Loading…
Current Opinion on Optimal Treatment Choices in First-line Therapy for Advanced or Metastatic Colorectal Cancer: Report From the Adelaide Colorectal Tumour Group Meeting; Stockholm, Sweden; September 2008
Abstract The medical treatment of patients with metastatic colorectal cancer (mCRC) has evolved greatly in the past 10 years, involving complex combined chemotherapy protocols and, in more recent times, new biologic agents. Clinical benefit from the use of the targeted monoclonal antibodies bevacizu...
Saved in:
Published in: | Clinical colorectal cancer 2010, Vol.9 (1), p.8-14 |
---|---|
Main Authors: | , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c398t-7c0838457bd94c9b82558479ff23a93d0c676c9bb1fa56dbfb6c897b1fa1349e3 |
---|---|
cites | cdi_FETCH-LOGICAL-c398t-7c0838457bd94c9b82558479ff23a93d0c676c9bb1fa56dbfb6c897b1fa1349e3 |
container_end_page | 14 |
container_issue | 1 |
container_start_page | 8 |
container_title | Clinical colorectal cancer |
container_volume | 9 |
creator | Price, Timothy J Tebbutt, Niall C Karapetis, Christos S Segelov, Eva Pavlakis, Nick Cunningham, David Sobrero, Alberto F Haller, Daniel G Shapiro, Jeremy D |
description | Abstract The medical treatment of patients with metastatic colorectal cancer (mCRC) has evolved greatly in the past 10 years, involving complex combined chemotherapy protocols and, in more recent times, new biologic agents. Clinical benefit from the use of the targeted monoclonal antibodies bevacizumab, cetuximab, and panitumumab in the treatment of patients with mCRC is now well-established, but the optimal timing of their use requires careful consideration in order to derive the maximal benefit. Evidence to date suggests potentially distinct roles for bevacizumab and epidermal growth factor receptor–targeted biologic agents (cetuximab and panitumumab) in the treatment of patients with mCRC. This article reviews the evidence in support of modern treatments for mCRC and the decision making behind the treatment choices as well as their benefits and toxicities. An evidence-based algorithm is proposed that incorporates the use of these biologic agents early in the treatment of patients with initially nonresectable mCRC based on clearly defined tumor-related factors dependent on the immediate treatment goal. Real-world application of this algorithm is dependent on an individual countries' approval of access to new biologic agents. |
doi_str_mv | 10.3816/CCC.2010.n.001 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733837038</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1533002811700275</els_id><sourcerecordid>733837038</sourcerecordid><originalsourceid>FETCH-LOGICAL-c398t-7c0838457bd94c9b82558479ff23a93d0c676c9bb1fa56dbfb6c897b1fa1349e3</originalsourceid><addsrcrecordid>eNp1Ul2L1DAULaK4u6OvPkrefLFj0vQjVRCW4qzCyoAzPoc0vXWy2ybdJF2Z_7g_yltmFRGEkNyPcw_knJskrxhdc8HKd03TrDOKmV1Typ4k56zmIqVllT_FuOA8pTQTZ8lFCDcYlZyx58nZMkFLwc-Th2b2Hmwk28lY4yzBs52iGdVA9h5UHJdmc3BGQyDGko3xIaaDsUD2B_BqOpLeeXLZ3SuroSMYf4WoQlTRaNK4wXnQEdmape_fk28wOR_JxruRxAPgJAzKdPA3dj-Pbvbkyrt5QjqIxv74QHbR6duDG8a3ZPcTOrBYginC2IInGaXiRfKsV0OAl4_vKvm--bRvPqfX26svzeV1qnktYlppKrjIi6rt6lzXrciKQuRV3fcZVzXvqC6rEust61VRdm3fllrU1ZIyntfAV8mbE-_k3d0MIcrRBA3DoCy4OciKc8EritcqWZ-Q2rsQPPRy8qitP0pG5WKgRAPlYoe0Eg3EgdeP1HM7QvcH_tsxBIgTAPCD9wa8DNrAIr1ZxJOdM__n_vjPqEYfjVbDLRwh3KDkFmWTTIZMUrlb1mfZHsYqfKqC_wLZisBn</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>733837038</pqid></control><display><type>article</type><title>Current Opinion on Optimal Treatment Choices in First-line Therapy for Advanced or Metastatic Colorectal Cancer: Report From the Adelaide Colorectal Tumour Group Meeting; Stockholm, Sweden; September 2008</title><source>ScienceDirect Freedom Collection 2022-2024</source><creator>Price, Timothy J ; Tebbutt, Niall C ; Karapetis, Christos S ; Segelov, Eva ; Pavlakis, Nick ; Cunningham, David ; Sobrero, Alberto F ; Haller, Daniel G ; Shapiro, Jeremy D</creator><creatorcontrib>Price, Timothy J ; Tebbutt, Niall C ; Karapetis, Christos S ; Segelov, Eva ; Pavlakis, Nick ; Cunningham, David ; Sobrero, Alberto F ; Haller, Daniel G ; Shapiro, Jeremy D</creatorcontrib><description>Abstract The medical treatment of patients with metastatic colorectal cancer (mCRC) has evolved greatly in the past 10 years, involving complex combined chemotherapy protocols and, in more recent times, new biologic agents. Clinical benefit from the use of the targeted monoclonal antibodies bevacizumab, cetuximab, and panitumumab in the treatment of patients with mCRC is now well-established, but the optimal timing of their use requires careful consideration in order to derive the maximal benefit. Evidence to date suggests potentially distinct roles for bevacizumab and epidermal growth factor receptor–targeted biologic agents (cetuximab and panitumumab) in the treatment of patients with mCRC. This article reviews the evidence in support of modern treatments for mCRC and the decision making behind the treatment choices as well as their benefits and toxicities. An evidence-based algorithm is proposed that incorporates the use of these biologic agents early in the treatment of patients with initially nonresectable mCRC based on clearly defined tumor-related factors dependent on the immediate treatment goal. Real-world application of this algorithm is dependent on an individual countries' approval of access to new biologic agents.</description><identifier>ISSN: 1533-0028</identifier><identifier>EISSN: 1938-0674</identifier><identifier>DOI: 10.3816/CCC.2010.n.001</identifier><identifier>PMID: 20100683</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>5-Fluorouracil ; Algorithms ; Antineoplastic Agents - therapeutic use ; Bevacizumab ; Capecitabine ; Cetuximab ; Clinical Trials as Topic ; Colorectal Neoplasms - drug therapy ; Colorectal Neoplasms - pathology ; Gastroenterology and Hepatology ; Hematology, Oncology and Palliative Medicine ; Humans ; KRAS ; Vascular endothelial growth factor</subject><ispartof>Clinical colorectal cancer, 2010, Vol.9 (1), p.8-14</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-7c0838457bd94c9b82558479ff23a93d0c676c9bb1fa56dbfb6c897b1fa1349e3</citedby><cites>FETCH-LOGICAL-c398t-7c0838457bd94c9b82558479ff23a93d0c676c9bb1fa56dbfb6c897b1fa1349e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20100683$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Price, Timothy J</creatorcontrib><creatorcontrib>Tebbutt, Niall C</creatorcontrib><creatorcontrib>Karapetis, Christos S</creatorcontrib><creatorcontrib>Segelov, Eva</creatorcontrib><creatorcontrib>Pavlakis, Nick</creatorcontrib><creatorcontrib>Cunningham, David</creatorcontrib><creatorcontrib>Sobrero, Alberto F</creatorcontrib><creatorcontrib>Haller, Daniel G</creatorcontrib><creatorcontrib>Shapiro, Jeremy D</creatorcontrib><title>Current Opinion on Optimal Treatment Choices in First-line Therapy for Advanced or Metastatic Colorectal Cancer: Report From the Adelaide Colorectal Tumour Group Meeting; Stockholm, Sweden; September 2008</title><title>Clinical colorectal cancer</title><addtitle>Clin Colorectal Cancer</addtitle><description>Abstract The medical treatment of patients with metastatic colorectal cancer (mCRC) has evolved greatly in the past 10 years, involving complex combined chemotherapy protocols and, in more recent times, new biologic agents. Clinical benefit from the use of the targeted monoclonal antibodies bevacizumab, cetuximab, and panitumumab in the treatment of patients with mCRC is now well-established, but the optimal timing of their use requires careful consideration in order to derive the maximal benefit. Evidence to date suggests potentially distinct roles