Evidence map›Paper›PMID 36620581›Full record

ArticleFrontiers in oncology2022

Case report: Efficacy and safety of regorafenib plus fluorouracil combination therapy in the treatment of refractory metastatic colorectal cancer.

Emaan Haque, Ibrahim N Muhsen, Abdullah Esmail, Godsfavour Umoru, Charisma Mylavarapu, Veronica B Ajewole, Maen Abdelrahim

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06887218 (Randomized Phase II Trial of 5-Fluorouracil/Leucovorin), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 44% 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.

NCT06887218 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Randomized Phase II Trial of 5-Fluorouracil/Leucovorin (5FU/LV) in Combination With Regorafenib in Patients With Metastatic Colorectal Cancer

TypeinterventionalSponsorThe Methodist Hospital Research InstituteRan2025 to 2029Enrolled57ConditionsMetastatic Colorectal Cancer (CRC)ArmsRegorafenib (BAY 73-4506), 5FU/LV, Bevacizumab, Trifluridine-tipiracil
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Synergistic mechanisms and clinical translation of regorafenib combination therapies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  3. 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

7 authors at 4 institutions in 2 countries.

Emaan HaqueCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Ibrahim N MuhsenDepartment of Medicine, Houston Methodist Hospital, Houston, TX, United States.
Abdullah EsmailSection of Gastrointestinal Oncology, Houston Methodist Neal Cancer Center, Houston, TX, United States.
Godsfavour UmoruDepartment of Pharmacy, Houston Methodist Hospital, Houston, TX, United States.
Charisma MylavarapuDepartment of Medicine, Houston Methodist Hospital, Houston, TX, United States.
Veronica B AjewoleDepartment of Pharmacy, Houston Methodist Hospital, Houston, TX, United States.
Maen AbdelrahimSection of Gastrointestinal Oncology, Houston Methodist Neal Cancer Center, Houston, TX, United States.
Houston Methodist · USMethodist Hospital · USTexas Southern University · USAlfaisal University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: More than half of patients with colorectal cancer (CRC) present with metastatic disease or develop recurrent disease on first-line and second-line options. Treatment beyond the second line remains an area of unmet need for patients with progressive or recurrent disease. Methods: We retrospectively reviewed data of adult (>18 years old) patients with mCRC who received regorafenib + 5FU combination therapy at Houston Methodist Hospital with outcomes of interest including response rate, discontinuation due to side effects, and overall survival. Results: Seven patients received regorafenib + 5FU combination therapy for mCRC after receiving at least two other lines of therapy (including at least one fluorouracil-based therapy). Four patients (57%) achieved disease control in 7-12 weeks after therapy initiation while three patients developed recurrent disease. In patients who achieved disease control, no new adverse events were reported among patients with this combination. Conclusion: Regorafenib and Fluorouracil combination could be considered an option beyond the second line for patients with treatment-refractory metastatic colorectal cancer. Further studies, including a prospective trial, are needed to investigate the efficacy and safety of regorafenib plus 5FU therapy compared to other limited available therapies.

Indexed as

5-FUCRCfluorouracil (3385)metastatic colorectal cancerregorafenib

Identifiers

PMID36620581
PMCPMC9822717
OpenAlexW4312223977

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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.