Rais Taruba, Riaz Rumaisa, Siddiqui Tasmiyah, Shakeel Amna, Khan Afsheen, Zafar Habiba
Internal Medicine, Dow University of Health Sciences (DUHS), Karachi, Pakistan.
Internal Medicine, Jinnah Sindh Medical University (JSMU), Karachi, Pakistan.
Front Oncol. 2024 Jul 12;14:1296765. doi: 10.3389/fonc.2024.1296765. eCollection 2024.
Colorectal cancer ranks second in cancer-related deaths throughout the world. At the time of diagnosis, at least 20% of the patients with CRC had already developed metastases. Treating and effectively managing metastatic colorectal cancer remains an unsolved task for the health sector. Research and clinical trials have been done to find the best possible solution for patients diagnosed with metastatic colorectal cancer. The approval of the combination therapy of trifluridine and tipiracil with bevacizumab for previously treated metastatic colorectal cancer (CRC) by the Food and Drug Administration (FDA) is a remarkable breakthrough in CRC treatment. Our goal through this article is to give detailed knowledge about the pathogenesis of CRC, its prevalence, and its clinical features. Here, we have also discussed the past medical treatments that have been used for treating mCRC, including the anti-EGFR therapy, aflibercept, ramucirumab, and regorafenib. However, the focus of this document is to assess the combination of LONSURF (trifluridine/tipiracil) and bevacizumab by reviewing the clinical trials and relevant research.
结直肠癌在全球癌症相关死亡中位列第二。在确诊时,至少20%的结直肠癌患者已发生转移。治疗并有效管理转移性结直肠癌仍是卫生部门尚未解决的任务。已经开展了研究和临床试验,以寻找针对确诊为转移性结直肠癌患者的最佳可能解决方案。美国食品药品监督管理局(FDA)批准曲氟尿苷替匹嘧啶与贝伐单抗联合治疗先前接受过治疗的转移性结直肠癌(CRC),这是CRC治疗中的一项重大突破。我们撰写本文的目的是详细介绍CRC的发病机制、患病率及其临床特征。在此,我们还讨论了过去用于治疗mCRC的医学疗法,包括抗表皮生长因子受体(EGFR)疗法、阿柏西普、雷莫西尤单抗和瑞戈非尼。然而,本文的重点是通过回顾临床试验和相关研究来评估朗斯弗(曲氟尿苷/替匹嘧啶)与贝伐单抗的联合治疗。