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Xeloda (capecitabine),
a newer oral chemotherapy drug, demonstrated effectiveness in
several combination treatments for metastatic colorectal cancer,
according to data presented at the American Society of Clinical
Oncology annual meeting.
Researchers
led by Dr. Josep Tabernero of Hospital General d'Hebron in Barcelona
said an international Phase II study of Xeloda in combination
with oxaliplatin (XELOX) as first-line therapy for metastatic
colorectal cancer showed 72 percent of the 96 patients treated
were alive at one year.
Median survival
in this study is 16 months, with 57 patients still alive. Median
time to progression is currently 7.6 months, with 13 patients
yet to progress and 3 patients still undergoing treatment.
Researchers
lead by Dr. David J. Kerr of the University of Oxford presented
results of a Phase I/II study showing an overall response rate
of 48 percent for patients treated with Xeloda and Camptosar (irinotecan).
The use of Xeloda in combination with Camptosar also stabilized
the disease in 41 percent of patients. Four percent of patients
had disease progression.
Data presented
by Dr. E. Lin of M.D. Anderson Cancer Center and his team showed
that Xeloda and the arthritis drug Celebrex (celecoxib) significantly
increased the time to tumor progression to six months, versus
3 months without Celebrex, and the rate of disease stabilization
to 62.5 percent, versus 22.8 percent without Celebrex, for patients
with metastatic colorectal cancer.
"The
results of these studies are encouraging and highlight Xeloda's
possible role in combination therapy for patients with advanced
and metastatic colorectal cancer," said Georges Gemayel,
Vice President of Roche. "Furthermore, the convenience of
oral dosing with Xeloda allows patients to spend less time in
the hospital and more time with their loved ones, while treating
and managing their disease."
Other
sources: ASCO, Roche
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