TREATMENT ARM B: Cycles 1–3: Cycles 4+: 5-FU continuous infusion

Slides:



Advertisements
Similar presentations
Diagnosis.
Advertisements

FOLFOXIRI plus bevacizumab (bev) vs FOLFIRI plus bev
Adjuvant chemotherapy in resectable liver-limited metastasis colorectal cancer 指導VS: 鄧豪偉 財團法人台灣癌症臨床研究發展基金會.
MOSAIC Stage ll+lll FOLFOX4 LV5FU2 Randomize. DFS DFS (months) Hazard ratio: 0.77 [0.65 – 0.92] p < 0.01 FOLFOX (n=1123) 77.9% LV5FU2 (n=1123) 72.8% FOLFOX.
Have the OPTIMOX-2, CAIRO-3, COIN, DREAM and other recent trials settled the question of maintenance versus observation in advanced CRC? Yes Deborah Schrag,
NSABP PROTOCOL C-10: RESULTS A Phase II Trial of 5-Fluorouracil, Leucovorin and Oxaliplatin (mFOLFOX6) Plus Bevacizumab for Patients with Unresectable.
Results of a Phase II Trial of Brentuximab Vedotin as First Line Salvage Therapy in Relapsed/Refractory HL Prior to AHCT Chen RW et al. Proc ASH 2014;Abstract.
Abstract Neoadjuvant Chemotherapy First, Followed by Chemoradiation and Then Surgery, in the Management of Locally Advanced Rectal Cancer A. Cercek, K.
Alexander Stein University Cancer Center Hamburg, Germany
Targeting Tumors Using Endogenous Albumin
A Meta Analysis of Risk of Cardiovascular Events in Patients with Metastatic Breast Cancer (MBC) Treated with Anti Vascular Endothelial Growth Factor (VEGF)
CM A Comparison of Simple Single-Item Measures and the Common Toxicity Criteria in Detecting the Onset of Oxaliplatin-Induced Peripheral Neuropathy.
Phase III Randomized, Placebo-Controlled, Double-Blind Study of Intravenous Calcium/Magnesium to Prevent Oxaliplatin- Induced Sensory Neurotoxicity, N08CB.
Patterns of Care in Medical Oncology Neoadjuvant and Adjuvant Treatment of Rectal Cancer.
Diabetes mellitus and the incidence and time to onset of oxaliplatin-induced peripheral sensory neuropathy in patients with colorectal cancer: A pooled.
Treatment options depend on the following: – The stage of the cancer – Whether the cancer has recurred – The patient’s general health.
ASCO 2009 Safety and Efficacy of AMG 655 Plus Modified FOLFOX6 (mFOLFOX6) and Bevacizumab (B) for the First-line Treatment of Patients (Pts) With Metastatic.
Xeloda ® plus oxaliplatin: rationale in colorectal cancer (CRC)  Oxaliplatin is active in CRC, especially when combined with 5-FU/leucovorin (LV)  Superior.
Copyright © 2011 Research To Practice. All rights reserved. Case presented by Dr Morganstein (Prof Van Cutsem) 78 yo woman with Stage IV GE adenocarcinoma.
Phase III studies of Xeloda® in colorectal cancer (CRC)
Thymidine phosphorylase (TP) upregulation Dose- and time-dependent upregulation of TP in human colon cancer xenografts PaclitaxelDocetaxel.
Result of Interim Analysis of Overall Survival in the GCIG ICON7 Phase III Randomized Trial of Bevacizumab in Women with Newly Diagnosed Ovarian Cancer.
1 SNDA Gemzar plus Carboplatin Treatment of Late Relapsing Ovarian Cancer.
Herceptin ® : leading the way in metastatic breast cancer care Steffen Kahlert.
Poster #382 XELOX-1/NO16966, a randomized phase III trial of first-line XELOX vs. FOLFOX-4 for patients with metastatic colorectal cancer (MCRC): Updated.
Targeting VEGF for the Treatment of Colorectal Cancer Herbert Hurwitz Duke University Medical Center Durham, North Carolina, USA.
