Diminishing Returns in the Treatment of Metastatic Colorectal Cancer: Are Patients Reaching a Survival Plateau

Abstract

Despite the evolution of treatment for metastatic colorectal cancer (MCRC) over the past decade, improvements in survival endpoints have appeared to reach a plateau. The addition of expensive targeted biologic agents to the therapeutic armamentarium against MCRC have not drastically increased survival, particularly in the realm of second and third line patients, as tumor resistance remains an issue. Original approaches to treating MCRC are needed in order to raise the apparent survival ceiling in these patients.

Share and Cite:

L. Riccardo and C. James, "Diminishing Returns in the Treatment of Metastatic Colorectal Cancer: Are Patients Reaching a Survival Plateau," Journal of Cancer Therapy, Vol. 1 No. 4, 2010, pp. 195-196. doi: 10.4236/jct.2010.14030.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] J. J. Sung, J. Y. Lau, G. P. Young, Y. Sano, H. M. Chiu, J. S. Byeon, K. G. Yeoh, K. L. Goh, J. Sollano, R. Rerknimitr, T. Matsuda, K. C. Wu, S. Ng, S. Y. Leung, G. Makharia, V. H. Chong, K. Y. Ho, D. Brooks, D. A. Lieberman and F. K. Chan, “Asia Pacific Consensus Recommendations for Colorectal Cancer Screening,” Gut, Vol. 57, No. 8, 2008, pp. 1166-1176.
[2] S. K. Maithel and M. I. D'Angelica, “An Update on Random-ized Clinical Trials in Advanced and Metastatic Colorectal Car-cinoma,” Surgical Oncology Clinics of North America, Vol. 19, No. 1, 2010, pp. 163-181.
[3] C. H. Kohne and H. J. Lenz, “Chemotherapy with Targeted Agents for the Treatment of Metastatic Colorectal Cancer,” Oncologist, Vol. 14, No. 5, 2009, pp. 478-488.
[4] M. H. Cohen, J. Gootenberg, P. Keegan and R. Pazdur, “FDA Drug Approval Summary: Bevacizumab Plus FOLFOX4 as Second-line Treatment of Colorectal Cancer,” Oncologist, Vol. 12, No. 3, 2007, pp. 356-361.
[5] H. Hurwitz, L. Fehrenbacher, W. Novotny, T. Cartwright, J. Hainsworth, W. Heim, J. Berlin, A. Baron, S. Griffing, E. Holmgren, N. Ferrara, G. Fyfe, B. Rogers, R. Ross and F. Kab-binavar, “Bevacizumab Plus Irinotecan, Fluorouracil, and Leu-covorin for Metastatic Colorectal Cancer,” New England Jour-nal of Medicine, Vol. 350, No. 23, 2004, pp. 2335-2342.
[6] P. Comella, R. Casaretti, A. Avallone and L. Franco, “Optimiz-ing the Management of Metastatic Colorectal Cancer,” Critical Reviews in Oncology/Hematology, Vol. 75, No. 1, 2010, pp. 15-26.
[7] F. Montagnani, C. Migali and G. Fiorentini, “Progression-free Survival in Bevacizumab-based First-line Treatment for Pa-tients with Metastatic Colorectal Cancer: Is It a Really Good End Point?” Journal of Clinical Oncology, Vol. 27, No. 28, 2009, pp. e132-133.
[8] S. Welch, K. Spithoff, R. B. Rumble and J. Maroun, “Bevaci-zumab Combined with Chemotherapy for Patients with Ad-vanced Colorectal Cancer: A Systematic Review,” Annual On-cology, Vol. 21, No. 6, 2010, pp. 1152-1162.
[9] J. Capdevila, F. J. Ramos, T. Macarulla, E. Elez and J. Tab-ernero, “The Role of Salvage Treatment in Advanced Colorec-tal Cancer,” Critical Reviews in Oncology/Hematology, Vol. 71, No. 1, 2009, pp. 53-61.
[10] A. D. Wagner, D. Arnold, A. A. Grothey, J. Haerting and S. Unverzagt, “Anti-angiogenic Therapies for Metastatic Colorec-tal Cancer”. Cochrane Database of Systematic Reviews, No. 3, 2009, pp. CD005392.

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.