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贝伐单抗联合FOLFOX4治疗晚期结直肠癌临床研究
引用本文:谢剑明,谢亚琳,陈锦章,李黎波,廖旺军. 贝伐单抗联合FOLFOX4治疗晚期结直肠癌临床研究[J]. 中国热带医学, 2010, 10(11): 1393-1394
作者姓名:谢剑明  谢亚琳  陈锦章  李黎波  廖旺军
作者单位:南方医科大学南方医院,广东,广州,510515
摘    要:
目的采用FOLFOX4及FOLFOX4加Avastin两种方案治疗转移性结直肠癌,观察两者的疗效。方法选择ECOG功能状态评分在0~2,128例转移性结直肠癌患者,随机分成A、B两组,分别采用FOLFOX4和FOLFOX4加Avastin方案治疗六个周期。结果A组有81例:完全缓解(CR)1.2%,部分缓解(PR)38.3%,总有效率为(CR+PR)39.5%;B组有47例:CR14.9%,PR61.7%,总有效率为(CR+PR)76.6%。结论B组有效率明显高于A组,P〈0.05,疾病无进展时间(PFS)显著延长。因此,FOLFOX4-AVASTIN生物化疗可以作为转移性结直肠癌的一线化疗方案。

关 键 词:结直肠癌  转移性  化疗  FOLFOX4  FOLFOX4-Avastin

Effect of bevacizumab combined with FOLFOX4 on advanced colorectal cancer
Affiliation:XIE Jian-ming,XIE Ya-lin, CHEN Jin-zhang,et al.(Cancer Center,Nan-fang Hospital of Nanfang Medical University,Guangzhou 510515,Guangdong,P. R. China)
Abstract:
Aim To observe the effect of FOLFOX4 and FOLFOX4-AVASTIN on metastatic colorectal cancer. Method There 128 colorectal cancer cases with ECOG between 0-2 were be divided into group A (81 cases) and B (47 cases) randomly,and treated with FOLFOX4 and FOLFOX4 plus AVASTIN for 6 courses. Results The overall response rate was 39.5% (complete relieve 1.2% ,part relieve 38.3%) in group A and 76.6%(CR14.9% ,PR61.7%)in group B. Conclusions The response rate of group B was higher obviously than that of group A and showing significant differences (P〈0.005). FOLFOX4-AVASTIN may be recommend as the fimt line regiment for metastatic colorectal cancer.
Keywords:FOLFOX4  FOLFOX4-Avastin
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