• Cancer investigation · Mar 2006

    Phase II trial alternating FOLFOX-6 and FOLFIRI regimens in second-line therapy of patients with metastatic colorectal cancer (FIREFOX study).

    • Mohamed Hebbar, Christophe Tournigand, Gérard Lledo, May Mabro, Thierry André, Christophe Louvet, Thomas Aparicio, Michel Flesch, Charles Varette, Aimery de Gramont, and Oncology Multidisciplinary Research Group (GERCOR).
    • Unité d'Oncologie Médicale, Hôpital Huriez (CHRU), Lille, France. m-hebbar@chru-lille.fr
    • Cancer Invest. 2006 Mar 1; 24 (2): 154-9.

    AbstractWe assessed a schedule alternating 4 FOLFOX and 4 FOLFIRI cycles in 39 patients with 5-FU resistant metastatic colorectal cancer. Patients alternatively received 4 FOLFOX-6 cycles (oxaliplatin 100 mg/m(2), leucovorin 200 mg/m(2) d1 followed by bolus 400 mg/m(2) 5-FU and by a 46-hour 2,400 mg/m(2) 5-FU infusion, every 2 weeks), and 4 FOLFIRI cycles (oxaliplatin replaced by irinotecan 180 mg/m(2) d1) until progression or limiting toxicity. Eigteen patients achieved an objective response (46.1 percent). Median progression-free and overall survivals were 8.8 and 18.7 months, respectively. Only 2 patients (5.1 percent) had Grade 3 oxaliplatin-related sensory-neuropathy. This schedule had so promising efficacy and safety.

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