Oxaliplatin: Shows efficacy in metastatic colorectal cancer and has potential for the treatment of other malignancies

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Colorectal Cancer; Adis International Limited; Irinotecan; Oxaliplatin; Metastatic Colorectal Cancer;
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10.2165/00042310-200117150-00001
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Oxaliplatin is a platinum compound with activity as a first- and second-line agent for the treatment of advanced colorectal cancer when combined with fluorouracil/folinic acid (leucovorin). Objective response rates of ≥50% have typically been achieved for first-line therapy and of 13 to 45% for second-line therapy. Furthermore, treatment with this combination has enabled the surgical removal of previously unresectable liver metastases. Oxaliplatin also shows promise in the treatment of other cancers, particularly advanced ovarian cancer. Oxaliplatin monotherapy resulted in response rates of 16 to 27% in patients with ovarian cancer relapsing after, or refractory to, other platinum agent therapy. These response rates were increased to 40 to 73% when used in combination with paclitaxel or cisplatin or both. Sensory neuropathy is the main cumulative dose-limiting factor in patients receiving oxaliplatin. Haematological and gastrointestinal adverse events occur frequently but are generally mild to moderate in intensity.
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