Abstract
No standard chemotherapy regimen has been established for metastatic colorectal cancer (mCRC) after progression on 5-fluorouracil, oxaliplatin, and irinotecan. Here, we report the combination of raltitrexed and bevacizumab as a salvage regimen for the treatment of three heavily pretreated patients with KRAS mutant mCRC. All three patients had stable disease (SD) according to response evaluation criteria in solid tumors (RECIST) criteria, progression free survival (PFS) were 3.0, 3.2 months for the first two patients and have not been reached for over 5 months for the third patient and no severe adverse effect was observed. The combination of raltitrexed plus bevacizumab in mCRC seems worthy of further investigation.
MeSH terms
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Adult
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Angiogenesis Inhibitors / therapeutic use*
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Antibodies, Monoclonal, Humanized / therapeutic use*
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Antimetabolites, Antineoplastic / therapeutic use*
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Bevacizumab
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Camptothecin / analogs & derivatives
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Camptothecin / therapeutic use
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Colorectal Neoplasms / drug therapy*
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Colorectal Neoplasms / genetics
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Colorectal Neoplasms / pathology
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Disease-Free Survival
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Female
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Fluorouracil / therapeutic use
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Folic Acid Antagonists / therapeutic use
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Humans
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Irinotecan
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Male
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Middle Aged
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Organoplatinum Compounds / therapeutic use
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Oxaliplatin
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Proto-Oncogene Proteins / genetics
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Proto-Oncogene Proteins p21(ras)
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Quinazolines / therapeutic use*
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Thiophenes / therapeutic use*
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Thymidylate Synthase / antagonists & inhibitors
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Treatment Outcome
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ras Proteins / genetics
Substances
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Angiogenesis Inhibitors
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Antibodies, Monoclonal, Humanized
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Antimetabolites, Antineoplastic
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Folic Acid Antagonists
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KRAS protein, human
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Organoplatinum Compounds
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Proto-Oncogene Proteins
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Quinazolines
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Thiophenes
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Oxaliplatin
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Bevacizumab
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Irinotecan
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Thymidylate Synthase
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Proto-Oncogene Proteins p21(ras)
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ras Proteins
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raltitrexed
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Fluorouracil
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Camptothecin