Long-term treatment with bevacizumab for patients with metastatic colorectal cancer: Case report

被引:11
作者
Hurwitz, Herbert I.
Honeycutt, Wanda
Haley, Sherri
Favaro, Justin
机构
[1] Duke Univ, Med Ctr, Durham, NC 27706 USA
[2] Duke Comprehens Canc Ctr, Durham, NC USA
关键词
antiangiogenic agents; 5-fluorouracil; irinotecan; leucovorin;
D O I
10.3816/CCC.2006.n.023
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Bevacizumab is a monoclonal antibody to vascular endothelial growth factor that has demonstrated increased overall survival when added to standard chemotherapy regimens for metastatic colorectal cancer. Herein we report the cases of 2 patients who demonstrated prolonged survival times of almost 5 and 6 years, respectively, on various chemotherapy regimens that also included bevacizumab. Throughout most of their disease course, these patients maintained a good quality of life, with some adjustments of chemotherapy doses because of side effects. Bevacizumab was generally well tolerated in long-term use.
引用
收藏
页码:66 / 69
页数:4
相关论文
共 18 条
[1]   Irinotecan combined with fluorouracil compared with fluorouracil alone as first-line treatment for metastatic colorectal cancer: a multicentre randomised trial [J].
Douillard, JY ;
Cunningham, D ;
Roth, AD ;
Navarro, M ;
James, RD ;
Karasek, P ;
Jandik, P ;
Iveson, T ;
Carmichael, J ;
Alakl, M ;
Gruia, G ;
Awad, L ;
Rougier, P .
LANCET, 2000, 355 (9209) :1041-1047
[2]  
*GEN INC, OP MULT EXT STUD RHU
[3]  
Giantonio BJ, 2005, J CLIN ONCOL, V23, p1S
[4]   A Randomized controlled trial of fluorouracil plus leucovorin, irinotecan, and oxaliplatin combinations in patients with previously untreated metastatic colorectal cancer [J].
Goldberg, RM ;
Sargent, DJ ;
Morton, RF ;
Fuchs, CS ;
Ramanathan, RK ;
Williamson, SK ;
Findlay, BP ;
Pitot, HC ;
Alberts, SR .
JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (01) :23-30
[5]   Survival of patients with advanced colorectal cancer improves with the availability of fluorouracil-leucovorin, irinotecan, and oxaliplatin in the course of treatment [J].
Grothey, A ;
Sargent, D ;
Goldberg, RM ;
Schmoll, HJ .
JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (07) :1209-1214
[6]  
HEDRICK EE, 2004, P AN M AM SOC CLIN, V23, P249
[7]   Bevacizumab plus irinotecan, fluorouracil, and leucovorin for metastatic colorectal cancer [J].
Hurwitz, H ;
Fehrenbacher, L ;
Novotny, W ;
Cartwright, T ;
Hainsworth, J ;
Heim, W ;
Berlin, J ;
Baron, A ;
Griffing, S ;
Holmgren, E ;
Ferrara, N ;
Fyfe, G ;
Rogers, B ;
Ross, R ;
Kabbinavar, F .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 350 (23) :2335-2342
[8]   Normalization of tumor vasculature: An emerging concept in antiangiogenic therapy [J].
Jain, RK .
SCIENCE, 2005, 307 (5706) :58-62
[9]   Addition of bevacizurnab to bolus fluorouracil and leucovorin in first-line metastatic colorectal cancer: Results of a randomized phase II trial [J].
Kabbinavar, FF ;
Schulz, J ;
McCleod, M ;
Patel, T ;
Hamm, JT ;
Hecht, JR ;
Mass, R ;
Perrou, B ;
Nelson, B ;
Novotny, WF .
JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (16) :3697-3705
[10]   Combined analysis of efficacy: The addition of bevacizumab to fluorouracil/leucovorin improves survival for patients with metastatic colorectal cancer [J].
Kabbinavar, FF ;
Hambleton, J ;
Mass, RD ;
Hurwitz, HL ;
Bergsland, E ;
Sarkar, S .
JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (16) :3706-3712