Evidence map›Paper›PMID 25925749›Full record

Trial reportBMC cancer2015

Capecitabine and irinotecan with bevacizumab 2-weekly for metastatic colorectal cancer: the phase II AVAXIRI study.

Pilar Garcia-Alfonso, Manuel Chaves, Andrés Muñoz, Antonieta Salud, Maria García-Gonzalez, Cristina Grávalos, Bartomeu Massuti, Encarna González-Flores, Bernardo Queralt, Amelia López-Ladrón and 5 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00875771 (Phase II Study of Irinotecan, Capecitabine and Bevacizumab in Metastatic Colorectal Cancer Patients), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00875771 phase2completednot on this map

Phase II Study of Irinotecan, Capecitabine and Bevacizumab in Metastatic Colorectal Cancer Patients

TypeinterventionalSponsorSpanish Cooperative Group for the Treatment of Digestive Tumours (TTD)Ran2009 to 2012Enrolled80ConditionsMetastatic Colorectal CancerArmsCapecitabine+Irinotecan+Bevacizumab
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Oral drugs in the treatment of metastatic colorectal cancer.Therapeutic advances in medical oncology · 2021
    Review
  5. Article
  6. Drug resistance and new therapies in colorectal cancer.World journal of gastroenterology · 2018
    Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 1 country.

Pilar Garcia-AlfonsoServicio de Oncología, Hospital Universitario Gregorio Marañón, C/Maiquez 7, 2nd floor, 28007, Madrid, Spain. pgarcaalfonso@gmail.com.
Manuel ChavesServicio de Oncología, Hospital Virgen del Rocío, 41004, Sevilla, Spain. manuelchavesconde@gmail.com.
Andrés MuñozServicio de Oncología, Hospital Universitario Gregorio Marañón, C/Maiquez 7, 2nd floor, 28007, Madrid, Spain. andresmunmar@hotmail.com.
Antonieta SaludServicio de Oncología, Hospital Lleida Arnau de Vilanova, 25198, Barcelona, Spain. asaluds@hotmail.com.
Maria García-GonzalezServicio de Oncología, Hospital Universitario de Burgos, 09005, Burgos, Spain. meuris2903@gmail.com.
Cristina GrávalosServicio de Oncología, Hospital 12 Octubre, 28041, Madrid, Spain. cgravalos@telefonica.net.
Bartomeu MassutiServicio de Oncología, Hospital General Universitario, 03011, Alicante, Spain. bmassutis@seom.org.
Encarna González-FloresServicio de Oncología, Hospital Virgen de las Nieves, 18014, Granada, Spain. encarna.gonzalez@hotmail.es.
Bernardo QueraltServicio de Oncología, ICO. Hospital. Josep Trueta, 17007, Gerona, Spain. bqueralt@iconcologia.net.
Amelia López-LadrónServicio de Oncología, Hospital Nuestra Señora de Valme, 41014, Sevilla, Spain. alopezladron@yahoo.es.
Ferran LosaServicio de Oncología, Hospital General de L'Hospitalet, 08906, Barcelona, Spain. ferran.losa@sanitatintegral.org.
Maria Jose GómezServicio de Oncología, Hospital Puerta del Mar, 11009, Cádiz, Spain. mariajose.gomezreina@gmail.com.
Amparo OltraServicio de Oncología, Hospital Virgen de los Lirios, 03804, Alicante, Spain. oltra_amp@gva.es.
Enrique ArandaReina Sofía Hospital, University of Córdoba, Maimonides Institute of Biomedical Research (IMIBIC). Spanish Cancer Network (RTICC), Instituto de Salud Carlos III, Córdoba, Spain. earandaa@seom.org.
Spanish Cooperative Group for the Treatment of Digestive Tumors (TTD)
Hospital General Universitario Gregorio Marañón · ESHospital General de Catalunya · ESHospital Universitario de Burgos · ESHospital Universitario Virgen de las Nieves · ESHospital Universitario de Valme · ESHospital Universitario Puerta del Mar · ESInstituto de Salud Carlos III · ESInstituto Maimónides de Investigación Biomédica de Córdoba · ESResearch Institute Hospital 12 de Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal sequence of chemotherapeutic agents is not firmly established for the treatment of metastatic colorectal cancer (mCRC). This phase II multi-centre study investigated the efficacy and tolerability of a standard capecitabine plus irinotecan (XELIRI) regimen with bevacizumab in previously untreated patients with mCRC.

methodsPatients received intravenous irinotecan 175 mg/m(2) on day 1 and oral capecitabine 1000 mg/m(2) (800 mg/m(2) for patients >65 years of age) twice daily on days 2-8, followed by a 1-week rest, and bevacizumab 5 mg/kg as an intravenous infusion on day 1 every 2 weeks.

resultsSeventy-seven patients were included in the intention-to-treat and safety populations. Progression-free survival at 9 months was 61%. The overall response and disease control rates were 51% and 84%, respectively. Median progression-free and overall survival times were 11.9 and 24.8 months, respectively. 48 patients (62%) had at least one grade 3/4 adverse event, the most common being asthenia, diarrhoea and neutropenia. Quality of life varied little over the study period with mean visual analogue scale general health scores ranging from 71 to 76 over cycles 1-11.

conclusionOur study found irinotecan and capecitabine administered fortnightly with bevacizumab in patients with mCRC to be an effective and tolerable regimen.

trial registrationclinicaltrials.gov identifier NCT00875771. Trial registration date: 04/02/2009.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCamptothecinCapecitabineColorectal NeoplasmsDisease-Free SurvivalFemaleHumansIrinotecanMaleMiddle AgedNeoplasm MetastasisTreatment OutcomeBevacizumabCamptothecinCapecitabineIrinotecan

Identifiers

PMID25925749
PMCPMC4423590
OpenAlexW2013378630

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.