Abstract

3542 Background: The impact of the duration of chemotherapy on the overall survival (OS) of patients with metastatic colorectal cancer (mCRC) is controversial. We performed a systematic review and meta-analysis of randomized controlled trials (RCT) that compared chemotherapy continuously administered until progression versus complete treatment interruption after first line therapy for patients with mCRC Methods: We searched medical literature databases and oncology conferences proceedings for RCTs that compared the OS of mCRC patients who received first line chemotherapy until progression with those who were offered complete treatment stop after a fixed number of cycles. RCT that evaluated the role of any kind of maintenance therapy were excluded. A meta-analysis of reported Hazard Ratios for OS, with respective 95% confidence intervals, was performed using the fixed-effect models. Results: Our search retrieved 106 trials, of which sox were eligible (N=2373). The meta-analysis (N=2,334) showed a statistic...

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