Methodology. Patients Women with progressive metastatic breast cancer that overexpressed HER2 who had not previously received chemotherapy for metastatic.
Randomized Phase III Trial Comparing FOLFIRINOX (F: 5FU/Leucovorin [LV], Irinotecan [I], and Oxaliplatin [O]) versus Gemcitabine (G) as First-Line Treatment.
T Andre, E Quinaux, C Louvet, E Gamelin, O Bouche, E Achille, P Piedbois, N Tubiana-Mathieu, M Buyse and A de Gramont. Updated results at 6 year of the.
Bevacizumab continuation versus no continuation after first-line chemo-bevacizumab therapy in patients with metastatic colorectal cancer: a randomized.
Best of ASCO – Colorectal & Pancreatic Cancers Best of ASCO Colorectal & Pancreatic Cancers Ali Shamseddine, MD Professor of Medicine Head of Hematology/Oncology.
0 Adjuvant FOLFIRI +/- Cetuximab in Patients with Resected Stage III Colon Cancer NCCTG Intergroup Phase III Trial N0147 Jocelin Huang, Daniel J Sargent,
Ruan J et al. Proc ASH 2013;Abstract 247.
Preliminary Results from a Phase II study of FOLFIRI and Bevacizumab as First Line Treatment for Metastatic Colorectal Cancer (Abstract #3579) S. Kopetz,
. Background Paclitaxel and Irinotecan in Platinum Refractory or Resistant Small Cell Lung Cancer: a Galician Lung Cancer.
Maintenance Therapy with Bortezomib plus Thalidomide (VT) or Bortezomib plus Prednisone (VP) in Elderly Myeloma Patients Included in the GEM2005MAS65 Spanish.
A Phase 3 Prospective, Randomized, International Study (MMY-3021) Comparing Subcutaneous and Intravenous Administration of Bortezomib in Patients with.
Safety and efficacy of oxaliplatin – fluoropyrimidine regimens with or without bevacizumab as first-line treatment of metastatic colorectal cancer (mCRC):
A POST-MARKETING EVALUATION OF SAFETY CAMPTOSAR + 5-FU/LV FOR FIRST-LINE TREATMENT OF METASTATIC COLORECTAL CANCER A POST-MARKETING EVALUATION OF SAFETY.
Adjuvant Therapy of Colon Cancer: Where are we now ? Leonard Saltz, MD Memorial Sloan Kettering Cancer Center New York, NY.
Patterns of Care in Medical Oncology Treatment of Metastatic Colon Cancer.
1 A Randomized, Multi-Center Phase III Trial of Irinotecan in Combination with Three Different Methods of Administration of Fluoropyrimidine with Celecoxib.
Reviewer: Dr Scott Berry Date posted: June 21, 2007 CAPEOX vs. FOLFOX4 +/- Bevacizumab: survival results from NO16966, a randomized.
Phase III Study of First-Line XELOX Plus Bevacizumab (BEV) for 6 Cycles Followed by XELOX Plus BEV or Single Agent (s/a) BEV as Maintenance Therapy in.
A three-arm randomized phase III trial of FOLFOX4 vs FOLFOX4 + bevacizumab vs XELOX + bevacizumab in the adjuvant treatment of patients with stage III.
Neoadjuvant FOLFOX with Bevacizumab but without Pelvic Radiation for Locally Advanced Rectal Cancer Schrag D et al. Proc ASCO 2010;Abstract 3511.
A Phase I Study of MEK162 and FOLFOX in chemotherapy-resistant metastatic colorectal cancer May Cho, Dean Lim, Timothy Synold, Paul Frankel, Lucille Leong,
Results of a Phase 2, Multicenter, Single-Arm Study of Eribulin Mesylate as First-Line Therapy for Locally Recurrent or Metastatic HER2-Negative Breast.
