Onkologie. 2024:18(4):279-282 | DOI: 10.36290/xon.2024.058

Role of Fruquintinib in metastatic colorectal cancer

Stanislav Batko
Onkologická klinika, FN Motol a 2. LF UK, Praha

The systemic treatment for metastatic colorectal cancer (mCRC) includes the use of cytostatics, targeted therapy, and immunotherapy. Neoangiogenesis blockade has been a part of mCRC treatment for two decades. Fruquintinib, a novel tyrosine kinase inhibitor targeting vascular endothelial growth factor receptor (VEGFR) 1-3 blockade, significantly improved overall survival compared to a placebo in a heavily pretreated patient population. It also comes with a favourable, well-managed side-effect profile and is now the new standard of care for fourth line therapy for mCRC.

Keywords: metastatic colorectal cancer, Fruquintinib.

Accepted: October 1, 2024; Published: October 7, 2024  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Batko S. Role of Fruquintinib in metastatic colorectal cancer. Onkologie. 2024;18(4):279-282. doi: 10.36290/xon.2024.058.
Download citation

References

  1. Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-263. doi:10.3322/caac.21834. Go to original source... Go to PubMed...
  2. Parkin DM, Bray F, Ferlay J, et al. Global Cancer Statistics, 2002†. CA: A Cancer Journal for Clinicians. 2005;55:74-108. https://doi.org/10.3322/canjclin.55.2.74. Go to original source... Go to PubMed...
  3. Dušek L, Mužík J, Kubásek M, et al. Epidemiologie zhoubných nádorů v České republice [online]. Brono: Masarykova univerzita; 2005. [cit. 2024-9-09]. Available from: http://www.svod.cz. Verze 7.0 [2007].
  4. Yoshino T, Cervantes A, Bando H, et al. Pan-Asian adapted ESMO Clinical Practice Guidelines for the diagnosis, treat­ment and follow-up of patients with metastatic colorectal cancer. ESMO Open. 2023;8(3):101558. doi: 10.1016/j.esmoop.2023.101558. Epub 2023 May 24. PMID: 37236086; PMCID: PMC10220270. Go to original source... Go to PubMed...
  5. Xu RH, Li J, Bai Y, et al. Safety and efficacy of fruquintinib in patients with previously treated metastatic colorectal cancer: a phase Ib study and a randomized double-blind phase II study. J Hematol Oncol. 2017;10(1):22. Go to original source... Go to PubMed...
  6. Li J, Qin S, Xu RH, et al. Effect of fruquintinib vs placebo on overall survival in patients with previously treated metastatic colorectal cancer: the FRESCO randomized clinical trial. JAMA. 2018;319(24):2486-2496. Go to original source... Go to PubMed...
  7. Dasari A, Lonardi S, Garcia-Carbonero R, et al. FRESCO-2 Study Investigators. Fruquintinib versus placebo in patients with refractory metastatic colorectal cancer (FRESCO-2): an international, multicentre, randomised, double-blind, phase 3 study. Lancet. 2023;402(10395):41-53. doi: 10.1016/S0140-6736(23)00772-9. Epub 2023 Jun 15. PMID: 37331369. Go to original source... Go to PubMed...
  8. Hurwitz H, Fehrenbacher L, Novotny W, et al. Bevacizumab plus irinotecan, fluorouracil, and leucovorin for metastatic colorectal cancer. N Engl J Med. 2004;350(23):2335-2342. doi: 10.1056/NEJMoa032691. PMID: 15175435. Go to original source... Go to PubMed...
  9. Bennouna J, Sastre J, Arnold D, et al. Continuation of bevacizumab after first progression in metastatic colorectal cancer (ML18147): a randomised phase 3 trial. Lancet Oncol. 2013;14(1):29-37. Go to original source... Go to PubMed...
  10. Van Cutsem E, Tabernero J, Lakomy R, et al. Addition of Aflibercept to Fluorouracil, Leucovorin, and Irinotecan Improves Survival in a Phase III Randomized Trial in Patients With Metastatic Colorectal Cancer Previously Treated With an Oxaliplatin-Based Regimen. Journal of Clinical Oncology. 2012;30(28):3499-3506. Go to original source... Go to PubMed...
  11. Tabernero J, Yoshino T, Cohn AL, et al. RAISE Study Investigators. Ramucirumab versus placebo in combination with second-line FOLFIRI in patients with metastatic colorectal carcinoma that progressed during or after first-line therapy with bevacizumab, oxaliplatin, and a fluoropyrimidine (RAISE): a randomised, double-blind, multicentre, phase 3 study. Lancet Oncol. 2015;16(5):499-508. doi: 10.1016d/. Go to original source... Go to PubMed...
  12. Prager GW, Taieb J, Fakih M, et al. Trifluridine-tipiracil and bevacizumab in refractory metastatic colorectal cancer. The New England Journal of Medicine. 2023;388(18):1657-1667. Go to original source... Go to PubMed...
  13. Grothey A, Van Cutsem E, Sobrero A, et al. CORRECT Study Group. Regorafenib monotherapy for previously treated metastatic colorectal cancer (CORRECT): an international, multicentre, randomised, placebo-controlled, phase 3 trial. Lancet. 2013 Jan 26;381(9863):303-12. doi: 10.1016/S0140-6736(12)61900-X. Epub 2012 Nov 22. PMID: 23177514. Go to original source... Go to PubMed...
  14. Infante JR, Reid TR, Cohn AL, et al. Axitinib and/or bevacizumab with modified FOLFOX-6 as first-line therapy for metastatic colorectal cancer: a randomized phase 2 study. Cancer. 2013;119(14):2555-2563. doi: 10.1002/cncr.28112. Epub 2013 Apr 19. PMID: 23605883. Go to original source... Go to PubMed...
  15. Tabernero J, Garcia-Carbonero R, Cassidy J, et al. Clin Cancer Res. May 1 2013;19(9):2541-2550. Go to original source... Go to PubMed...
  16. Carrato A, Swieboda-Sadlej A, Staszewska-Skurczynska A, et al. Fluorouracil, Leucovorin, and Irinotecan Plus Either Sunitinib or Placebo in Metastatic Colorectal Cancer: A Randomized, Phase III Trial. Journal of Clinical Oncology. 2013;31(10):1341-1347. Go to original source... Go to PubMed...




Oncology

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.