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Bevacizumab plus chemotherapy in elderly patients with previously untreated metastatic colorectal cancer: single center experience


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Kaplan-Meier survival curves for Progression Free Survival and Overall Survival in patients aged < 70 years and ≥ 70 years. Range, years 24–69 70–81
Kaplan-Meier survival curves for Progression Free Survival and Overall Survival in patients aged < 70 years and ≥ 70 years. Range, years 24–69 70–81

Patient characteristics at baseline

CharacteristicsAge < 70 y(n = 162)Age ≥ 70 y(n = 48)
Gender, n (%)
      Men96 (60)33 (70)
      Women64 (40)14 (30)
Age
      Median, years5972
      Range, years24–6970–81
ECOG performance status, n (%)
      0104 (64)18 (38)
      152 (32)27 (56)
      26 (4)3 (6)
      300
Site of metastatic disease, n (%)
      Liver112 (69)35 (73)
      Lung39 (24)12 (25)
      Lymph nodes42 (26)12 (25)
      Bones6 (4)3 (6)
      Other64 (40)13 (27)
Primary tumour location, n (%)
      Colon only106 (65)31 (65)
      Rectum only56 (35)16 (33)
      Colon and rectum01 (2)
Adjuvant chemotherapy, n (%)50 (31)18 (38)
Previous radiotherapy, n (%)30 (19)9 (19)
Surgical resection, n (%)132 (82)42 (88)

Efficacy outcomes

OutcomesAge < 70 y(n = 162)Age ≥ 70 y(n = 48)
Best response, n (%)
      Complete9 (6)4 (8)
      Partial60 (37)13 (27)
      Stable disease57 (35)14 (29)
      Progressive disease21 (13)6 (13)
      Not evaluable7 (4)6 (13)
      Overall response rate, % (95% CI)69 (43)17 (35)
      Disease-control rate, % (95% CI)126 (78)31 (65)
Progression free survival, months
      Median (95% CI)11.3 (10.2–12.6)10.2 (6.7–16.2)
Overall survival, months
      Median (95% CI)27.4 (22.7–31.9)18.5 (12.4–28.9)
Metastasectomy, n (%)32 (21.2)6 (15)

Targeted adverse events

Adverse eventNo. of patients (%)Total
Grade 1Grade 2Grade 3Grade 4
< 70 years (n = 162)
Hypertension11 (6.8)15 (9.3)5 (3.1)0 (0)30 (18.5)
Thromboembolism1 (0.6)4 (2.5)4 (2.5)0 (0)9 (5.6)
Proteinuria23 (14.2)11 (6.8)2 (1.2)0 (0)36 (22.2)
Hemorrhage4 (2.5)1 (0.6)0 (0)1 (0.6)6 (3.7)
Infection4 (2.5)1 (0.6)4 (2.5)0 (0)8 (4.9)
> 70 years (n = 48)
Hypertension3 (6.2)6 (12.5)2 (4.2)0 (0)12 (25)
Thromboembolism0 (0)1 (2.1)2 (4.2)2 (4.2)5 (10.4)
Proteinuria7 (14.6)3 (6.2)0 (0)0 (0)10 (20.8)
Hemorrhage0 (0)0 (0)1 (2.1)0 (0)1 (2.1)
Infection0 (0)1 (2.1)0 (0)0 (0)1 (2.1)
eISSN:
1581-3207
Language:
English
Publication timeframe:
4 times per year
Journal Subjects:
Medicine, Clinical Medicine, Internal Medicine, Haematology, Oncology, Radiology