1. Modified-FOLFIRINOX in metastatic pancreatic cancer: A prospective study in Chinese population.
- Author
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Li X, Ma T, Zhang Q, Chen YG, Guo CX, Shen YN, Sun PW, Li GG, Gao SL, Que RS, Lou JY, Yu RS, Yuan Y, Wei QC, Wei SM, Zhang Y, Zheng L, Bai XL, and Liang TB
- Subjects
- Adult, Aged, Camptothecin adverse effects, China epidemiology, Female, Humans, Irinotecan, Liver Neoplasms drug therapy, Liver Neoplasms epidemiology, Liver Neoplasms secondary, Lung Neoplasms drug therapy, Lung Neoplasms epidemiology, Lung Neoplasms secondary, Lymphatic Metastasis, Male, Middle Aged, Neoplasm Grading, Neoplasm Staging, Oxaliplatin, Pancreatic Neoplasms epidemiology, Pancreatic Neoplasms pathology, Peritoneal Neoplasms drug therapy, Peritoneal Neoplasms epidemiology, Peritoneal Neoplasms secondary, Prognosis, Prospective Studies, Survival Rate, Antineoplastic Combined Chemotherapy Protocols adverse effects, Camptothecin analogs & derivatives, Neoplasm Metastasis drug therapy, Organoplatinum Compounds adverse effects, Pancreatic Neoplasms drug therapy
- Abstract
FOLFIRINOX chemotherapy has shown remarkable responses in patients with metastatic pancreatic cancer (MPC), and has significantly improved prognosis. However, FOLFIRINOX is currently not frequently applied in China because of its high incidence of adverse events, and there is no recognized optimization for this therapy in Chinese population. Modification of FOLFIRINOX may be better for its acceptance in China. In this study, we evaluated the efficacy and safety of modified-FOLFIRINOX in patients with MPC. A total of 62 MPC patients were treated with modified-FOLFIRINOX (no Fluorouracil bolus, 85% Oxaliplatin and 75% Irinotecan) between April 2014 and April 2017 in our institute. 40 of them were evaluated, with a response rate of 32.5% (13/40). The frequent grade 3/4 adverse events are neutropenia (29%) and alanine aminotransferase elevation (14.5%). No treatment-related death was observed. The median overall survival and median progression-free survival are 10.3 months and 7.0 months, respectively. In conclusion, modified-FOLFIRINOX had significantly improved tolerance with similar efficacy to FOLFIRINOX. These findings may provide evidence for the use of FOLFIRINOX in Chinese patients with MPC., (Copyright © 2017. Published by Elsevier B.V.)
- Published
- 2017
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