The EXPERT-C trial –
Design
R*
Neoadjuvant
CAPOX-C x 4
Neoadjuvant
CAPOX x 4
CAPOX
CAPOX +
CETUXIMAB
CRT with
Capecitabine
& Cetuximab
CRT with
Capecitabine
TME
TME
Adjuvant
CAPOX-C x 4
Adjuvant
CAPOX x 4
*Patients recruited from 15 European Centres 2005-2008
Key inclusion criteria:
• Tumours within 1mm of mesorectal fascia
• Tumours extending
5mm into peri-rectal fat
• T4 tumours
• Presence of extramural vascular invasion
• T3 tumours at/below levators
Dewdney, J Clin Oncol 2012
Endpoints
• Primary endpoint:
CR in
KRAS/BRAF
WT patients
• Secondary endpoints:
RR, PFS, OS, safety and QoL