Capecitabine in the management of colorectal cancer

Bradford R Hirsch, S Yousuf ZafarDivision of Medical Oncology, Duke University Medical Center, Durham, NC, USAAbstract: 5-Fluorouracil has been a mainstay in the treatment of colorectal cancer for nearly five decades; however, the use of oral formulations of the medication has been gaining increasin...

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Main Authors: Hirsch BR, Zafar SY
Format: Article
Language:English
Published: Dove Medical Press 2011-03-01
Series:Cancer Management and Research
Online Access:http://www.dovepress.com/capecitabine-in-the-management-of-colorectal-cancer-a6831
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author Hirsch BR
Zafar SY
author_facet Hirsch BR
Zafar SY
author_sort Hirsch BR
collection DOAJ
description Bradford R Hirsch, S Yousuf ZafarDivision of Medical Oncology, Duke University Medical Center, Durham, NC, USAAbstract: 5-Fluorouracil has been a mainstay in the treatment of colorectal cancer for nearly five decades; however, the use of oral formulations of the medication has been gaining increasing traction since capecitabine was approved for use in adjuvant settings by the US Food and Drug Administration in 2005. The use of capecitabine has since spread to a number of off-label indications, including the treatment of advanced or metastatic colorectal cancer and the neoadjuvant treatment of rectal cancer. In light of increasing utilization, it is critical that clinicians have a firm understanding of the literature supporting capecitabine across various settings as well as the attributes of the drug, such as its dosing recommendations, side-effect profile, and use in the elderly. The purpose of this review is to synthesize the literature in a fashion that can be used to help guide decisions. In a setting of increasing focus on cost, the pharmacoeconomic literature is also briefly reviewed.Keywords: colon cancer, colorectal cancer, rectal cancer, capecitabine, Xeloda
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spelling doaj.art-c78987580bd6453d9a56001595f306fe2022-12-21T19:38:07ZengDove Medical PressCancer Management and Research1179-13222011-03-012011default79896831Capecitabine in the management of colorectal cancerHirsch BRZafar SYBradford R Hirsch, S Yousuf ZafarDivision of Medical Oncology, Duke University Medical Center, Durham, NC, USAAbstract: 5-Fluorouracil has been a mainstay in the treatment of colorectal cancer for nearly five decades; however, the use of oral formulations of the medication has been gaining increasing traction since capecitabine was approved for use in adjuvant settings by the US Food and Drug Administration in 2005. The use of capecitabine has since spread to a number of off-label indications, including the treatment of advanced or metastatic colorectal cancer and the neoadjuvant treatment of rectal cancer. In light of increasing utilization, it is critical that clinicians have a firm understanding of the literature supporting capecitabine across various settings as well as the attributes of the drug, such as its dosing recommendations, side-effect profile, and use in the elderly. The purpose of this review is to synthesize the literature in a fashion that can be used to help guide decisions. In a setting of increasing focus on cost, the pharmacoeconomic literature is also briefly reviewed.Keywords: colon cancer, colorectal cancer, rectal cancer, capecitabine, Xelodahttp://www.dovepress.com/capecitabine-in-the-management-of-colorectal-cancer-a6831
spellingShingle Hirsch BR
Zafar SY
Capecitabine in the management of colorectal cancer
Cancer Management and Research
title Capecitabine in the management of colorectal cancer
title_full Capecitabine in the management of colorectal cancer
title_fullStr Capecitabine in the management of colorectal cancer
title_full_unstemmed Capecitabine in the management of colorectal cancer
title_short Capecitabine in the management of colorectal cancer
title_sort capecitabine in the management of colorectal cancer
url http://www.dovepress.com/capecitabine-in-the-management-of-colorectal-cancer-a6831
work_keys_str_mv AT hirschbr capecitabineinthemanagementofcolorectalcancer
AT zafarsy capecitabineinthemanagementofcolorectalcancer