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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2006-1-13
pubmed:abstractText
Oxaliplatin (L-OHP) was administered to 10 patients previously treated for refractory advanced or recurrent colorectal cancer. The number of times each had received previous chemotherapy treatment ranged from 1 to 5 (median 3) for durations of 2.5 to 52.8 (median 11.7) months. At the time, L-OHP was not yet approved for sale in Japan, and could only be imported from overseas for personal use. As this made it very expensive,we used a low L-OHP dose of 100 mg/body. Combinations with 5-FU were administered differently from previous regimens; these included chronotherapy, weekly high-dose, FOLFOX 4, and FOLFOX 6. L-OHP was administered from 1 to 14 times (median 4.5), and the response to treatment was PR in 2 patients and NC in 5. The response rate was 22.2%. Although in NC there was a tendency toward tumor reduction in 2 of the 5 patients, the treatment had to be suspended because of their financial situations. Overall survival from commencement of the first treatment was 3.1 to 58.7 months (median 17.6+) and after starting L-OHP was 0.6 to 17.2 months (median 6.4+). Adverse events included bone marrow suppression in three patients, 3 cases of leukocytopenia (grade 3 in two patients and grade 4 in one), grade 4 thrombocytopenia in one patient,grade 3 sensory disturbance in one patient,and grade 3 anorexia in two patients. All reactions were able to be controlled except for one patient with Grade 4 thrombocytopenia. In summary,treatment with L-OHP as salvage chemotherapy can possibly contribute to prolongation of survival time in cases of refractory advanced colorectal cancer. It is useful to combine L-OHP with high-dose continuous administration of 5-FU,namely FOLFOX regimens.FOLFOX 6 is the most useful of the FOLFOX regimens because it is simple and can be administered on an outpatient basis.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0385-0684
pubmed:author
pubmed:issnType
Print
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
49-54
pubmed:dateRevised
2009-11-3
pubmed:meshHeading
pubmed-meshheading:16410698-Aged, pubmed-meshheading:16410698-Anorexia, pubmed-meshheading:16410698-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:16410698-Colorectal Neoplasms, pubmed-meshheading:16410698-Drug Administration Schedule, pubmed-meshheading:16410698-Female, pubmed-meshheading:16410698-Fluorouracil, pubmed-meshheading:16410698-Humans, pubmed-meshheading:16410698-Leucovorin, pubmed-meshheading:16410698-Leukopenia, pubmed-meshheading:16410698-Liver Neoplasms, pubmed-meshheading:16410698-Lung Neoplasms, pubmed-meshheading:16410698-Male, pubmed-meshheading:16410698-Maximum Tolerated Dose, pubmed-meshheading:16410698-Middle Aged, pubmed-meshheading:16410698-Organoplatinum Compounds, pubmed-meshheading:16410698-Salvage Therapy, pubmed-meshheading:16410698-Thrombocytopenia
pubmed:year
2006
pubmed:articleTitle
[Clinical administration of oxaliplatin for patients previously treated for refractory advanced or recurrent colorectal cancer].
pubmed:affiliation
Center for Digestive Diseases, Dept.of Medical Oncology, Tonan Hospital.
pubmed:publicationType
Journal Article, English Abstract