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Pharmacology

Irinotecan-Cetuximab-Bevacizumab as a Salvage Treatment in Heavily Pretreated Metastatic Colorectal Cancer Patients: A Retrospective Observational Study

Feliu Batlle J.a · Cuadrado E.b · Castro J.a · Caldés T.b · Belda C.a · Sastre J.b · Barriuso J.a · Martínez Marín V.a · Díaz-Rubio E.b · González-Barón M.a

Author affiliations

aMedical Oncology Department, Hospital Universitario La Paz, and bMedical Oncology Department, Hospital Clínico Universitario San Carlos, Madrid, Spain

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Chemotherapy 2011;57:138–144

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Article / Publication Details

First-Page Preview
Abstract of Pharmacology

Received: June 21, 2010
Accepted: September 10, 2010
Published online: March 30, 2011
Issue release date: April 2011

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 3

ISSN: 0009-3157 (Print)
eISSN: 1421-9794 (Online)

For additional information: https://www.karger.com/CHE

Abstract

Background: The objective was to evaluate the efficacy of irinotecan-cetuximab-bevacizumab in combination as a salvage treatment for heavily pretreated metastatic colorectal cancer patients. Methods: A total of 39 patients resistant to both oxaliplatin and irinotecan were included in this retrospective study. Treatment consisted of irinotecan 180/m2 every 14 days, weekly cetuximab standard dose and bevacizumab 5 mg/kg every 14 days. Results: Partial response was observed in 8 patients (20%), stable disease in 24 (61%) and progressive disease in 7 (18%). Overall response rate in KRAS wild type was 6/22 (27%) and in mutated KRAS it was 2/15 (13%). Median time to progression was 8 months (6.4–9.4) and median overall survival 12 months (10.1–13.8). Overall, grade 3–4 adverse events were observed in 24 patients (62%). Conclusions: This regimen is active and moderately well tolerated in heavily pretreated advanced colorectal patients. However, caution is advisable when interpreting these results, because they run against the findings of two large phase III trials.

© 2011 S. Karger AG, Basel


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Article / Publication Details

First-Page Preview
Abstract of Pharmacology

Received: June 21, 2010
Accepted: September 10, 2010
Published online: March 30, 2011
Issue release date: April 2011

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 3

ISSN: 0009-3157 (Print)
eISSN: 1421-9794 (Online)

For additional information: https://www.karger.com/CHE


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