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Based on the results of the X-ACT study, capecitabine has become one of the standard postoperative adjuvant chemotherapies for colon cancer. However, few studies of tolerability have been conducted in Japan. In this study, we retrospectively examined treatment continuation, and the adverse events that occurred during eight courses of postoperative adjuvant chemotherapy with capecitabine, in 34 patients with colon cancer who had undergone curative resection. The completion rate for eight courses of treatment with capecitabine was 79. 4%(27 of 34 subjects), the median relative dose intensity was 94. 4%(13% to 106%), and the proportion of subjects with relative dose intensity B 60% was 82. 4%(28 of 34 subjects). The following Grade 3 or higher adverse events were reported: hand-foot syndrome, in 11. 8%(4 of 34 subjects); mucositis oral, in 2. 9%(1 of 34 subjects); diarrhea, in 2. 9%(1 of 34 subjects); and glans penis ulcer, in 2. 9%(1 of 34 subjects). In our hospital, a high rate of capecitabine treatment continuation comparable to that reported in the X-ACT study was obtained, suggesting that capecitabine adjuvant chemotherapy would be well tolerated in clinical practice as well.

Citation

Chu Matsuda, Hiroshi Tamagawa, Kazuhiro Nishikawa, Takashi Deguchi, Junji Kawata, Kazuhiro Iwase, Mari Takagi, Akiko Fukui, Riichiro Nezu, Yasuhiro Tanaka. Study of tolerability of capecitabine in postoperative adjuvant chemotherapy in colon cancer]. Gan to kagaku ryoho. Cancer & chemotherapy. 2013 Mar;40(3):327-30

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PMID: 23507593

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