Single-agent nab-Paclitaxel Given Weekly (3/4) as First-line Therapy for Metastatic Breast Cancer (An International Oncology Network Study, #I )
ADJUVANT CAPECITABINE AND OXALIPLATIN FOR GASTRIC CANCER AFTER D2 GASTRECTOMY (CLASSIC): A PHASE 3 OPEN-LABEL,RANDOMISED CONTROLLED TRIAL Yung-Jue Bang*,
Randomized phase III trial of gemcitabine and cisplatin vs. gemcitabine alone inpatients with advanced non-small cell lung cancer and a performance status.
Alessandra Gennari, MD PhD
PHASE I/II STUDY OF PEGYLATED LIPOSOMAL DOXORUCIN (PLD) AND GEMCITABINE (GEM) IN RECURRENT PLATIN RESISTANT OVARIAN CANCER (OC). A Study of the VWOG.
Vahdat L et al. Proc SABCS 2012;Abstract P
Is there a role for adjuvant oxaliplatin in rectal cancer? - YES! -
Reviewer: Dr Scott Berry Date posted: June 21, 2007
Krop I et al. SABCS 2009;Abstract 5090.
Coiffier B et al. Proc ASH 2010;Abstract 857.
Jordan Berlin Co-Director, GI Oncology Program
or other irinotecan-based regimens
Baselga J et al. SABCS 2009;Abstract 45.
Gordon LI et al. Proc ASH 2010;Abstract 415.
First efficacy and safety results from XELOX-1/NO16966, a randomised 2x2 factorial phase III trial of XELOX vs FOLFOX4 + bevacizumab or placebo in first-line.
Alan P. Venook, MD University of California, SF
Fluorouracil, Oxaliplatin, CPT-11: Use and Sequencing (MRC FOCUS)
1 Sunnybrook Odette Cancer Centre, University of Toronto, Canada
Phase III study of irinotecan/5FU/LV (FOLFIRI) or oxaliplatin/5FU/LV (FOLFOX) +/- cetuximab for patients with untreated metastatic adenocarcinoma of the.
and the NSABP Investigators
Effect of intravenous calcium and magnesium versus placebo on response to FOLFOX+bevacizumab in the CONcePT trial Hochster HS,1 Grothey A,2 Shpilsky A3,
1Sunnybrook Health Sciences Centre, University of Toronto, Canada
Presentation transcript:

TREATMENT ARM B: Cycles 1–3: Cycles 4+: 5-FU continuous infusion 2400 mg/m² SIR-Spheres mBSA dosimetry 5-FU bolus 400 mg/m² LV 200 mg/m² Cycles 1–3: oxaliplatin 60 mg/m² D1 0 h 2 h 46 h D3/4 Cycle 1 only TREATMENT ARM B: 5-FU continuous infusion 2400 mg/m² 5-FU bolus 400 mg/m² LV 200 mg/m² Cycles 4+: oxaliplatin 85 mg/m² D1 0 h 2 h 46 h Trial Design: Chemotherapy 5-FU and LV components of the chemotherapeutic regimen were administered as per the standard FOLFOX4 schedule. Oxaliplatin was administered at a reduced starting dose for the first 3 cycles. The treatment schema and initial dose level of oxaliplatin are shown. Subject to a satisfactory adverse event profile, the oxaliplatin was escalated to the standard maintenance dose at the commencement of cycle 4. Trial Design: Selective Internal Radiation Therapy (SIRT) SIR-Spheres was integrated into the treatment schema by implanting the spheres on day 3 of the first cycle only. This is done to maximise the radiopotentiation effect. Trial Design: Efficacy Patients were given follow-up CT scans at 3 months, 6 months and a confirmatory scan 1 month later in the event positive results (complete response or partial response) were reported in either scan. Patients were also monitored in order to assess time to disease progression and location of progression. bevacizumab† 5–10 mg/kg 30–60 min Cycles are repeated every 2 weeks until: There is unacceptable toxicity. Evidence of tumour progression at any site determined by CT/MRI scan, X-ray, ultrasound, or clinical examination. The patient requests an end to treatment. Complete surgical resection or ablation of primary and metastatic cancerous lesions. Or dose-limiting peripheral neuropathy (chemotherapy must continue with the same doses and regimen of 5-FU/LV alone).