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World J. Gastroenterol. · May 2014
ReviewShould capecitabine replace 5-fluorouracil in the first-line treatment of metastatic colorectal cancer?
- Carlos Aguado, Beatriz García-Paredes, Miguel Jhonatan Sotelo, Javier Sastre, and Eduardo Díaz-Rubio.
- Carlos Aguado, Beatriz García-Paredes, Miguel Jhonatan Sotelo, Javier Sastre, Eduardo Díaz-Rubio, Department of Medical Oncology, Hospital Clínico San Carlos, 28040 Madrid, Spain.
- World J. Gastroenterol. 2014 May 28; 20 (20): 6092-101.
AbstractFluoropyrimidines play a central role in the first-line treatment of metastatic colorectal cancer. Our aim was to review whether capecitabine was a safer, non-inferior, economically superior and more convenient alternative to 5-fluorouracil. Capecitabine has previously been compared to 5-fluorouracil-either as a monotherapy or in combination with oxaliplatin, irinotecan, or biological drugs-and has been found to have comparable efficacy and safety profiles. Furthermore, pharmacoeconomic data and patients' preferences for oral chemotherapy further favor capecitabine. Therefore, capecitabine appears to be an effective and safe alternative to fluorouracil in the first-line treatment of metastatic colorectal cancer.
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