...increased levels of nuclear p-IGF-1R expression in metastatic samples (after chemotherapy and after chemotherapy and anti-EGFR therapy)...the presence of high expression nuclear p-IGF-1R (⩾20%) showed a significantly inferior OS (median 16.7 months [95% CI, 13.4–20.2]) compared to low (1–19%) (median 24.6 months [95% CI 17.8–31.5]) and negative p-IGF-1R nuclear expression (median 30.5 months [95% CI 26.3–31.7]) (P<0.01).