Efficacy of FOLFOX Chemotherapy in Metastatic Enteropancreatic Neuroendocrine Tumors

被引:8
作者
Oziel-Taieb, Sandrine [1 ]
Zemmour, Christophe [2 ]
Raoul, Jean-Luc [3 ]
Mineur, Laurent [4 ]
Poizat, Flora [5 ]
Charrier, Nathalie [6 ]
Piana, Gilles [7 ]
Cavaglione, Gerard [8 ]
Niccoli, Patricia [1 ]
机构
[1] Inst Paoli Calmettes, IPC NET Ctr, ENETS Ctr Excellence, Dept Med Oncol, Marseille, France
[2] Aix Marseille Univ, Inst Paoli Calmettes, Dept Clin Res & Invest, Biostat & Methodol Unit,INSERM,IRD,SESSTIM, Marseille, France
[3] Inst Cancerol Ouest, Dept Digest Oncol, Nantes, France
[4] St Catherine Inst, Gastro Intestinal & Liver Canc Unit, Avignon, France
[5] Inst Paoli Calmettes, IPC NET Ctr, ENETS Ctr Excellence, Dept Biopathol, Marseille, France
[6] Inst Paoli Calmettes, IPC NET Ctr, ENETS Ctr Excellence, Dept Nucl Med, Marseille, France
[7] Inst Paoli Calmettes, IPC NET Ctr, ENETS Ctr Excellence, Dept Radiol, Marseille, France
[8] Ctr Antoine Lacassagne, Dept Med Oncol, Nice, France
关键词
Chemotherapy; enteropancreatic neuroendocrine tumors; metastases; oxaliplatin;
D O I
10.21873/anticanres.14977
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background/Aim: FOLFOX (5-Fluorouracile and oxaliplatin) exhibits promising activity in advanced well-differentiated neuroendocrine tumors (NETs). This retrospective study aimed to analyze the outcome of metastatic enteropancreatic NETS patients treated with FOLFOX. Patients and Methods: We retrospectively identified patients treated with FOLFOX for NETs of enteropancreatic or unknown origin among those referred to our Regional Multidisciplinary Tumor Board. Results: Among 48 patients, most often pancreatic NETs (n=33, 68.8%), the median Ki67 index was 10%. The median number cycle of FOLFOX was 6 and median follow-up was 34.8 months. Disease control rate (DCR) was 83 3%. Median PFS and OS were 12.6 and 29.4 months respectively. Median chemotherapy break was 14.1 months. No significant difference was observed between PFS and the following criteria: Ki67 index, primary tumor site, alkaline phosphatase levels, primary tumor surgery and F-18-FDG PET positivity. Conclusion: FOLFOX exhibits a high DCR and a short duration of treatment with a relative long chemotherapy break in patients with metastatic enteropancreatic NETs.
引用
收藏
页码:2071 / 2078
页数:8
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