Recent Advances in the Systemic Treatment of CRC
Catherine M. Handy, PhD, RN, AOCN

  1. American Cancer Society. Cancer facts & figures 2003. Available at: http://www.cancer.org/downloads/STT/CAFF2003PWSecured.pdf. Accessed May 9, 2003.
  2. MacDonald J. Adjuvant therapy of colon cancer. CA Cancer J Clin. 1999;49:202-219.
  3. Listing of approved oncology drugs with approved indications. Available at: http://www.fda.gov/cder/cancer/approved.htm. Accessed December 18, 2002.
  4. Advanced Colorectal Cancer Meta-analysis Project. Modulation of fluorouracil by leucovorin in patients with advanced colorectal cancer: evidence in terms of response rate. J Clin Oncol. 1992;10:896-903.
  5. Meta-analysis Group in Cancer. Efficacy of intravenous continuous infusion of fluorouracil compared with bolus administration in advanced colorectal cancer. J Clin Oncol. 1998;16:301-308.
  6. de Gramont A, Bossett JF, Milan C, et al. Randomized trial comparing monthly low-dose leucovorin and fluorouracil bolus with bimonthly high-dose leucovorin and fluorouracil bolus plus continuous infusion for advanced colorectal cancer: a French Intergroup study. J Clin Oncol. 1997;15:808-815.
  7. Saltz L, Cox J, Blanke C, et al. Irinotecan plus fluorouracil and leucovorin for metastatic colorectal cancer. N Engl J Med. 2000;343:905-914.
  8. Douillard JY, Cunningham D, Roth AD, et al. Irinotecan combined with fluorouracil compared with fluorouracil alone as first-line treatment for metastatic colorectal cancer: a mulitcentre randomized trial. Lancet. 2000;355:1041-1047.
  9. Irinotecan [package insert]. Kalamazoo, Mich: Pharmacia & Upjohn Company; 2002.
  10. Oxaliplatin [package insert]. Malvern, Pa: Sanofi-Synthelabo Inc; 2002.
  11. de Gramont A, Figer A, Seymour M, et al. Leucovorin and fluorouracil with or without oxaliplatin as first-line treatment in advanced colorectal cancer. J Clin Oncol. 2000;18:2938-2947.
  12. Goldberg R, Morton D, Sargent C, et al. N9741: oxaliplatin (oxal) or CPT-11 + 5-fluorouracil (5FU)/leucovorin (LV) or oxal + CPT-11 in advanced colorectal cancer (CRC): initial toxicity and response data from a GI Intergroup study [abstract]. Proc Am Soc Clin Oncol. 2002;21:128a. Abstract 511.
  13. Goldberg RM, Morton RF, Sargent DJ, et al. N9741: oxaliplatin (oxal) or CPT-11 + fluorouracil (5FU)/leucovorin (LV) or oxal + CPT-11 in advanced colorectal cancer (CRC). Updated efficacy and quality of life (QOL) data from an intergroup study. Paper presented at: American Society of Clinical Oncology Annual Meeting; June 1, 2003; Chicago, Ill.
