Cancer Res Treat.  2011 Dec;43(4):225-230.

A Phase II Study of Modified FOLFOX4 for Colorectal Cancer Patients with Peritoneal Carcinomatosis

• Lee DH
• Oh SY
• Lee YR
• Huh SJ
• Yoon HH
• Kim SH
• Lee S
• Lee JH
• Kim Y
• Kim HJ
• Kwon HC

Abstract

PURPOSE
Peritoneal carcinomatosis (PC) of colorectal cancer (CRC) is common and is the second most common cause of death. Clinical studies regarding chemotherapy for CRC with PC have been classically rather limited in scope. We evaluated the efficacy of modified oxaliplatin, leucovorin, and fluorouracil (m-FOLFOX4) regimen for PC of CRC origin.
MATERIALS AND METHODS
CRC patients with PC were treated with cycles of oxaliplatin at 85 mg/m2 on day 1, leucovorin 20 mg/m2 followed by 5-fluorouracil (5-FU) via a 400 mg/m2 bolus and a 22 hours continuous infusion of 600 mg/m2 5-FU on days 1-2 at 2-week intervals.
RESULTS
Forty patients participated in this study. Median age was 55 years. Thirty-two patients (80.0%) received previous operation, and 60.0% of PC occurred synchronously. Thirty-five patients (87.5%) were assessable and exhibited measurable lesions. Two patients (5.7%) demonstrated complete response and five patients (14.3%) showed partial response. The median time to progression was 4.4 months (95% confidence interval, 2.5 to 6.3 months), the median overall survival time was 21.5 months (95% confidence interval, 17.2 to 25.7 months). There was no treatment related death. Presence of liver metastasis (p=0.022), performance status (p=0.039), and carcinoembryonic antigen level (p=0.016) were related to the time to progression. Patients with low carcinoembryonic antigen level (37.2 months vs. 15.6 months, p=0.001) or good performance status (22.5 months vs. 6.8 months, p=0.040) showed better overall survival.
CONCLUSION
The m-FOLFOX4 regimen was determined to be effective for CRC patients with PC.

Keyword

Colorectal neoplasms; Peritoneum; Carcinoma; Drug therapy

MeSH Terms

Carcinoembryonic Antigen
Carcinoma
Cause of Death
Colorectal Neoplasms
Fluorouracil
Humans
Leucovorin
Liver
Neoplasm Metastasis
Organoplatinum Compounds
Peritoneum
Carcinoembryonic Antigen
Fluorouracil
Leucovorin
Organoplatinum Compounds

Figure

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  Fig. 1 Time to progression curve. Median time to progression was 4.4 months (95% confidence interval, 2.5 to 6.3 mo).

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  Fig. 2 Overall survival curve. Median overall survival was 21.5 months (95% confidence interval, 17.2 to 25.7 mo).

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