Austin Health

Title
Adjuvant therapy for resected colon cancer 2017, including the IDEA analysis.
Publication Date
2018-04
Author(s)
Tang, Monica
Price, Timothy Jay
Shapiro, Jeremy
Gibbs, Peter
Haller, Daniel G
Arnold, Dirk
Peeters, Marc
Segelov, Eva
Roy, Amitesh
Tebbutt, Niall C
Pavlakis, Nick
Karapetis, Chris
Burge, Matthew
Subject
Colon cancer
IDEA collaboration
adjuvant treatment
chemotherapy
duration of chemotherapy
Type of document
Journal Article
OrcId
0000-0003-0075-2176
DOI
10.1080/14737140.2018.1444481
Abstract
Oxaliplatin-based adjuvant chemotherapy has been the standard of care for resected early colon cancer for over a decade. Recent results from the IDEA meta-analysis attempt to address the question of whether 3 or 6 months of adjuvant chemotherapy is preferable in Stage III colon cancer. Areas covered: A review of the literature and recent conference presentations was undertaken on the topic of adjuvant therapy for resected early colon cancers. This article reviews the current evidence for adjuvant treatment of Stage II and III colon cancer, as well as up-to-date data regarding optimal duration of therapy. This article reviews the evidence for lifestyle modifications in the management of early colorectal cancer and other future directions for research in early colon cancer. Expert commentary: In recent years, there have been no advances in the development of novel agents for adjuvant therapy in colorectal cancer. Although the IDEA meta-analysis was negative for its primary non-inferiority endpoint, the detailed results provide valuable information that allows personalisation of treatment regimen and duration.
Link
Citation
Expert review of anticancer therapy 2018; 18(4): 339-349
Jornal Title
Expert review of anticancer therapy

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