Onkologie. 2023:17(5):342-345 | DOI: 10.36290/xon.2023.064
Lonsurf plus bevacizumab: A new standard in the third-line treatment of metastatic colorectal carcinoma
- Onkologická a radioterapeutická klinika, Fakultní nemocnice Plzeň
Some patients still in a good performance status are able to undergo more lines of systemic treatment for metastatic colorectal cancer. Chemotherapy regimens based on fluoropyrimidine in combination with oxaliplatin or irinotecan (in highest risk group with both of them) and targeted treatment of antiangiogenic or antiEGFR drugs according to the RAS a BRAF status are long-term the choice of first and second line treatment reflected in all international and our guideline reccommendations. Multikinase inhibitor regorafenib, fluoropyrimidine or in selected population antiEGFR monotherapy can be used in the next third line of treatment today. However, trifluridin-tipiracil (FTD-TPI) as one of the newest drugs alone or primarily in combination with bevacizumab based on the latest results of SUNLIGHT study is going in the foreground reaching the best response rate and survival.
Keywords: colorectal cancer, fluoropyrimidine, oxaliplatin, irinotecan, antiEGFR drugs, trifluridin/tipiracil, bevacizumab.
Accepted: November 28, 2023; Published: November 29, 2023 Show citation
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