Phase I trial of oxaliplatin with fluorouracil, folinic acid and concurrent radiotherapy for oesophageal cancer
2008

Chemoradiation with FOLFOX in Oesophageal Cancer

Sample size: 33 publication Evidence: moderate

Author Information

Author(s): Conroy T, Viret F, François E, Seitz J F, Boige V, Ducreux M, Ychou M, Metges J P, Giovannini M, Yataghene Y, Peiffert D

Primary Institution: Department of Medical Oncology and Radiotherapy, EA 4003, Nancy-University and Centre Alexis Vautrin

Hypothesis

The study aims to determine the maximum tolerated dose (MTD) and recommended doses (RDs) of FOLFOX combined with radiotherapy for oesophageal cancer.

Conclusion

The FOLFOX-4 regimen was reasonably well tolerated and effective in inoperable/metastatic oesophageal carcinoma and warrants additional investigation.

Supporting Evidence

  • Maximum tolerated dose was oxaliplatin 100 mg/m2.
  • Overall response rate was 48.5%, including 12% complete response.
  • Response rate on primary tumour was 62.9%.
  • Median survival was 9.5 months.

Takeaway

Doctors tested a new treatment for a type of cancer in the esophagus, and it helped many patients feel better and live longer.

Methodology

Patients received three courses of FOLFOX regimen and escalating doses of oxaliplatin with concurrent radiotherapy.

Limitations

The study included patients with inoperable or metastatic disease, which may limit generalizability.

Participant Demographics

{"age_mean":58.2,"age_range":"37-75","gender_distribution":{"male":26,"female":7},"performance_status":{"0":5,"1":27,"2":2},"stage_distribution":{"III":12,"IV":21}}

Statistical Information

Confidence Interval

95% CI: 30.8–66.5

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604708

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication