1. Maintenance therapy in colon cancer.
- Author
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Giuliani F, De Vita F, Colucci G, and Pisconti S
- Subjects
- Antibodies, Monoclonal administration & dosage, Antibodies, Monoclonal, Humanized, Bevacizumab, Camptothecin administration & dosage, Camptothecin analogs & derivatives, Cetuximab, Colonic Neoplasms mortality, Disease Progression, Disease-Free Survival, Humans, Irinotecan, Organoplatinum Compounds administration & dosage, Oxaliplatin, Survival Rate, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Colonic Neoplasms drug therapy
- Abstract
In the last decade dramatic improvements have been obtained in the treatment of metastatic colorectal cancer. Thanks to the introduction in the clinical practice of new drugs such as Irinotecan and Oxaliplatin, and modern biological drugs such as Bevacizumab and Cetuximab, the response rate, progression-free and overall survival are about 50-60%, 9-11 and 20-24 months respectively. Despite this progress, many questions remain unsolved especially those related to the optimal duration of treatment and the role of maintenance therapy. To treat until progression (or unacceptable toxicity) is the classical way but in the common clinical practice is frequent to perform an induction therapy (until the maximum response is obtained) followed by a complete stop and restart on progression, or by a maintenance without the drug/s responsible of the major cumulative toxicities. The following report focus on the role of different strategies respect to the classic "treatment until progression"., (Copyright © 2010 Elsevier Ltd. All rights reserved.)
- Published
- 2010
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