for bevacizumab and epidermal growth factor receptor–targeted biologic agents (cetuximab and panitumumab) in the treatment of patients with mCRC. This article reviews the evidence in support of modern treatments for mCRC and the decision making behind the treatment choices as well as their benefits and toxicities. An evidence-based algorithm is proposed that incorporates the use of these biologic agents early in the treatment of patients with initially nonresectable mCRC based on clearly defined tumor-related factors dependent on the immediate treatment goal. Real-world application of this algorithm is dependent on an individual countries' approval of access to new biologic agents.</description><subject>5-Fluorouracil</subject><subject>Algorithms</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Bevacizumab</subject><subject>Capecitabine</subject><subject>Cetuximab</subject><subject>Clinical Trials as Topic</subject><subject>Colorectal Neoplasms - drug therapy</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Gastroenterology and Hepatology</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>KRAS</subject><subject>Vascular endothelial growth factor</subject><issn>1533-0028</issn><issn>1938-0674</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp1Ul2L1DAULaK4u6OvPkrefLFj0vQjVRCW4qzCyoAzPoc0vXWy2ybdJF2Z_7g_yltmFRGEkNyPcw_knJskrxhdc8HKd03TrDOKmV1Typ4k56zmIqVllT_FuOA8pTQTZ8lFCDcYlZyx58nZMkFLwc-Th2b2Hmwk28lY4yzBs52iGdVA9h5UHJdmc3BGQyDGko3xIaaDsUD2B_BqOpLeeXLZ3SuroSMYf4WoQlTRaNK4wXnQEdmape_fk28wOR_JxruRxAPgJAzKdPA3dj-Pbvbkyrt5QjqIxv74QHbR6duDG8a3ZPcTOrBYginC2IInGaXiRfKsV0OAl4_vKvm--bRvPqfX26svzeV1qnktYlppKrjIi6rt6lzXrciKQuRV3fcZVzXvqC6rEust61VRdm3fllrU1ZIyntfAV8mbE-_k3d0MIcrRBA3DoCy4OciKc8EritcqWZ-Q2rsQPPRy8qitP0pG5WKgRAPlYoe0Eg3EgdeP1HM7QvcH_tsxBIgTAPCD9wa8DNrAIr1ZxJOdM__n_vjPqEYfjVbDLRwh3KDkFmWTTIZMUrlb1mfZHsYqfKqC_wLZisBn</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>Price, Timothy J</creator><creator>Tebbutt, Niall C</creator><creator>Karapetis, Christos S</creator><creator>Segelov, Eva</creator><creator>Pavlakis, Nick</creator><creator>Cunningham, David</creator><creator>Sobrero, Alberto F</creator><creator>Haller, Daniel G</creator><creator>Shapiro, Jeremy D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2010</creationdate><title>Current Opinion on Optimal Treatment Choices in First-line Therapy for Advanced or Metastatic Colorectal Cancer: Report From the Adelaide Colorectal Tumour Group Meeting; Stockholm, Sweden; September 2008</title><author>Price, Timothy J ; Tebbutt, Niall C ; Karapetis, Christos S ; Segelov, Eva ; Pavlakis, Nick ; Cunningham, David ; Sobrero, Alberto F ; Haller, Daniel G ; Shapiro, Jeremy D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-7c0838457bd94c9b82558479ff23a93d0c676c9bb1fa56dbfb6c897b1fa1349e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>5-Fluorouracil</topic><topic>Algorithms</topic><topic>Antineoplastic Agents - therapeutic use</topic><topic>Bevacizumab</topic><topic>Capecitabine</topic><topic>Cetuximab</topic><topic>Clinical Trials as Topic</topic><topic>Colorectal Neoplasms - drug therapy</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Gastroenterology and Hepatology</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>KRAS</topic><topic>Vascular endothelial growth factor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Price, Timothy J</creatorcontrib><creatorcontrib>Tebbutt, Niall C</creatorcontrib><creatorcontrib>Karapetis, Christos S</creatorcontrib><creatorcontrib>Segelov, Eva</creatorcontrib><creatorcontrib>Pavlakis, Nick</creatorcontrib><creatorcontrib>Cunningham, David</creatorcontrib><creatorcontrib>Sobrero, Alberto F</creatorcontrib><creatorcontrib>Haller, Daniel G</creatorcontrib><creatorcontrib>Shapiro, Jeremy D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical colorectal cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Price, Timothy J</au><au>Tebbutt, Niall C</au><au>Karapetis, Christos S</au><au>Segelov, Eva</au><au>Pavlakis, Nick</au><au>Cunningham, David</au><au>Sobrero, Alberto F</au><au>Haller, Daniel G</au><au>Shapiro, Jeremy D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Current Opinion on Optimal Treatment Choices in First-line Therapy for Advanced or Metastatic Colorectal Cancer: Report From the Adelaide Colorectal Tumour Group Meeting; Stockholm, Sweden; September 2008</atitle><jtitle>Clinical colorectal cancer</jtitle><addtitle>Clin Colorectal Cancer</addtitle><date>2010</date><risdate>2010</risdate><volume>9</volume><issue>1</issue><spage>8</spage><epage>14</epage><pages>8-14</pages><issn>1533-0028</issn><eissn>1938-0674</eissn><abstract>Abstract The medical treatment of patients with metastatic colorectal cancer (mCRC) has evolved greatly in the past 10 years, involving complex combined chemotherapy protocols and, in more recent times, new biologic agents. Clinical benefit from the use of the targeted monoclonal antibodies bevacizumab, cetuximab, and panitumumab in the treatment of patients with mCRC is now well-established, but the optimal timing of their use requires careful consideration in order to derive the maximal benefit. Evidence to date suggests potentially distinct roles for bevacizumab and epidermal growth factor receptor–targeted biologic agents (cetuximab and panitumumab) in the treatment of patients with mCRC. This article reviews the evidence in support of modern treatments for mCRC and the decision making behind the treatment choices as well as their benefits and toxicities. An evidence-based algorithm is proposed that incorporates the use of these biologic agents early in the treatment of patients with initially nonresectable mCRC based on clearly defined tumor-related factors dependent on the immediate treatment goal. Real-world application of this algorithm is dependent on an individual countries' approval of access to new biologic agents.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>20100683</pmid><doi>10.3816/CCC.2010.n.001</doi><tpages>7</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1533-0028 |
ispartof | Clinical colorectal cancer, 2010, Vol.9 (1), p.8-14 |
issn | 1533-0028 1938-0674 |
language | eng |
recordid | cdi_proquest_miscellaneous_733837038 |
source | ScienceDirect Freedom Collection 2022-2024 |
subjects | 5-Fluorouracil Algorithms Antineoplastic Agents - therapeutic use Bevacizumab Capecitabine Cetuximab Clinical Trials as Topic Colorectal Neoplasms - drug therapy Colorectal Neoplasms - pathology Gastroenterology and Hepatology Hematology, Oncology and Palliative Medicine Humans KRAS Vascular endothelial growth factor |
title | Current Opinion on Optimal Treatment Choices in First-line Therapy for Advanced or Metastatic Colorectal Cancer: Report From the Adelaide Colorectal Tumour Group Meeting; Stockholm, Sweden; September 2008 |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T11%3A39%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Current%20Opinion%20on%20Optimal%20Treatment%20Choices%20in%20First-line%20Therapy%20for%20Advanced%20or%20Metastatic%20Colorectal%20Cancer:%20Report%20From%20the%20Adelaide%20Colorectal%20Tumour%20Group%20Meeting;%20Stockholm,%20Sweden;%20September%202008&rft.jtitle=Clinical%20colorectal%20cancer&rft.au=Price,%20Timothy%20J&rft.date=2010&rft.volume=9&rft.issue=1&rft.spage=8&rft.epage=14&rft.pages=8-14&rft.issn=1533-0028&rft.eissn=1938-0674&rft_id=info:doi/10.3816/CCC.2010.n.001&rft_dat=%3Cproquest_cross%3E733837038%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c398t-7c0838457bd94c9b82558479ff23a93d0c676c9bb1fa56dbfb6c897b1fa1349e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=733837038&rft_id=info:pmid/20100683&rfr_iscdi=true |