The SOFT trial: a Phase III study of the dihydropyrimidine dehydrogenase inhibitory fluoropyrimidine S-1 and oxaliplatin (SOX) plus bevacizumab as first-line chemotherapy for metastatic colorectal cancer

被引:8
作者
Nakamura, Masato [1 ]
Yamada, Yasuhide [2 ]
Muro, Kei [3 ]
Takahashi, Keiichi [4 ]
Baba, Hideo [5 ]
Sasaki, Yasutsuna [6 ]
Komatsu, Yoshito [7 ]
Satoh, Taroh [8 ]
Mishima, Hideyuki [9 ]
Watanabe, Masahiko [10 ]
Sakata, Yuh [11 ]
Morita, Satoshi [12 ]
Shimada, Yasuhiro [13 ]
Sugihara, Kenichi [14 ]
机构
[1] Aizawa Hosp, Matsumoto, Nagano 3908510, Japan
[2] Natl Canc Ctr, Chuo Ku, Tokyo 1040045, Japan
[3] Aichi Canc Ctr Hosp, Chikusa Ku, Nagoya, Aichi 4648681, Japan
[4] Komagome Hosp, Tokyo Metropolitan Canc & Infect Dis Ctr, Bunkyo Ku, Tokyo 1138677, Japan
[5] Kumamoto Univ, Chuo Ku, Kumamoto, Kumamoto 8608556, Japan
[6] Showa Univ, Shinagawa Ku, Tokyo 1428666, Japan
[7] Hokkaido Univ Hosp, Kita Ku, Sapporo, Hokkaido 0608648, Japan
[8] Osaka Univ, Suita, Osaka 5650871, Japan
[9] Aichi Med Univ, Nagakute, Aichi 4801195, Japan
[10] Kitasato Univ, Sch Med, Minami Ku, Sagamihara, Kanagawa 2520375, Japan
[11] Misawa City Hosp, Misawa, Aomori 0330022, Japan
[12] Kyoto Univ, Sakyo Ku, Kawara, Kyoto 6068507, Japan
[13] Kochi Hlth Sci Ctr, Kochi, Kochi 7818555, Japan
[14] Tokyo Med & Dent Univ, Grad Sch, Bunkyo Ku, Tokyo 1138510, Japan
关键词
DPD inhibitory fluoropyrimidine; metastatic colorectal cancer; oxaliplatin; S-1; SOFT trial; SOX; COST-EFFECTIVENESS ANALYSIS; ANTITUMOR-ACTIVITY; NON-INFERIORITY; COLON-CANCER; OPEN-LABEL; ORAL S-1; XELOX; 5-FLUOROURACIL; FLUOROURACIL; THERAPY;
D O I
10.2217/fon.15.59
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
A combination of oxaliplatin, leucovorin and 5-fluorouracil (FOLFOX) plus bevacizumab has been widely used for the first-line chemotherapy of metastatic colorectal cancer (mCRC). S-1 is an oral fluoropyrimidine preparation that combines tegafur, a prodrug of 5-fluorouracil, with two modulators. Several studies of combination chemotherapy with oxaliplatin plus S-1 (SOX) conducted in Asia have reported promising efficacy and safety in patients with mCRC, suggesting the potential to replace mFOLFOX6. The SOFT trial (JapicCTI-090699) was a randomized Phase III trial designed to evaluate the noninferiority of SOX plus bevacizumab to mFOLFOX6 plus bevacizumab in patients with mCRC. This review summarizes the drug concept of S-1 and the results of clinical trials of S-1 and SOX in CRC and presents an overview of the SOFT trial.
引用
收藏
页码:1471 / 1478
页数:8
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