Anti-VEGF antibody bevacizumab (Avastin) with 5FU/LV as third line treatment for colorectal cancer

被引:24
作者
Emmanouilides C. [1 ,2 ]
Pegram M. [1 ]
Robinson R. [1 ]
Hecht R. [1 ]
Kabbinavar F. [1 ]
Isacoff W. [1 ]
机构
[1] Division of Hematology/Oncology, UCLA Medical Center, Los Angeles
[2] Interbalkan Medical Center, 57001 Pylaia, Thessaloniki
关键词
Bevacizumab; Colorectal cancer; Refractory; Treatment;
D O I
10.1007/s10151-004-0110-4
中图分类号
学科分类号
摘要
Background: To evaluate the activity and safety of bevacizumab when given with standard 5FU/leukovorin (LV) regimens in patients with metastatic colorectal cancer who have failed irinotecan and oxaliplatin-based treatments. Methods: Bevacizumab was given at 5 mg/kg as an IV infusion every 2 weeks. Patients received 5FU according to Roswell Park or the de Gramont regimen. Results: Nineteen patients enrolled, median age 60, median PS: 1. Most common toxicity attributable to bevacizumab was mild hypertension, epistaxis and mild proteinuria; 1 patient had a CNS haemorrhage. The median number of cycles was 1 (8 weeks). Clinical benefit as disease stabilisation lasting 2-6 months was noted in 9 patients, whereas 10 progressed (median f/u: 5 months). TTP was 16 weeks, and the overall survival has not been reached (24+ weeks). Conclusions: Bevacizumab may result in growth arrest and clinical benefit in a substantial proportion of patients with colorectal cancer and no alternative treatment.
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页码:S50 / S52
页数:2
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