Author

N

Method

Treatment

Endpoint

Comment

Giralt

87

IHC

45-50.4 Gy
 +/- 5-
FU+LV o
 UFT+LV

pCR;DFS/OS;Metastasis-free survival

EGFR expression associated with decreased pCR rate

Kim

183

IHC

50 Gy 5-
FU+LV

TRG; TNM downstaging

Low EGFR expression associated with TNM downstaging

Spindler

77

PCR/DNA

65 Gy
 UFT+LV

TRG

EGFR Sp1-216 associated with tumor response

Spindler

60

PCR/DNA

65 Gy
 UFT+LV

TRG

Combination of TS 2R/2R and EGFR 61A/G or EGFR Sp1-216T associated with tumor regresión

Bertolini

91

IHC

50 Gy 5-FU

TRG; TNM downstaginf;DFS/OS

No correlation

Toiyama

40

PCR/RNA

20 Gy 5-
FU+UFT

TNM downstaging

Low EGFR expression associated with high response rate

Bengala

39

IHC;FISH;
PCR/DNA

50.4 Gy 5-
FU+Cetuximab

TRG

High EGFR and wild-type KRAS associated with response to treatment

Debucquoy

41

IHC

50.4 Gy 5-
FU+LV

TRG; TNM downstaging

No correlation

Bengala

146

IHC;FISH;PCR/DNA

50 Gy 5-
FU+/-Oxa+Capecitabine

TRG;DFS/OS

No association of EGFR, GCN and KRAS with TRG and OS

EGFR: epidermal growth factor receptor; ICH: imunohistochemistry; PCR: polymerase chain reaction; FISH: fluorescence in situ hybridization; 5-FU: 5-floruracil; LV: leucovorin; Oxa: oxaliplatin; UFT: Uftoral; pCR: complete pathological response; DFS: disease-free survival; OS: overall survival; TRG: tumor regression grade; TNM: tumor node metastasis staging; TS: thymidylate synthase; EGF: epidermal growth factor; EGFR GCN: EGFR gene copy number.

Table 2: Epidermal growth factor receptor (EGFR) expression and prediction of response to preoperative radio-chemotherapy in rectal cancer patients.