1. Revisiting oral fluoropyrimidine with cetuximab in metastatic colorectal cancer: Real-world data in Chinese population
- Author
-
Man-Chi Fu, Kam-Mo Lam, Pui-Ying Ho, Wan-Hang Chiu, Kin-Sang Lau, Cheng-Man Yuen, Sum-Yin Chan, To-Wai Leung, Ka-On Lam, Ho-Fun Lee, Lai-Han Kwok, Cheuk-Wai Choi, Wing-Lok Chan, and Fong-Kit Tam
- Subjects
Oncology ,medicine.medical_specialty ,Colorectal cancer ,5-Fluorouracil ,Cetuximab ,Capecitabine ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Retrospective Cohort Study ,neoplasms ,Chinese population ,Chinese ,Metastatic colorectal cancer ,business.industry ,Gastroenterology ,medicine.disease ,digestive system diseases ,humanities ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,business ,Real world data ,medicine.drug - Abstract
BACKGROUND Cetuximab in combination with oral fluoropyrimidine (FP) remains controversial in metastatic colorectal cancer (mCRC). In view of the regional variation in the tolerability of FP, we conducted a retrospective analysis to compare oral FP with infusional FP in combination with cetuximab in Chinese population. AIM To compare the efficacy and safety profile of cetuximab in combination with oral FP and infusional FP in Chinese population in the real-world setting. METHODS A retrospective cohort study was done to analyse consecutive patients with Kras wild-type mCRC who received first-line treatment with cetuximab and FP-based chemotherapy in our unit from January 2010 to December 2015. Ninety-five eligible patients were included. The median follow-up of our cohort was 65.0 mo. RESULTS The median progression-free survival (mPFS) and median overall survival (mOS) of the entire cohort were 9.66 mo (95%CI: 7.72–12.5) and 25.8 mo (95%CI: 18.7–35.6), respectively. Between oral FP and infusional FP, there was no statistical significant difference in the mPFS [9.79 mo (95%CI: 7.49–12.7) vs 9.63 mo (95%CI: 6.34–13.4); P = 0.72] and mOS [25.8 mo (95%CI: 15.2–35.6) vs 26.3 mo (95%CI: 18.7–41.2); P = 0.63]. Grade 3 or above adverse events were reported in 28.4% of patients, being similar with oral and infusional FP, and included 10.5% of neutropenia and 2.1% of diarrhoea events. CONCLUSION The current analysis demonstrates comparable efficacy and safety profiles of cetuximab in combination with oral and infusional FP in Chinese population. The results expand treatment options for Chinese patients and invite revision of existing treatment guidelines to incorporate oral FP-based chemotherapy plus cetuximab.
- Published
- 2019