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西妥昔单抗联合化疗在结直肠癌中的回顾性研究
作者单位:[1]Department of GI Oncology, Peking University, School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100036, China [2]Department of General Surgery, Beijing Youyi Hospital, Beijing 100036, China
摘    要:


关 键 词:cetuximab  chemotherapy  colorectal cancer (CRC)  efficacy  西妥昔单抗  联合化疗  结直肠癌  回顾性研究  metastatic colorectal cancer  patients  chemotherapy  combination therapy  predict  especially  high  safe  effective  case  infusion  related  reaction  Neutropenia  severity  disease control
收稿时间:2007-12-14

Retrospective study of cetuximab in combination with chemotherapy for patients with colorectal cancer
Zhihao Lu,Xiaotian Zhang,Lin Shen,Xiaodong Zhang,Jie Li,Zhongtao Zhang. Retrospective study of cetuximab in combination with chemotherapy for patients with colorectal cancer[J]. The Chinese-German Journal of Clinical Oncology, 2008, 7(7): 400-403. DOI: 10.1007/s10330-008-0090-3
Authors:Zhihao Lu  Xiaotian Zhang  Lin Shen  Xiaodong Zhang  Jie Li  Zhongtao Zhang
Affiliation:(1) Department of GI Oncology, Peking University, School of Oncology, Beijing Cancer Hospital & Institute, Beijing, 100036, China;(2) Department of General Surgery, Beijing Youyi Hospital, Beijing, 100036, China
Abstract:
Objective:To evaluate the efficacy and safety of cetuximab combined with chemotherapy in colorectal cancer (CRC).Methods:35 cases of CRC were retrospectively analyzed.Efficacy and adverse events were observed.Results:29 cases of CRC were evaluated by RECIST criteria,showing 7 PR (partial response,24.1%) and 15 SD (stable disease,51.8%),disease control rate (DC) was 75.9%.Subgroup analysis showed response rate (RR) of 36.4% and DC of 91% in the 1st line therapy,RR of 20% and DC of 70% in the 2rid line therapy,RR of 12.5% and DC of 62.5% in heavily pre-treated cases.Rash appeared in 74.3% of patients (grade 3 was 8.6%),and the severity was relevant with disease control rate (DC).Neutropenia of grade 3/4 was 14.3%,and infusion related reaction (IRR) of grade 3 happened in 1 case (2.9%).Conclusion:Cetuximab combined with chemotherapy is safe and effective for patients with metastatic colorectal cancer.The combination therapy shows high DC,especially in 1st line therapy.Severity of rash may predict efficacy.
Keywords:cetuximab  chemotherapy  colorectal cancer (CRC)  efficacy
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