Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press4410.17650/2220-3478-2013-0-1-61-63CASE REPORTКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL EXPERIENCE OF PROLONGED AVASTIN THERAPY IN METASTATIC COLORECTAL CANCERОПЫТ ДЛИТЕЛЬНОГО ПРИМЕНЕНИЯ АВАСТИНА В ТЕРАПИИ МЕТАСТАТИЧЕСКОГО КОЛОРЕКТАЛЬНОГО РАКАSaidullaevaA. F.СайдуллаеваА. Ф.
Russian Federation
sashatv07@mail.ruTver Regional Oncology DispanseryТверской областной клинический онкологический диспансер280220132161632802201528022015Copyright ©; 2013, Saidullaeva A.F.Copyright ©; 2013, Сайдуллаева А.Ф.2013Saidullaeva A.F.Сайдуллаева А.Ф.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/44

Avastin in combination with standard chemotherapy (CT) is an effective treatment regimen in 1st and 2nd line metastatic colorectal cancer (mCRC). Data of observational cohort programs and results of a randomized TML trial confirmed the efficacy of Avastin plus CT continued beyond first progression in patients with mCRC previously treated with Avastin plus CT.

Author presents her own experience of prolonged Avastin therapy combined with several serial CT lines in mCRC patient

Данные рандомизированных исследований свидетельствуют об эффективности комбинации Авастина и стандартных режимов химиотерапии (ХТ) 1-й и 2-й линий больных метастатическим колоректальным раком (мКРР). Результаты наблюдательных программ и рандомизированного исследования TML подтвердили эффективность продолжения терапии Авастином после про-грессирования заболевания в комбинации со 2-й линией ХТ.

Автор приводит собственный опыт эффективного длительного применения Авастина в комбинации с несколькими последовательными линиями ХТ у больной мКРР.

