Safety and tolerability of FOLFOX4 in the adjuvant treatment of colon cancer in Asian patients: The MASCOT study
Journal
Asia-Pacific Journal of Clinical Oncology
Journal Volume
5
Journal Issue
2
Pages
101-110
Date Issued
2009
Author(s)
Abstract
Aims: The MOSAIC trial showed that FOLFOX4 improves overall survival as compared to 5-FU/LV and is feasible and safe in early stage colon cancer patients worldwide. Based on these positive results, the present study MASCOT (Multicenter Asia Study in adjuvant treatment of Colon cancer with Oxalipla Tin/5-FU/LV), aimed to evaluate the safety and tolerability of FOLFOX4 in postoperative adjuvant treatment of colon cancer in Asian patients. Methods: In this open-label, non-randomized, single arm feasibility study, stage II/III colon cancer patients who had undergone complete resection of a primary tumor were treated using the FOLFOX4 regimen (2 weeks/cycle, 12 cycles) and followed up for 12 months. Results: A total of 159 patients (28.3% stage II and 71.7% stage III) from 17 hospitals in five Asian countries were included in the study. Overall 130 (81.8%) patients completed all 12 planned treatment cycles. There were 60% and 11% patients who experienced ?grade 3 pre-listed and non pre-listed toxicities, respectively. The incidences of grade 3 and 4 neuropathy were 5.7% and 0%, respectively. A total of 25 serious adverse events (SAE) were experienced by 21 (13%) patients, with one life-threatening SAE. At 12 months follow-up two patients were known to be dead due to disease relapse or recurrence. Conclusion: The MASCOT study demonstrates a favorable safety profile of FOLFOX4 in Asian patients. Based on these results and the safety and efficacy results from MOSAIC, FOLFOX4 may be considered a standard for the adjuvant treatment of colon cancer in the Asian population. ? Journal compilation ? 2009 Blackwell Publishing Asia Pty Ltd.
Subjects
5-fluorouracil; Asia; Colorectal cancer; FOLFOX4; Leucovorin; MASCOT; Oxaliplatin; Safety; Tolerability
SDGs
Other Subjects
fluorouracil; folinic acid; oxaliplatin; adjuvant therapy; adult; aged; alkaline phosphatase blood level; alopecia; anorexia; article; Asian; biliary tract disease; bleeding; blood clotting disorder; cancer adjuvant therapy; cancer mortality; cancer recurrence; cancer relapse; cancer staging; cancer survival; chemotherapy induced emesis; clinical trial; colon cancer; constipation; diarrhea; dizziness; drug dose regimen; drug efficacy; drug hypersensitivity; drug induced headache; drug safety; drug tolerability; drug withdrawal; erythrocyte disorder; fatigue; feasibility study; fever; gastrointestinal disease; human; ileus; infection; insomnia; liver disease; liver function test; major clinical study; multicenter study; multiple cycle treatment; nausea; neuropathy; neurotoxicity; neutropenia; open study; overall survival; phase 4 clinical trial; postoperative care; priority journal; side effect; skin disease; stomach cancer; stomatitis; thrombocyte; total colon resection; treatment planning; upper respiratory tract infection; weight gain
Type
journal article