Evidence map›Paper›PMID 30988620›Full record

ArticleOncoTargets and therapy2019

Weekly alternate intensive regimen FIrB/FOx in metastatic colorectal cancer patients: an update from clinical practice.

Alessio Cortellini, Katia Cannita, Alessandro Parisi, Paola Lanfiuti Baldi, Olga Venditti, Carla D'Orazio, Antonella Dal Mas, Giuseppe Calvisi, Aldo V Giordano, Vincenzo Vicentini and 6 more

Open access · goldAbstract read
In one paragraph

Article in OncoTargets and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 25% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

16 authors at 4 institutions in 1 country.

Alessio CortelliniMedical Oncology, St Salvatore Hospital, University of L'Aquila, L'Aquila, Italy, alessiocortellini@gmail.com.
Katia CannitaMedical Oncology, St Salvatore Hospital, University of L'Aquila, L'Aquila, Italy, alessiocortellini@gmail.com.
Alessandro ParisiMedical Oncology, St Salvatore Hospital, University of L'Aquila, L'Aquila, Italy, alessiocortellini@gmail.com.
Paola Lanfiuti BaldiMedical Oncology, St Salvatore Hospital, University of L'Aquila, L'Aquila, Italy, alessiocortellini@gmail.com.
Olga VendittiMedical Oncology, St Salvatore Hospital, University of L'Aquila, L'Aquila, Italy, alessiocortellini@gmail.com.
Carla D'OrazioMedical Oncology, St Salvatore Hospital, University of L'Aquila, L'Aquila, Italy, alessiocortellini@gmail.com.
Antonella Dal MasDepartment of Pathology, St Salvatore Hospital L'Aquila, L'Aquila, Italy.
Giuseppe CalvisiDepartment of Pathology, St Salvatore Hospital L'Aquila, L'Aquila, Italy.
Aldo V GiordanoDiagnostic and Interventional Radiology, St Salvatore Hospital, University of L'Aquila, L'Aquila, Italy.
Vincenzo VicentiniDepartment of Hepatobiliar-Pancreatic and Emergency Surgery, St Salvatore Hospital, L'Aquila, Italy.
Roberto VicentiniDepartment of Hepatobiliar-Pancreatic and Emergency Surgery, St Salvatore Hospital, L'Aquila, Italy.
Lara FelicioniOncological and Cardiovascular Molecular Medicine Department, Center for Excellence on Ageing and Translational Medicine (CeSI-MeT), University of Chieti-Pescara, Chieti, Italy.
Antonio MarchettiCenter of Predictive Molecular Medicine, Center for Excellence on Ageing and Translational Medicine (CeSI-MeT), University of Chieti-Pescara, Chieti, Italy.
Fiamma ButtittaOncological and Cardiovascular Molecular Medicine Department, Center for Excellence on Ageing and Translational Medicine (CeSI-MeT), University of Chieti-Pescara, Chieti, Italy.
Antonio RussoMedical Oncology Unit, Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy.
Corrado FicorellaMedical Oncology, St Salvatore Hospital, University of L'Aquila, L'Aquila, Italy, alessiocortellini@gmail.com.
San Salvatore Hospital · ITUniversity of L'Aquila · ITUniversity of Chieti-Pescara · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral trials evaluated the role of intensive regimens, made of triplet chemotherapies plus bevacizumab, as first-line treatment for patients with metastatic colorectal cancer (mCRC). We previously reported, in a Phase II prospective study, the efficacy and the tolerability of FIrB/FOx regimen, reporting interesting results in terms of received dose intensities (rDIs) and safety.

methodsWe reported a retrospective update of 85 patients treated with FIrB/FOx, an intensive regimen of 5-fluorouracil, bevacizumab, and weekly alternate irinotecan and oxaliplatin, to confirm its feasibility in "real life". Subgroup analyses were performed, particularly among patients treated with standard and modified FIrB/FOx (based on age, performance status, and/or comorbidities).

resultsOverall, 3-month objective response rate (ORR) and 6-month ORR were 75.9% and 55.3%, respectively. Median progression-free survival (PFS) and median overall survival (OS) were 14.4 and 34.9 months, respectively. Among the patients treated with standard and modified regimens, 3-month ORR, PFS, and OS were 75.8% and 76% (

conclusionThis update shows that intensive regimens such as FIrB/FOx are also feasible options for first-line treatment of mCRC patients in the "real-life" setting.

Indexed as

5-fluorouracil infusionbevacizumabclinical practiceintensive chemotherapy regimenmetastatic colorectal cancer

Identifiers

PMID30988620
PMCPMC6438145
OpenAlexW2925192104

What OpenQuestion holds

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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.