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Efficacy and toxicity of adjuvant chemotherapy on colorectal cancer patients: how much influence from the genetics?
Abstract
We studied the predictive value for response and toxicity of functional polymorphisms in genes involved in the oxaliplatin/fluorouracil pathway in colorectal cancer patients. One hundred and twenty-seven (127) patients were treated with curative intended surgery followed by adjuvant chemotherapy with FOLFOX (fluorouracil, leucovorin and oxaliplatin) regimen. The median age was 65.53 (27-80) years (66.9% male, 59.1% rectum). The median follow-up was 8.5 years (IQR, 4.1-9.4). At the end of follow-up, 59 patients (46.5%) had relapsed or died in the whole study population. We did find that XRCC1GG genotype is associated with a higher risk of developing haematologic toxicity. Furthermore, we report a significant association of the TS 3'UTR 6 bp/6 bp polymorphism and the XRCC1 rs25487 with a higher risk of developing anaemia and diarrhoea, respectively. On the other hand, none of the studied polymorphisms showed clinically relevant association with disease-free survival and overall survival or early failure to adjuvant FOLFOX therapy.
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“The available anticancer therapies including chemotherapy, radiotherapy and anticancer drugs are all associated with limited therapeutic efficacy, adverse effects and low chances.”
From Current Advances in Chitosan Nanoparticles Based Oral Drug Delivery for Colorectal Cancer Treatment (2022) · cites this paper as [8]
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Cited by
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Current Advances in Chitosan Nanoparticles Based Oral Drug Delivery for Colorectal Cancer Treatment
Choukaife, H., Seyam, S., Alallam, B., Doolaanea, A. A., & Alfatama, M. (2022) · International Journal of Nanomedicine · doi:10.2147/ijn.s375229 · Cited by 127
Metadata
- Authors
- Duran, G., Cruz, R., Simoes, A. R., Barros, F., Giráldez, J. M., Bernárdez, B., Anido, U., Candamio, S., López-López, R., Carracedo, Á., & Lamas, M. J.
- Venue
- Journal of Chemotherapy
- Publisher
- Informa UK Limited
- Published
- 2020-05-22
- Volume
- 32
- Issue
- 6
- Pages
- 310-322
- ISSN
- 1120-009X
- 1973-9478
- Cited by
- 12
- References
- 0
- Language
- en
- Update notices
- correction (2020-07-10)
- Funders
- Ministerio de Ciencia e Innovación
- Fundación Ramón Areces,
- Fundación Barrie de la Maza
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- Duran, G., Cruz, R., Simoes, A. R., Barros, F., Giráldez, J. M., Bernárdez, B., Anido, U., Candamio, S., López-López, R., Carracedo, Á., & Lamas, M. J. (2020). Efficacy and toxicity of adjuvant chemotherapy on colorectal cancer patients: how much influence from the genetics? Journal of Chemotherapy. https://doi.org/10.1080/1120009x.2020.1764281