RATIONALE: Studying samples of tumor tissue from patients with cancer in the laboratory may help doctors learn more about changes that occur in DNA and identify biomarkers related to cancer. It may also help doctors select the best treatment for patients and predict their response to treatment. PURPOSE: This randomized phase II/III trial is studying how well tumor tissue testing works in selecting treatment for patients with metastatic or locally advanced colorectal cancer.
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Topoisomerase-1 (topo-1) and K-ras, BRAF results obtained within 10 working days after registration
Number of patients in which the interval between registration and randomization (RZ) is ≤ 10 days
Efficacy of fluorouracil with vs without irinotecan hydrochloride, fluorouracil, and leucovorin calcium (IrMdG) in low topo-1 tumors
Progression-free survival of patients with high topo-1 tumors treated with IrMdG with or without oxaliplatin
Efficacy of IrMdG with vs without cetuximab in K-ras wildtype tumors
Efficacy of IrMdG with vs without bevacizumab in K-ras mutant tumors