Literature DB >> 19081732

A phase II study of first-line biweekly capecitabine and bevacizumab in elderly patients with metastatic colorectal cancer.

Ajithkumar Puthillath1, Terry Mashtare, Gregory Wilding, Nikhil Khushalani, Lynn Steinbrenner, Mary Ellen Ross, Karen Romano, Michelle Wisniewski, Marwan G Fakih.   

Abstract

PURPOSE: This phase II study was conducted to determine the efficacy and safety of capecitabine and bevacizumab in untreated elderly metastatic colorectal cancer patients.
METHODS: Patients received 1500 mg/m(2)/dose of capecitabine twice daily x 7 days and bevacizumab at 5mg/kg on day 1, in 2 week-cycles.
RESULTS: The study was closed early, due to poor accrual, after a total of 16 patients enrolled. Four patients had an objective response and 11 patients had stable disease. The median time to progression and overall survival were 9.5 and 21.2 months, respectively. The most common grade >or= 3 toxicities included diarrhea (13%) and hand and foot syndrome (25%). Three patients had an arterial thrombotic event and one patient developed a bowel perforation.
CONCLUSIONS: In this underpowered phase II study in elderly patients with metastatic colorectal cancer, capecitabine plus bevacizumab was associated with considerable clinical activity but at an increased risk of hand and foot syndrome and arterial thrombotic events.

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Year:  2008        PMID: 19081732     DOI: 10.1016/j.critrevonc.2008.10.012

Source DB:  PubMed          Journal:  Crit Rev Oncol Hematol        ISSN: 1040-8428            Impact factor:   6.312


  7 in total

1.  Colonic perforation in a nasopharyngeal carcinoma patient treated with fluorouracil: A case report.

Authors:  Wei-Jia Lu; Gong Li; Lei Gao
Journal:  World J Clin Cases       Date:  2020-05-06       Impact factor: 1.337

Review 2.  Role of the antiangiogenic agent bevacizumab in the treatment of elderly patients with metastatic colorectal cancer.

Authors:  Maria Di Bartolomeo; Filippo Pietrantonio; Antonia Martinetti; Roberto Buzzoni; Arpine Gevorgyan; Emilio Bajetta
Journal:  Drugs Aging       Date:  2011-02-01       Impact factor: 3.923

3.  Phase II study of first-line chemotherapy with uracil-tegafur plus oral leucovorin in elderly (≥75 years) Japanese patients with metastatic colorectal cancer: SGOSG-CR0501 study.

Authors:  Toshihiko Matsumoto; Tomohiro Nishina; Minoru Mizuta; Akihito Tsuji; Ryouhei Watanabe; Ikuo Takahashi; Yuji Watanabe; Toshikazu Moriwaki; Takashi Maeba; Ichinosuke Hyodo
Journal:  Int J Clin Oncol       Date:  2014-02-20       Impact factor: 3.402

4.  Capecitabine and bevacizumab as first-line treatment in elderly patients with metastatic colorectal cancer.

Authors:  J Feliu; M J Safont; A Salud; F Losa; C García-Girón; C Bosch; P Escudero; R López; C Madroñal; M Bolaños; M Gil; A Llombart; J Castro-Carpeño; M González-Barón
Journal:  Br J Cancer       Date:  2010-04-27       Impact factor: 7.640

5.  Benefit of Bevacizumab-Based Frontline Therapy in Patients with Metastatic Colorectal Cancer (mCRC): a Turkish Oncology Group Study.

Authors:  Mehmet Artaç; Hasan Şenol Coşkun; Faysal Dane; Bülent Karabulut; Levent Korkmaz; Mustafa Karaağaç; Devrim Çabuk; Senem Karabulut; Nuri Faruk Aykan; Hatice Doruk; Nilüfer Avcı; Nazım Serdar Turhal
Journal:  J Gastrointest Cancer       Date:  2016-09

6.  Capecitabine and bevacizumab for non-resectable metastatic colorectal cancer patients: final results from phase II AIO KRK 0105 trial.

Authors:  Alexander Stein; Albrecht Kretzschmar; Dirk Behringer; Thomas Wolff; Joachim Zimber; Susanna Hegewisch-Becker; Erika Kettner; Karl-Heinz Pflüger; Andreas Kirsch; Dirk Arnold
Journal:  BMC Cancer       Date:  2013-10-04       Impact factor: 4.430

7.  First-line bevacizumab and capecitabine-oxaliplatin in elderly patients with mCRC: GEMCAD phase II BECOX study.

Authors:  J Feliu; A Salud; M J Safont; C García-Girón; J Aparicio; R Vera; O Serra; E Casado; M Jorge; P Escudero; C Bosch; U Bohn; R Pérez-Carrión; A Carmona; V Martínez-Marín; J Maurel
Journal:  Br J Cancer       Date:  2014-06-19       Impact factor: 7.640

  7 in total

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