Abstract | OBJECTIVE:
Irinotecan (CPT-11), a specific inhibitor of topoisomerase I, has been proven to be effective in the treatment of refractory or metastatic colorectal cancer. Furthermore, several first line phase III trials of the combination therapy (FOLFIRI) using CPT-11 and fuorouracil/ leucovorin (5-Fu/LV) were reported to have significant improvement in treatment result. Therefore, we designed a multicenter clinical study to observe the overall survival (OS), time to death (TTD), time to progression ( TTP), efficacy and safety of FOLFIRI regimen for patients with refractory or metastatic colorectal cancer after first line chemotherapy failure. METHODS: RESULTS: Sixty-six patients were valuable for safety assessment and and 61 for efficacy. There was no CR patient in this series. Ten patients had PR, 35 SD (57.4% ) and 16 PD (26.2%) with a response rate of 16.4% (10/61). The median TTP was 5.0 months (1-12 months), median TTD 9.9 months (5-27 months)and median OS 18.2 months (7-33 months). The adverse events including nausea, vomiting, anorexia, diarrhea, leucopenia and cholinergic syndrome were frequent, but usually in I - II degree. The rate of III/IV degree diarrhea and leucopenia was 7.6% and 22.7%, respectively. CONCLUSION:
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Authors | Jian Li, Jian-Ming Xu, Jie Li, Xiao-Dong Zhang, Yu Bai, Yu-Ping Chu, Yong-Hua Wang, Duan-Qi Liu, Mao-Lin Jin, Lin Shen |
Journal | Zhonghua zhong liu za zhi [Chinese journal of oncology]
(Zhonghua Zhong Liu Za Zhi)
Vol. 30
Issue 3
Pg. 225-7
(Mar 2008)
ISSN: 0253-3766 [Print] China |
PMID | 18756942
(Publication Type: Clinical Trial, Journal Article, Multicenter Study)
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Chemical References |
- Irinotecan
- Leucovorin
- Fluorouracil
- Camptothecin
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Topics |
- Adult
- Aged
- Antineoplastic Combined Chemotherapy Protocols
(adverse effects, therapeutic use)
- Camptothecin
(administration & dosage, adverse effects, analogs & derivatives, therapeutic use)
- Colonic Neoplasms
(drug therapy, pathology)
- Disease Progression
- Female
- Fluorouracil
(adverse effects, therapeutic use)
- Follow-Up Studies
- Humans
- Irinotecan
- Leucovorin
(adverse effects, therapeutic use)
- Male
- Middle Aged
- Neoplasm Metastasis
- Neoplasm Recurrence, Local
- Neutropenia
(chemically induced)
- Prospective Studies
- Rectal Neoplasms
(drug therapy, pathology)
- Remission Induction
- Survival Rate
- Vomiting
(chemically induced)
- Young Adult
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