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Short Communication

Clinical Outcomes of Intensive Versus Less Intensive First-Line Chemotherapy for Metastatic Colorectal Cancer

ORCID Icon, , , , , , & show all
Pages 2569-2583 | Received 21 Dec 2022, Accepted 14 Jun 2023, Published online: 30 Jun 2023

Figures & data

Figure 1. Patient flow chart.

aEGFR: Anti-epidermal growth factor receptor; BEV: Bevacizumab; Cape: Capecitabine; CAPIRI: Capecitabine and irinotecan; CAPOX: Capecitabine and oxaliplatin; CET: Cetuximab; CRC: Colorectal cancer; FOLFIRI: Fluorouracil, leucovorin and irinotecan; FOLFOX: Fluorouracil, leucovorin and oxaliplatin; FOLFOXIRI: Fluorouracil, leucovorin, oxaliplatin and irinotecan; FP: Fluoropyrimidine; 5-FU: Fluorouracil; IRI: Irinotecan; IRIS: S-1 and irinotecan; IT: Intensive therapy; JSCCR: Japanese Society for Cancer of the Colon and Rectum; LIT: Less intensive therapy; l-LV: l-Leucovorin; LV: Leucovorin; mCRC: Metastatic colorectal cancer; OX: Oxaliplatin; PANI: Panitumumab; S-1: Tegafur/gimeracil/oteracil potassium; SOX: S-1 and oxaliplatin; UFT: Tegafur/uracil.

Figure 1. Patient flow chart.aEGFR: Anti-epidermal growth factor receptor; BEV: Bevacizumab; Cape: Capecitabine; CAPIRI: Capecitabine and irinotecan; CAPOX: Capecitabine and oxaliplatin; CET: Cetuximab; CRC: Colorectal cancer; FOLFIRI: Fluorouracil, leucovorin and irinotecan; FOLFOX: Fluorouracil, leucovorin and oxaliplatin; FOLFOXIRI: Fluorouracil, leucovorin, oxaliplatin and irinotecan; FP: Fluoropyrimidine; 5-FU: Fluorouracil; IRI: Irinotecan; IRIS: S-1 and irinotecan; IT: Intensive therapy; JSCCR: Japanese Society for Cancer of the Colon and Rectum; LIT: Less intensive therapy; l-LV: l-Leucovorin; LV: Leucovorin; mCRC: Metastatic colorectal cancer; OX: Oxaliplatin; PANI: Panitumumab; S-1: Tegafur/gimeracil/oteracil potassium; SOX: S-1 and oxaliplatin; UFT: Tegafur/uracil.

Figure 2. Subgroup analysis of time to treatment failure between the intensive and less intensive therapy groups.

HR: Hazard ratio; IT: Intensive therapy; LIT: Less intensive therapy.

Figure 2. Subgroup analysis of time to treatment failure between the intensive and less intensive therapy groups.HR: Hazard ratio; IT: Intensive therapy; LIT: Less intensive therapy.

Table 1. Patient characteristics.

Figure 3. Time to treatment failure, time to first subsequent therapy and overall survival in the intensive and less intensive therapy groups.

Kaplan–Meier curves of (A) time to treatment failure, (B) time to first subsequent therapy and (C) overall survival.

IT: Intensive therapy; LIT: Less intensive therapy.

Figure 3. Time to treatment failure, time to first subsequent therapy and overall survival in the intensive and less intensive therapy groups.Kaplan–Meier curves of (A) time to treatment failure, (B) time to first subsequent therapy and (C) overall survival.IT: Intensive therapy; LIT: Less intensive therapy.

Figure 4. Time to treatment failure, time to first subsequent therapy and overall survival in the groups receiving treatment with and without molecularly targeted agents.

Kaplan-Meier curves of (A) time to treatment failure, (B) time to first subsequent therapy and (C) overall survival.

MTA: Molecularly targeted agent; w/: With; w/o: Without.

Figure 4. Time to treatment failure, time to first subsequent therapy and overall survival in the groups receiving treatment with and without molecularly targeted agents.Kaplan-Meier curves of (A) time to treatment failure, (B) time to first subsequent therapy and (C) overall survival.MTA: Molecularly targeted agent; w/: With; w/o: Without.

Figure 5. Subgroup analysis of time to treatment failure between the groups treated.

(A) With and without a molecularly targeted agent and (B) with and without bevacizumab.

BEV: Bevacizumab; HR: Hazard ratio; MTA: Molecularly targeted agent.

Figure 5. Subgroup analysis of time to treatment failure between the groups treated. (A) With and without a molecularly targeted agent and (B) with and without bevacizumab.BEV: Bevacizumab; HR: Hazard ratio; MTA: Molecularly targeted agent.

Figure 6. Time to treatment failure, time to first subsequent therapy and overall survival in the with and without bevacizumab groups.

Kaplan–Meier curves of (A) time to treatment failure, (B) time to first subsequent therapy and (C) overall survival.

BEV: Bevacizumab; w/: With; w/o: Without.

Figure 6. Time to treatment failure, time to first subsequent therapy and overall survival in the with and without bevacizumab groups.Kaplan–Meier curves of (A) time to treatment failure, (B) time to first subsequent therapy and (C) overall survival.BEV: Bevacizumab; w/: With; w/o: Without.
Supplemental material

Table S1. Patient characteristics and Barthel indexscores

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Table S2. Patient characteristics in the with- and without-molecularly-targeted agent (MTA)subgroups.

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Table S3. Patient characteristics in the IT (intensive therapy) and LIT(less-intensive therapy) subgroups.

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Supplementary Material

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Supplementary Material

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Supplementary Material

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Data sharing statement

Data generated and/or analyzed during this study will not be shared due to concerns about data protection regulations in our country.