Table 4:
Summary of chemotherapeutic agents and their Phase I studies of their use in PIPAC for CRC patients with PM.
| Oxaliplatin | Mitomycin C | Irinotecana | |
|---|---|---|---|
| IV dose, mg/m2 | 85 | 10 | 120–185 |
| HIPEC dose, mg/m2 | 200–460 | 10-35 [30] | 200 |
| PIPAC dose, mg/m2 | 120 [11] | 1.5–7 [32, 34] | 20 [32, 33] |
| 90 [17] | |||
| 135 [12] | |||
| 92b | |||
| Dose-escalation Phase I Study | Yes | No | No |
| RP2D | 90–135 mg/m2 | n/a | n/a |
| Efficacy | 16.4% partial response | n/a | n/a |
| 20.3% stable response (RECIST) | |||
| Grade ≥ 3 Toxicity | Pancreatitis, neutropenia, allergic reaction, pain, nausea, peripheral neuropathy | n/a | n/a |
aIn 2018 international survey, only one center used Irinotecan PIPAC [33]. barbitrary dose. RP2D, recommended Phase II dose; IV, intravenous; HIPEC, hyperthermic intraperitoneal chemotherapy; PIPAC, pressurized intraperitoneal aerosolized chemotherapy; RECIST 1.1, Response Evaluation Criteria in Solid Tumors.