Oxaliplatin combined with 5-fluorouracil and methotrexate in advanced colorectal cancer
Autor: | Zampino, M. G., Lorizzo, K., Rocca, A., Locatelli, M., Zorzino, L., Manzoni, S., Mazzetta, C., nicola fazio, Biffi, R., Braud, F. |
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Rok vydání: | 2006 |
Předmět: | |
Zdroj: | Scopus-Elsevier Europe PubMed Central |
ISSN: | 0250-7005 |
Popis: | A promising regimen including 5-Fluorouracil, methotrexate and oxaliplatin is reported.Patients with untreated measurable metastatic disease received bolus 5-Fluorouracil (600 mg/m2) on days 2 and 16, modulated by methotrexate (200 mg/m2) 24 h earlier, alternated with 4 weeks of continuous infusion of 5-Fluorouracil (200 mg/m2/daily) plus oxaliplatin (130 mg/m2) on days 29 and 56, followed by 2 weeks of rest. Serum vascular endothelial growth factor (VEGF) was analyzed at baseline and before every cycle.Fifty-eight patients were enrolled. Objective remissions were reported in 45.6% (95% CI=34.3%, 57.3%). The median progression-free survival was 7.8 months and the median overall survival was 19.4 months. No grade 4 toxicity was reported, except for one case of diarrhea. The serum VEGF evaluated in 23 patients showed a decreasing trend during therapy.The regimen was active, well tolerated and may be a possible option in patients not suitable for radical surgery. |
Databáze: | OpenAIRE |
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