Time to grade >= 3 adverse events in pts receiving trifluridine/tipiracil (TAS-102)

G. Folprecht, R. Hofheinz,M. Karthaus, M. Moehler,E. Jaeger,A. Block, D. Buschmann, I. Schwaner, S. Mandel,E. Van Cutsem,A. Ohtsu,A. Kanehisa,R. Fougeray,R. Winkler,R. J. Mayer

JOURNAL OF CLINICAL ONCOLOGY(2017)

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摘要
788Background: The phase 3 RECOURSE showed that treatment with trifluridine/tipiracil in patients (pts) with refractory metastatic colorectal cancer was associated with significantly improved survival versus placebo (7.1 versus 5.3 months, respectively; HR for death 0.68, 95% CI 0.58–0.81, p u003c 0.001), with few serious adverse events. Trifluridine/tipiracil is administered in 4-week cycles comprising 2 weeks with 5 days at 35 mg/m2 bid followed by 2 rest days, and then a 2-week rest period. Exploration of timing for AEs, particularly within the first cycle of treatment, is important for pt monitoring in the outpatient setting. Methods: We performed a post hoc analysis of the RECOURSE safety population (533 trifluridine/tipiracil; 265 placebo) to explore timing of hematological and nonhematological AEs. Results: Grade ≥ 3 adverse events (AEs) were more frequent with trifluridine/tipiracil than placebo for both hematological AEs (38% vs 0% neutropenia; 4% vs 0% febrile neutropenia; 18% vs 3% anemia; and 5% v...
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