Efficacy and feasibility of S-1 plus oxaliplatin (C-SOX) for stage III colon cancer patients who underwent curative resection (KSCC1303).

Authors

null

Nobutomo Miyanari

National Hosptal Organization Kumamoto Medlical Center, Kumamoto, Japan

Nobutomo Miyanari , Yasunori Emi , Akihito Tsuji , Kenji Sakai , Hideaki Anai , Hiroaki Takeshita , Hiroshi Imamura , Shinichiro Mori , Takayuki Shimose , Eiji Oki , Hiroshi Saeki , Yoshihiro Kakeji , Yoshito Akagi , Hideo Baba , Yoshihiko Maehara

Organizations

National Hosptal Organization Kumamoto Medlical Center, Kumamoto, Japan, Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, Japan, Department of Medical Oncology, Kochi Health Sciences Center, Kochi, Japan, Department of Medical Oncology, Saiseikai Kumamoto Hospital, Kumamoto, Japan, Oita Medical Center, Oita, Japan, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan, Department of Surgery, Toyonaka Municipal Hospital, Toyonaka, Japan, Department of Gastrointestinal Surgery, Kagashima University, Kagoshima, Japan, Clinical Research Support Center Kyushu, Fukuoka, Japan, Kyushu University, Fukuoka, Japan, Department of Surgery and Science, Kyushu University, Fukuoka, Japan, Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, Department of Surgery, Kurume University, Kurume, Japan, Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan, Department of Surgery and Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan

Research Funding

Pharmaceutical/Biotech Company

Background: Adjuvant chemotherapy is an accepted treatment method to improve the survival rate of Stage III colon cancer patients. Recently, regimens including oxaliplatin were proven superior to 5-FU only regimens. The purpose of this study was to examine the efficacy and feasibility of S-1 plus oxaliplatin (C-SOX) for Stage III colon cancer patients who underwent curative resection. Methods: Colon cancer patients who had undergone curative resection were enrolled in this study. They received oral S-1 40-60 mg twice daily on days 1 to 14 every 3 weeks plus intravenous oxaliplatin 130 mg/m2 on day 1 for 24 months. The primary endpoint was 3-year disease-free survival. The secondary endpoints were the rate of treatment completeness, adverse events, relative dose intensity, disease-free survival and overall survival. Results: Between 2014 February and 2014 December, eighty-nine patients were enrolled in this study. One patient had to be excluded due to ineligibility. The other eighty-eight patients were analyzed. The rate of protocol treatment completeness was 72.3%. Relative dose intensity of S-1 and oxaliplatin were 72 and 76.3, respectively. Hematological severe adverse events (Grade 3/4) were neutropenia (21.3%) and thrombocytopenia (15.7%). The most frequent symptom was diarrhea (Grade 3/4: 5.6%). Six-month disease-free survival rate was 94.3% (95% confidential interval: 86.9-97.6%). Six-month overall survival rate was 98.9% (95% C.I.: 92.2-99.8%). Conclusions: C-SOX for Stage III colon cancer patients who underwent curative resection was safe and feasible. The long-term outcome should be evaluated in future studies. Clinical trial information: 000012618.

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2016 Gastrointestinal Cancers Symposium

Session Type

Poster Session

Session Title

Poster Session C: Cancers of the Colon, Rectum, and Anus

Track

Cancers of the Colon, Rectum, and Anus

Sub Track

Multidisciplinary Treatment

Clinical Trial Registration Number

000012618

Citation

J Clin Oncol 34, 2016 (suppl 4S; abstr 739)

DOI

10.1200/jco.2016.34.4_suppl.739

Abstract #

739

Poster Bd #

M14

Abstract Disclosures