作者: Fotios Loupakis , Chiara Cremolini , Gianluca Masi , Sara Lonardi , Vittorina Zagonel
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摘要: BackgroundA fluoropyrimidine plus irinotecan or oxaliplatin, combined with bevacizumab (a monoclonal antibody against vascular endothelial growth factor), is standard first-line treatment for metastatic colorectal cancer. Before the introduction of bevacizumab, chemotherapy fluorouracil, leucovorin, and (FOLFOXIRI) showed superior efficacy as compared (FOLFIRI). In a phase 2 study, FOLFOXIRI promising activity an acceptable rate adverse effects. MethodsWe randomly assigned 508 patients untreated cancer to receive either FOLFIRI (control group) (experimental group). Up 12 cycles were administered, followed by fluorouracil until disease progression. The primary end point was progression-free survival. ResultsThe median survival 12.1 months in experimental group, compared...