  14. Goldberg RM, Morton RF, Sargent DJ, et al. N9741: oxaliplatin (oxal) or CPT-11 + fluorouracil (5FU)/leucovorin (LV) or oxal + CPT-11 in advanced colorectal cancer (CRC). Updated efficacy and quality of life (QOL) data from an intergroup study [abstract]. Proc Am Soc Clin Oncol. 2003;22:252. Abstract 1009.
  15. Tournigand C, Louvet C, Quinaux E, et al. FOLFIRI followed by FOLFOX versus FOLFOX followed by FOLFIRI in metastatic colorectal cancer (MCRC): final results of a phase III study [abstract]. Proc Am Soc Clin Oncol. 2001;20:128a. Abstract 494.
  16. Artru, P, Taieb J, Tournigand CL, et al. FOLFOX7/FOLFIRI (MIROX) regimen as (neo)adjuvant chemotherapy for patients with resectable metastatic colorectal cancer: preliminary results [abstract]. Proc Am Soc Clin Oncol. 2002;21:169a. Abstract 672.
  17. Grothey A, Deschler B, Kroening H, et al. Phase III study of bolus 5-fluorouracil (5-FU)/ folinic acid (FA) (Mayo) vs weekly high-dose 24h 5-FU infusion/ FA + oxaliplatin (OXA) (FUFOX) in advanced colorectal cancer (ACRC) [abstract]. Proc Am Soc Clin Oncol. 2002;21:129a. Abstract 512.
  18. Buechele T, Schoeber, Kroening H, et al. Weekly high-dose (HD) 5-fluorouracil (5-FU) and folinic acid (FA) with addition of oxaliplatin (LOHP) after documented progression under high-dose infusional 5-FU/FA in patients (pts) with advanced colorectal cancer (CRC): a preliminary report [abstract]. Proc Am Soc Clin Oncol. 1998;17:287a. Abstract 1106.
  19. Grothey A, Deschler B, Kroening H, et al. Bolus 5-fluorouracil (5-FU) folinic acid (FA) (Mayo) vs. weekly high-dose 24 h 5-FU infusion/FA + oxaliplatin (OXA) in advanced colorectal cancer (CRC). Results of a phase III study [abstract]. Proc Am Soc Clin Oncol. 2001;20:125a. Abstract 496.
  20. Capecitabine [package insert]. Nutley, NJ: Hoffmann–La Roche, Inc; 2001.
  21. Hoff PM, Ansari R, Batist G, et al. Comparison of oral capecitabine versus intravenous fluorouracil plus leucovorin as first-line treatment in 605 patients with metastatic colorectal cancer: results of a randomized phase III study. J Clin Oncol. 2001;19:2282-2292.
  22. Hurwitz H, Fehrenbacher L, Cartwright T, et al. Bevacizumab (a monoclonal antibody to vascular endothelial growth factor) prolongs survival in first-line colorectal cancer (CRC): results of a phase III trial of bevacizumab in combination with bolus IFL (irinotecan, 5-fluorouracil, leucovorin) as first-line therapy in subjects with metastatic CRC. Paper presented at: American Society of Clinical Oncology Annual Meeting; June 1, 2003; Chicago, Ill.
  23. Benson AB, Catalano PJ, Meropol NJ, et al. Bevacizumab (anti-VEGF) plus FOLFOX4 in previously treated advanced colorectal cancer (advCRC): an interim toxicity analysis of the Eastern Cooperative Oncology Group (ECOG) study 3200. Proc Am Soc Clin Oncol. 2003;22:243. Abstract 975.

