Different Toxicity Profiles Predict Third Line Treatment Efficacy in Metastatic Colorectal Cancer Patients Article Swipe
YOU?
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· 2020
· Open Access
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· DOI: https://doi.org/10.3390/jcm9061772
The nucleoside trifluridine/tipiracil (TAS-102) and the multikinase inhibitor regorafenib significantly improved survival in metastatic colorectal cancer patients (mCRC). Both treatments are characterized by different treatment-related adverse events but detailed analyses of predictive side effects are rare. In this retrospective, observational, real-life study, clinical data on mCRC patients treated with trifluridine/tipiracil or regorafenib at the Medical University of Vienna, Austria and the University Hospital Zurich, Switzerland were collected. The correlation between adverse events and response or survival rates were calculated performing Fisher’s exact test and log-rank test, respectively. Common adverse events of any grade included fatigue (52%), nausea/vertigo (34%), anemia (26%), and leukopenia (22%) in trifluridine/tipiracil patients and fatigue (42%), hand-foot-skin syndrome (36%) and hoarseness (34%) in patients upon regorafenib treatment. In trifluridine/tipiracil patients the prevalence of leukopenia (p = 0.044) and weight loss (p = 0.044) was prognostic, whereas leukopenia (p = 0.044) and neutropenia (p = 0.043) predicted PFS. The disease control rate was not significantly affected. In regorafenib-treated patients, the prevalence of nausea (p = 0.001) was prognostic, while oral mucositis predicted PFS (p = 0.032) as well as the DCR (p = 0.039). In conclusion, we underline the efficacy of trifluridine/tipiracil and regorafenib in the real-life setting. We describe predictive adverse events like neutropenia/leukopenia, which might be used as surrogate marker in anticancer therapy beyond second line treatment.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm9061772
- https://www.mdpi.com/2077-0383/9/6/1772/pdf?version=1592910837
- OA Status
- gold
- Cited By
- 3
- References
- 24
- Related Works
- 10
- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3033597420Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm9061772Digital Object Identifier
- Title
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Different Toxicity Profiles Predict Third Line Treatment Efficacy in Metastatic Colorectal Cancer PatientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-06-07Full publication date if available
- Authors
-
Matthias Unseld, Sebastian Fischöder, Mathias Jachs, Magdalena Drimmel, Alexander Siebenhüner, Daniela Bianconi, Markus Kieler, Hannah Christina Puhr, Christoph Minichsdorfer, Thomas Winder, Gerald W. PragerList of authors in order
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https://doi.org/10.3390/jcm9061772Publisher landing page
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https://www.mdpi.com/2077-0383/9/6/1772/pdf?version=1592910837Direct link to full text PDF
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2077-0383/9/6/1772/pdf?version=1592910837Direct OA link when available
- Concepts
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Medicine, Colorectal cancer, Toxicity, Oncology, Internal medicine, CancerTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2023: 1, 2022: 1, 2020: 1Per-year citation counts (last 5 years)
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24Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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