Evidence map›Paper›PMID 39480530›Full record

ArticleJournal of gastrointestinal cancer2024

FOLFOXIRI for First-Line Treatment of Unresectable Colorectal Cancer with Liver Metastases in a Resource-Limited Setting.

Vuong Dinh Thy Hao, Phan Minh Tri, Doan Tien My, Le Tuan Anh, Lam Viet Trung, Nguyen Hoang Bac, Nguyen Lam Vuong

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05362825 (Surgery Outcome Treated by Neo-adjuvant Chemotherapy FOLFOXIRI Regimen in Colorectal Cancer With Liver-limited Synchronous Metastases), 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
–field-weighted citation impact
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.

NCT05362825 unknown statusnot on this map

Surgery Outcome Treated by Neo-adjuvant Chemotherapy FOLFOXIRI Regimen in Colorectal Cancer With Liver-limited Synchronous Metastases

TypeobservationalSponsorCho Ray HospitalRan2022 to 2025Enrolled89ConditionsLiver Metastasis Colon Cancer, Synchronous NeoplasmArmsNeo-adjuvant Chemotherapy FOLFOXIRI Regimen, synchronous resection surgery
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  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.

Vuong Dinh Thy HaoChemotherapy Department, Cancer Center, Cho Ray Hospital, Ho Chi Minh City, Vietnam.
Phan Minh TriDepartment of General Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Doan Tien MyHepato-Pancreato-Biliary Surgery Department, Cho Ray Hospital, Ho Chi Minh City, Vietnam.
Le Tuan AnhChemotherapy Department, Cancer Center, Cho Ray Hospital, Ho Chi Minh City, Vietnam.
Lam Viet TrungDepartment of General Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Nguyen Hoang BacDepartment of General Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Nguyen Lam VuongDepartment of Medical Statistics and Informatics, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam. nguyenlamvuong@ump.edu.vn.ORCID http://orcid.org/0000-0003-2684-3041

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFOLFOXIRI is a standard treatment for unresectable colorectal cancer (CRC) liver metastases. However, limited data exists on its safety and effectiveness in low-to-middle-income countries (LMICs). This prospective study addresses this gap in a Vietnamese LMIC setting.

methodsWe enrolled 92 patients with unresectable CRC liver metastases between 2022 and 2023. All patients received FOLFOXIRI every 2 weeks, with routine G-CSF prophylaxis to prevent neutropenia. A multidisciplinary team (MDT) assessed diagnoses and treatment responses. Outcomes were R0/R1 resection rate, progression-free survival (PFS), overall survival (OS), objective response rate (ORR), disease control rate (DCR), adverse events (AEs), and recurrence-free survival (RFS) for surgical patients.

resultsThe median patient age was 56 years, with a male predominance (70.7%). The primary tumors were located in the left colon (42.4%), rectum (37%), and right colon (20.7%). Thirty-two patients (34.8%) experienced severe (grade 3 or higher) AEs, with thrombocytopenia (13.1%) and anemia (9.8%) being the most frequent. Most patients (72/87, 82.9%) achieved a partial response. The ORR and DCR were 85.1% and 95.4%, respectively. Fifty-seven patients (62%) achieved resectability, and 54 (58.7%) underwent radical surgery. The R0/R1 resection rate was 88.9%. The median PFS and OS for all patients were 13 and 22 months, respectively. The median RFS of surgical patients was 14 months.

conclusionsFOLFOXIRI improves the response rates, R0/R1 resection rates, and survivals for patients with CRC liver metastases. Future research is necessary to improve the prognosis of patients while minimizing toxicities.

trial registrationNCT05362825 dated 5 May 2022.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsFluorouracilLeucovorinLiver NeoplasmsOrganoplatinum CompoundsAdultAgedCamptothecinFemaleHumansMaleMiddle AgedProspective StudiesResource-Limited SettingsSurvival RateCamptothecinFluorouracilLeucovorinOrganoplatinum CompoundsColorectal cancerLiver metastasisNeoadjuvant chemotherapyResponseSurvival

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.