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New Challenges for Symptom Management in CRC
Gail M. Wilkes, RNC, MS, ANP, AOCN

  1. Irinotecan [package insert]. Kalamazoo, Mich: Pharmacia & Upjohn Company; 2002.
  2. Rothenberg ML, Meropol NJ, Poplin EA, et al. Mortality associated with irinotecan plus bolus fluorouracil/leucovorin: summary findings of an independent panel. J Clin Oncol. 2001;19:3801-3807.
  3. Sweeney C, Seitz D, Ansare R, et al. A phase II trial of irinotecan (I), 5-fluorouracil (F), leucovorin (L) (IFL), celecoxib and glutamine as first line therapy for advanced colorectal cancer: a Hoosier Oncology Group study [abstract]. Proc Am Soc Clin Oncol. 2002;21:105b. Abstract 2235.
  4. Lockich JJ, Ahlgren JD, Gullo JJ, et al. A prospective randomized comparison of continuous infusion fluorouracil with a conventional bolus schedule in metastatic colorectal carcinoma: a Mid-Atlantic Oncology Program Study. J Clin Oncol. 1989;7:425-432.
  5. Capecitabine [package insert]. Nutley, NJ: Roche Laboratories Inc; 2003.
  6. Doxorubicin HCl liposome injection [package insert]. Bridgewater, NJ: Ortho Biotech; 2002.
  7. Abushullaih S. Incidence and severity of hand-foot syndrome in colorectal cancer patients treated with capecitabine: a single-institution experience. Cancer Invest. 2002;20:3-10.
  8. Yee S, Saffra T, Jeffers S. Prevention and management of Doxil-related side effects: basic strategies [abstract]. Proc Am Soc Clin Oncol. 1998;17:72a. Abstract 281.
  9. Lin EH, Morris J, Chau NK, et al. Celecoxib attenuated capecitabine-induced hand-and-foot syndrome (HFS) and diarrhea and improved time to tumor progression in metastatic colorectal cancer (MCRC) [abstract]. Proc Am Soc Clin Oncol. 2002;21:138b. Abstract 2364.
  10. Hoff PM, LoRusso P, Lokich JJ, et al. Chemotherapy Associated Hand-Foot Syndrome: A Clinician’s Guide to Diagnosis and Management. Nutley, NJ: Roche Pharmaceuticals; 2000.
  11. Longfield V, Hasan E, Romie A. Retrospective evaluation of the use of pyridoxine in the prevention and treatment of palmar-plantar erythrodysesthesia in capecitabine-treated cancer patients. Available at: http://www.ons.org/xp6
    /ONS/Convention.xml/Abstracts.xml/Abstracts_2001_.xml
    . Abstract 11.
  12. Hussein MA, Wood L, Saluan MA, et al. Efficacy of pyridoxine to ameliorate cutaneous toxicity associated with Doxil [abstract]. Blood. 1998;92(suppl 1):265b. Abstract 4143.
  13. Kollmannsberger C, Mayer F, Harstrick A, et al. Reduction of skin toxicity of pegylated liposomal doxorubicin by concomitant administration of dexamethasone and pyridoxine in patients with anthracycline-sensitive malignancies: a phase I/II trial. Ann Oncol. 2000;11(suppl 4):136.
  14. Vail DM, Chun R, Thamm DH, et al. Efficacy of pyridoxine to ameliorate the cutaneous toxicity associated with Doxil: a randomized, double-blind clinical trial using a canine model [abstract]. Proc Am Soc Clin Oncol. 1998;17:229a. Abstract 878.
  15. Lopez AM, Wallace L, Dorr RT, et al. Topical DMSO treatment for pegylated liposomal doxorubicin-induced palmar-plantar-erythrodysesthesia. Cancer Chemother Pharmacol. 1999;44:303-306.
  16. Chin SF, Tchen N, Oza AM, et al. Use of “Bag Balm” as topical treatment of palmar-plantar erythrodysesthesia syndrome (PPES) in patients receiving selected chemotherapeutic agents [abstract]. Proc Am Soc Clin Oncol. 2001;20:409a. Abstract 1632.
  17. Oxaliplatin [package insert]. Malvern, Pa: Sanofi-Synthelabo Inc; 2002.
  18. Wilkes GM. New therapeutic options in colon cancer: focus on oxaliplatin. Clin J Oncol. 2001;19:3801-3807.
  19. de Gramont A, Boni C, Navarro M, et al. Oxaliplatin/5-FU/LV in adjuvant colon cancer: safety results of the international randomized MOSAIC trial [abstract]. Proc Am Soc Clin Oncol. 2002;21:132a. Abstract 525.
  20. Maindrault-Goebel F, Louvet C, Andre T, et al. Oxaliplatin reintroduction in patients pretreated with leucovorin, fluorouracil and oxaliplatin for metastatic colorectal cancer (MCRC). Ann Oncol. 2000;11(suppl 4):50.
  21. Andre T, Figer A, Cervantes A, et al. FOLFOX7 compared to FOLFOX4: preliminary results of the randomized optimox study [abstract]. Proc Am Soc Clin Oncol. 2003;22:253. Abstract 1016.
  22. Almadrones LA. Peripheral neuropathies associated with chemotherapy. Advances in Colorectal Cancer Care [newsletter]. Available at: http://www.meniscus.com/advancescrc.
  23. Vahdat L, Papadopoulos K, Lange D, et al. Reduction of paclitaxel-induced peripheral neuropathy with glutamine. Clin Cancer Res. 2001;7:1192-1197.
  24. Gamelin E, Gamelin L, Delva R, et al. Prevention of oxaliplatin peripheral sensory neuropathy by Ca+ gluconate/Mg+ chloride infusions: a retrospective study [abstract]. Proc Am Soc Clin Oncol. 2002;21:157a. Abstract 624.

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Maximizing the Interface Between Clinic and Home Care
Patricia C. Kiley, RN, BSN

  1. Oxaliplatin [package insert]. Malvern, Pa: Sanofi-Synthelabo Inc; 2002.

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