servier, MSD; Travel expenses to meetings: Merck KgaA, Roche AG, Amgen, Sirtex, Servier, MSD, BMS; Funding of research activity: Merck KgaA, Pfizer, Amgen, Roche, Servier, Sirtex. S. Stintzing: Honoraria for talks and travel support: Amgen, Bayer, Roche, Merck KgaA, SANOFI, Lilly, Takeda. All other authors have declared no conflicts of interest.

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