Table 4.
Summary of articles on colorectal cancer.
Study | Chemotherapeutic Agent | Primary Investigation | Cohort Characteristics | Study cohort | Impact on OS | Impact on DFS | CC Coverage | PCI Coverage | Main Findings (with focus on peritoneal recurrence) |
---|---|---|---|---|---|---|---|---|---|
Klaver et al., 2019 (COLOPEC) (36) | Intraperitoneal oxaliplatin with adjuvant systemic fluorouracil and leucovorin |
RCT
CRS + systemic chemo + HIPEC vs CRS + systemic chemo |
Advanced (T4N0-2M0) primary CC without PM | 204 | No significance in 18-month OS (93.0% in HIPEC vs 94.1% in control), p=0.82 | No significance in 18-month DFS (69.0% in HIPEC vs 69.3% in control), p=0.99 | Not covered | Not covered | No difference in peritoneal-free survival at 18-months (80.9% HIPEC vs 76.2% control), one-sided log-rank p=0.28. |
Goere et al., 2020 (PROPHYLOCHIP) (37) | Oxaliplatin or oxaliplatin + irinotecan + IV fluorouracil or mitomycin-HIPEC |
RCT
CRS + systematic second-look surgery + HIPEC vs CRSa |
Advanced primary CC with synchronous PM or established to be at high risk of subsequent PM | 150 | No significance in 3-year/5-year OS (79%/68% in HIPEC vs 80%/72% in control). | No significance in 3-year/5-year DFS (44%/42% in HIPEC vs 53%/49% in control), p=0.82/0.82 | Not covered, 4 patients had advanced peritoneal disease not amenable to resection on second-look surgery | Not covered | No difference in 3-year peritoneal recurrence-free survival (59% HIPEC vs 61% CRSa), |
Quenet et al., 2021 (PRODIGE 7) (38) | Oxaliplatin |
RCT
CRS + systemic chemo + HIPEC vs CRS + systemic chemo |
Advanced primary CC with synchronous PM | 265 | No significance in median OS (41.7 in HIPEC vs 41.2 months in CRSa) | No significance in median RFS at 1 year (13.1 months in HIPEC vs 11.1 months in control), p=0.43 | Completeness of cytoreduction was considered during randomization | Not randomized by PCI, though PCI ≤ 25 criteria was used for selection | No significant difference in peritoneal-free survival at 48 months (HR 0.908, 95CI 0.74-1.12), long-rank p=0.370. Median overall and relapse-free survival longer in subgroup of patients with PCI 11-15. |