eISSN: 1897-4309
ISSN: 1428-2526
Contemporary Oncology/Współczesna Onkologia
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SCImago Journal & Country Rank
5/2015
vol. 19
 
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abstract:
Original paper

Uracil/tegafur as a possible salvage therapy in chemo-refractory colorectal cancer patients: a single institutional retrospective study

İbrahim V. Bayoglu
,
Ibrahim Yildiz
,
Umut Varol
,
Suna Cokmert
,
Ahmet AlacacIoğlu
,
Yuksel Kucukzeybek
,
Murat Akyol
,
Lutfiye Demir
,
Ahmet Dirican
,
Oktay Tarhan

Contemp Oncol (Pozn) 2015; 19: 385-390
Online publish date: 2015/08/13
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Aim of the study: Our aim was to determine the activity and toxicity of uracil/tegafur and leucovorin combination in metastatic colorectal cancer (mCRC) patients who have progressed with all currently active agents.

Material and methods: This study was a retrospective analysis of 50 mCRC patients who had previously failed to respond to all available chemotherapeutics and who received subsequent treatment with uracil/tegafur 250 mg/md1–5 in combination with leucovorin 90 mg/day, d1–5 followed by two days’ rest.

Results: The median age of the patients was 60 years. Most of them (60%) were male. Bevacizumab was used in 65% and cetuximab in 55% of the patients. Thirty-nine patients (78%) were treated with uracil/tegafur in the fourth line setting. The median treatment duration was 4.2 months (range, 2–24 months). The objective response rate and the disease control rate were 4% and 34%, respectively. Median progression-free survival was 4.1 months (95% CI, 3.6–4.6 months) and overall survival was 6.6 months (95% CI, 4.5–8.6 months). Grade 3 or 4 toxicity was seen in 20% (n = 10) of the patients while 60% (n = 6) of them required dose reductions.

Conclusions: This retrospective data show that uracil/tegafur may be considered in heavily pretreated mCRC patients because of its activity, lower toxicity, and feasibility.
keywords:

uracil/tegafur, metastatic colorectal cancer, heavily pretreated, salvage therapy

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