長崎大学医学部
Autor: | Kobayashi, Kazuma, Tetsuo, Hanako, Yamaguchi, Shun, Ito, Shinichiro, Torashima, Yasuhiro, Inoue, Yusuke, Okada, Satomi, Enjoji, Takahiro, Kuba, Sayaka, Kosaka, Taiichiro, Adachi, Tomohiko, Hidaka, Masaaki, Yamanouchi, Kosho, Kanetaka, Kengo, Takatsuki, Mitsuhisa, Eguchi, Susumu |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: | |
Zdroj: | Acta medica Nagasakiensia. 64(1):1-7 |
ISSN: | 0001-6055 |
Popis: | Aim: This study compared the efficacy and safety of Bmab+oral 5-Fluorourasil (Bmab+o-5-FU) including Bmab+Capecitabine (Cape) with that of intensive chemotherapy including L-OHP or CPT-11 for patients with metastatic colorectal cancer (mCRC). Methods: Between January 2006 and February 2017, 40 elderly (?70 years) chemotherapy-naive patients with mCRC (male/female=22/18; median age, 76.0 years) were retrospectively reviewed. The treatment regimens were Bmab+o-5-FU (n=19)and intensive regimens (n=21). Intensive regimens comprised 17 L-OHP and 4 CPT-11 doublet chemotherapies. Results: The median progression-free survival (PFS) with Bmab+o-5-FU and intensive regimens was 281 and 215 days, respectively. The median survival time with Bmab+o-5-FU and intensive regimens was 961 and 1,002 days, respectively. No significant differences were observed in the overall survival or PFS between Bmab+o-5-FU and the other regimens. The disease control rate was 94.7% with Bmab+o-5-FU and 81.0% with intensive regimens. The rate of grade ?3 hematologicaladverse events was 5.3% for Bmab+o-5-FU and 15.8% for intensive regimens. Conclusions: With its similar survival benefit to intensive regimens, high disease control rate and good feasibility, Bmab+o-5-FU seems a fine treatment choice for elderly mCRC patients. Acta medica Nagasakiensia, 64(1), pp.1-7; 2020 |
Databáze: | OpenAIRE |
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