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Hepatic arterial infusion of oxaliplatin plus systemic chemotherapy and targeted therapy for unresectable colorectal liver metastases

European Journal of Cancer Sep 26, 2020

Boilève A, De Cuyper A, Larive A, et al. - Researchers investigated whether hepatic arterial infusion (HAI)-oxaliplatin plus systemic chemotherapy and targeted therapies (cetuximab/panitumumab or bevacizumab) has feasibility, safety and efficacy in the treatment of unresectable colorectal liver metastases (CRLM). This study involved 89 patients (median age 55 years) who previously underwent a median number of one systemic chemotherapy regimen (range, 0–5), including oxaliplatin in 78% of cases. The intent-to-treat objective response rate was estimated to be 42%, and stable disease was seen in 45%, permitting complete CRLM resection/ablation in 27% of cases. Median overall and progression-free survival was identified to be 20 and 9 months, respectively, following a median follow-up of 72 months. Overall, findings showed the feasibility and safety of a treatment strategy that involved addition of targeted therapy to systemic chemotherapy combined with HAI-oxaliplatin as well as demonstrated the promising activity of this treatment regimen even after systemic chemotherapy failure.

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