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. 2021 Dec 3;11:795390. doi: 10.3389/fonc.2021.795390

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.