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. 2020 Dec 5;52(5):402–413. doi: 10.4103/ijp.IJP_475_18

Table 3.

Examples of drug combinations used in metronomic chemotherapy regimens

MCTh regimen Clinical phase Indication Significant results Reference
Oral vinorelbine 50 mg three times weekly Phase 2 Stage IIIB–IV NSCLC Treatment was well tolerated with rare serious toxicity [77]
Capecitabine 625 mg/m2/d BD for 3 weeks plus bevacizumab 7.5 mg/kg i.v. every 3 weeks Phase 2 mCRC PFS duration was longer in treatment group. However, benefits not seen once bevacizumab is withdrawn [76]
Thalidomide 3 mg/kg OD, Celecoxib
100 mg BD for patients <20 kg
200 mg BD for patients 20–50 kg
400 mg BD for patients >50 kg
Phase 3 Refractory/progressive non-hematopoietic extracranial solid tumors following treatment with at least 2 lines of chemotherapy Longer PFS seen only in patients without bone sarcomas (post hoc analysis) and those able to tolerate more than 3 cycles (9 weeks) benefit [82]

OD: Once daily, BD: Twice daily, PFS: Progression-free survival, NSCLC: Nonsmall-cell lung carcinoma, mCRC: Metastatic colorectal carcinoma, TNBC: Triplenegative b breast cancer, DFS: Disease-free survival, OS: Overall survival, MCTh: Metronomic chemotherapy