metastatic colorectal cancerAvastinchemotherapyметастатический колоректальный ракАвастинхимиотерапия1. Curado M.P., Edwards B., Shin H.R. et al. Cancer incidence in five continents. Vol. IX. IARC Scientific Publication, No 160.Curado M.P., Edwards B., Shin H.R. et al. Cancer incidence in five continents. Vol. IX. IARC Scientific Publication, No 160.2. Состояние онкологической помощи населению России в 2010 году. Под ред. В.И. Чиссова, В.В. Старинского, Г.В. Петровой. М.: ФГУ «МНИОИ им. П.А. Герцена» Минздравсоцразвития России, 2011. 188 с.Состояние онкологической помощи населению России в 2010 году. Под ред. В.И. Чиссова, В.В. Старинского, Г.В. Петровой. М.: ФГУ «МНИОИ им. П.А. Герцена» Минздравсоцразвития России, 2011. 188 с.3. Hurwitz H., Fehrenbacher L., Novotny W. et al. Bevacizumab plus irinotecan, fluorouracil, and leucovorin for metastatic colorectal cancer. N Engl J Med 2004;350:2335–42.Hurwitz H., Fehrenbacher L., Novotny W. et al. Bevacizumab plus irinotecan, fluorouracil, and leucovorin for metastatic colorectal cancer. N Engl J Med 2004;350:2335–42.4. Hurwitz H.I., Yi J., Ince W. et al. The clinical benefit of bevacizumab in metastatic colorectal cancer is independent of K-ras mutation status: analysis of a phase III study of bevacizumab with chemotherapy in previously untreated metastatic colorectal cancer. Oncologist 2009 Jan;14(1):22–8.Hurwitz H.I., Yi J., Ince W. et al. The clinical benefit of bevacizumab in metastatic colorectal cancer is independent of K-ras mutation status: analysis of a phase III study of bevacizumab with chemotherapy in previously untreated metastatic colorectal cancer. Oncologist 2009 Jan;14(1):22–8.5. Saltz L.B., Clarke S., Diaz-Rubio E. et al. Bevacizumab in combination with oxaliplatin-based chemotherapy as first-line therapy in metastatic colorectal cancer: a randomized phase III study. J Clin Oncol 2008;26:2013–9.Saltz L.B., Clarke S., Diaz-Rubio E. et al. Bevacizumab in combination with oxaliplatin-based chemotherapy as first-line therapy in metastatic colorectal cancer: a randomized phase III study. J Clin Oncol 2008;26:2013–9.6. Arnold D., Andre T., Bennouna J. et al. Bevacizumab (BEV) plus chemotherapy (CT) continued beyond first progression in patients with metastatic colorectal cancer (mCRC) previously treated with BEV + CT: Results of a randomised phase III intergroup study (TML study). ASCO 2012, abstract.Arnold D., Andre T., Bennouna J. et al. Bevacizumab (BEV) plus chemotherapy (CT) continued beyond first progression in patients with metastatic colorectal cancer (mCRC) previously treated with BEV + CT: Results of a randomised phase III intergroup study (TML study). ASCO 2012, abstract.7. Diaz-Rubio E., Gomez-Espana A., Massuti B. et al. Phase III study of bevacizumab (B) alone vs B combined with capecitabine (C) and oxaliplatin (O) [XELOXA] as maintenance treatment following XELOXA in metastatic colorectal cancer (mCRC). The Macro Trial (Spanish Cooperative Group for the Treatment of Digestive Tumors: TTD). ASCO 2010, abstract.Diaz-Rubio E., Gomez-Espana A., Massuti B. et al. Phase III study of bevacizumab (B) alone vs B combined with capecitabine (C) and oxaliplatin (O) [XELOXA] as maintenance treatment following XELOXA in metastatic colorectal cancer (mCRC). The Macro Trial (Spanish Cooperative Group for the Treatment of Digestive Tumors: TTD). ASCO 2010, abstract.8. Giantonio B.J., Catalano P.J., Meropol N.J. et al. Bevacizumab in combination with oxaliplatin, fluorouracil, and leucovorin (FOLFOX4) for previously treated metastatic colorectal cancer: results from the Eastern Cooperative Oncology Group Study E3200. J Clin Oncol 2007;25:1539–44.Giantonio B.J., Catalano P.J., Meropol N.J. et al. Bevacizumab in combination with oxaliplatin, fluorouracil, and leucovorin (FOLFOX4) for previously treated metastatic colorectal cancer: results from the Eastern Cooperative Oncology Group Study E3200. J Clin Oncol 2007;25:1539–44.9. Van Cutsem E., Rivera F., Berry S. et al. Safety and efficacy of first-line bevacizumab with FOLFOX, XELOX, FOLFIRI and fluoropyrimidines in metastatic colorectal cancer: the BEAT study. Ann Oncol 2009;20:1842–7.Van Cutsem E., Rivera F., Berry S. et al. Safety and efficacy of first-line bevacizumab with FOLFOX, XELOX, FOLFIRI and fluoropyrimidines in metastatic colorectal cancer: the BEAT study. Ann Oncol 2009;20:1842–7.10. Bendell J.C., Bekaii-Saab T.S., Cohn A.L. et al. Treatment patterns and clinical outcomes in patients with metastatic colorectal cancer initially treated with FOLFOX-bevacizumab or FOLFIRI-bevacizumab: results from ARIES, a bevacizumab observational cohort study. Oncologist 2012;17(12):1486–95.Bendell J.C., Bekaii-Saab T.S., Cohn A.L. et al. Treatment patterns and clinical outcomes in patients with metastatic colorectal cancer initially treated with FOLFOX-bevacizumab or FOLFIRI-bevacizumab: results from ARIES, a bevacizumab observational cohort study. Oncologist 2012;17(12):1486–95.11. Kozloff M., Yood M.U., Berlin J. et al. Clinical outcomes associated with bevacizumab-containing treatment of metastatic colorectal cancer: the BRiTE observational cohort study. The Oncologist 2009;14:862–70.Kozloff M., Yood M.U., Berlin J. et al. Clinical outcomes associated with bevacizumab-containing treatment of metastatic colorectal cancer: the BRiTE observational cohort study. The Oncologist 2009;14:862–70.12. Bennouna J., Sastre J., Arnold D. et al. Continuation of bevacizumab after first progression in metastatic colorectal cancer (ML18147): a randomized phase 3 trial. Lancet Oncol;14(1):29–37.Bennouna J., Sastre J., Arnold D. et al. Continuation of bevacizumab after first progression in metastatic colorectal cancer (ML18147): a randomized phase 3 trial. Lancet Oncol;14(1):29–37.