Table 1.
Study | Study period | Regimen | Treatment | N | Follow-up regimen after treatment | Recurrence | Trial name |
---|---|---|---|---|---|---|---|
Primrose 2014 | Feb 2007–Nov 2012 | Perioperativea | FOLFOX/Surgery/FOLFOXe vs. FOLFOXe+CET/Surgery/FOLFOXe+CET | 257 | CT or MRI every 3 months for 2 years, then every 6 months for 3 years, until progression or death | Disease progression established by MDT | New EPOC |
Nordlinger 2013 | Oct 2000–July 2004 | Perioperativeb | Surgery vs. FOLFOX/Surgery/FOLFOX | 364 | CXR, abdominal USS or CT, and CEA every 3 months for 2 years, then every 6 months thereafter | Imaging, cytology or histology | EPOC/ EORTC 40983 |
Ychou 2009 | Dec 2001–July 2006 | Adjuvantc | Surgery/FUFA vs. Surgery/FOLFORI | 306 | Physical, haematological and biochemical evaluation, CEA and CT every 3 months for 2 years, then every 6 months for 2 years | NR | – |
Portier 2006 | Dec 1991–Dec 2001 | Adjuvantd | Surgery vs. Surgery/FUFA | 171 | Clinical examination, abdominal USS, CXR, CEA, ±CT every 3 months for 2 years, then yearly until death or end of study | NR | FFCD ACHBTH AURC 9002 |
Abbreviations: CET, cetuximab; 5-FU, 5-fluorouracil; FUFA, folinic acid and 5-FU; FOLFORI, folinic acid, 5-FU and irinotecan; FOLFOX, folinic acid, 5-FU and oxaliplatin; CT, computed tomography scan; MRI, magnetic resonance imaging; USS, ultrasound scan; CEA, carcinoembryonic antigen; MDT, multidisciplinary team; NR, not reported; EORTC, European Organisation for Research and Treatment of Cancer; EPOC, the Cochrane Effective Practice and Organization of Care Group: FFCD, Fédération Francophone de Carcinologie Digestive.
4–6 Cycles over 12 weeks pre-operatively with a minimum break of 4 weeks prior to surgery and 4–6 cycles over 12 weeks post-operatively.
Six 14-day cycles pre-operatively with liver resection performed 2–5 weeks after the last administration of preoperative chemotherapy, and six 14-day cycles post-operatively.
Twelve cycles over 6 months.
Six cycles over 6 months.
Three alternative regimens were allowed. Regime 1, oxaliplatin and fluorouracil (n = 156); regimen 2, oxaliplatin and oral capecitabine (n = 51); regimen 3, patients who had received adjuvant oxaliplatin could receive irinotecan with fluorouracil instead of oxaliplatin (n = 26).