Matsuda Chu, Danno Katsuki, Miyazaki Susumu, Fujitani Kazumasa, Kubota Masaru, Kawada Junji, Takagi Mari, Fukui Akiko, Iwase Kazuhiro, Tanaka Yasuhiro
Dept. of Surgery Osaka General Medical Center.
Gan To Kagaku Ryoho. 2014 Jun;41(6):743-7.
A regimen of capecitabine plus oxaliplatin(XELOX)has become one of the standard postoperative adjuvant chemotherapies for colon cancer. However, few tolerability studies have been conducted in Japan. In this study, we retrospectively examined treatment continuation and the adverse events that occurred during 8 courses of postoperative adjuvant chemotherapy with XELOX in 21 patients with colorectal cancer who had undergone curative resection. The completion rate for 8 courses of treatment with XELOX was 71.4%, while the median relative dose intensities of capecitabine and oxaliplatin were 85.0% and 75.0%, respectively. Although the incidence of subsequent Grade 3 or higher hand-foot syndrome was 14.3%, the rate of peripheral neuropathy was 0%. Our hospital had a high rate of XELOX treatment continuation, suggesting that XELOX adjuvant chemotherapy would be well tolerated in clinical practice as well.
卡培他滨联合奥沙利铂方案(XELOX)已成为结肠癌标准的术后辅助化疗方案之一。然而,日本国内开展的耐受性研究较少。在本研究中,我们回顾性分析了21例接受根治性切除的结直肠癌患者在接受XELOX方案进行8个疗程术后辅助化疗期间的治疗持续情况及发生的不良事件。XELOX方案8个疗程的治疗完成率为71.4%,而卡培他滨和奥沙利铂的中位相对剂量强度分别为85.0%和75.0%。尽管后续3级或更高级别的手足综合征发生率为14.3%,但周围神经病变的发生率为0%。我院XELOX方案的治疗持续率较高,这表明XELOX辅助化疗在临床实践中也具有良好的耐受性。