Intensified concurrent chemoradiotherapy with 5-fluorouracil and irinotecan as neoadjuvant treatment in patients with locally advanced rectal cancer
2005

Intensified Chemoradiotherapy for Rectal Cancer

Sample size: 37 publication 10 minutes Evidence: moderate

Author Information

Author(s): Klautke G, Feyerherd P, Ludwig K, Prall F, Foitzik T, Fietkau R

Primary Institution: University Hospital, Rostock, Germany

Hypothesis

This study aimed to evaluate the feasibility and efficacy of neoadjuvant chemoradiotherapy intensified with irinotecan in patients with locally advanced rectal cancer.

Conclusion

Intensified neoadjuvant chemoradiotherapy with irinotecan can be safely administered and results in a high pathologic complete response rate.

Supporting Evidence

  • 89% of patients undergoing surgery had R0 resection.
  • 22% of patients achieved a pathologic complete response.
  • Overall survival at 4 years was 66%.

Takeaway

Doctors gave special treatment to patients with rectal cancer to help them before surgery, and it worked really well for many of them.

Methodology

Patients received preoperative radiation and chemotherapy with 5-fluorouracil and irinotecan over a period of 6 weeks.

Potential Biases

Potential selection bias due to the non-randomized nature of the study.

Limitations

The study had a small sample size and was limited to a specific patient population.

Participant Demographics

The study included 37 patients, 27 males and 10 females, with a median age of 62 years.

Statistical Information

P-Value

0.013

Confidence Interval

Not reported

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602492

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