首页|Bevacizumab as a second-or later-line of treatment for metastatic colorectal cancer

Bevacizumab as a second-or later-line of treatment for metastatic colorectal cancer

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AIM:To determine the efficacy of bevacizumab in patients with metastatic colorectal cancer (MCRC) who have failed prior chemotherapy without bevacizumab.METHODS:Between March 2002 and June 2010,40 patients in South Korea with MCRC who were treated with bevacizumab plus chemotherapy as a second or later-line treatment were analyzed retrospectively for their overall response rate (ORR),overall survival (OS),and progression-free survival (PFS).The tumor responses were assessed using the Response Evaluation Criteria in Solid Tumors guidelines.RESULTS:All of the patients had progressed under prior chemotherapy without bevacizumab.Three patients (7.5%) exhibited an ORR,twenty one patients (52.5%)exhibited stable disease (SD),and fifteen patients (37.5%) exhibited disease progression.The median duration of the OS and PFS were 14.0 mo and 6.13 mo respectively.The median OSs were 16.60,14.07 and 13.00 mo for second-line,third-line and fourth-or later-line treatments,respectively.The median PFSs were 7.23,7.30 and 3.87 mo for the second-line,third-line and fourth-or later-line treatments,respectively.CONCLUSION:In patients with MCRC,bevacizumab combined chemotherapy may be beneficial during second-or later-line treatment.

Colorectal cancerMetastasisBevacizumabEfficacySecond-or later-line

Lee Chun Park、Ho Sup Lee、Seong Hoon Shin、Seun Ja Park、Moo In Park、Sung Yong Oh、Hyuk Chan Kwon

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Department of Internal Medicine, Kosin University College of Medicine, Busan 602-703,South Korea

Department of Internal Medicine, Dong-A University Hospital, Busan 602-715, South Korea

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(10)
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