Appropriateness of trifluridine/tipiracil in the clinical practice of third-line therapy in metastatic colorectal cancer

Author:

Barone Carlo1ORCID,Bartolomeo Maria Di2,Lonardi Sara3,Maiello Evaristo4,Martinelli Erika5,Moretto Roberto6,Strippoli Antonia1,Tamburini Emiliano7,Zaniboni Alberto8,Pinto Carmine9

Affiliation:

1. Oncologia Medica, Fondazione Policlinico A. Gemelli-IRCCS, Università Cattolica del S. Cuore, Rome, Italy

2. Oncologia Medica, Istituto Nazionale dei Tumori-IRCCS, Milan, Italy

3. Oncologia Medica, Istituto Oncologico Veneto-IRCCS, Padua, Italy

4. Dipartimento di Onco-Ematologia, Casa Sollievo della Sofferenza Hospital, S. Giovanni Rotondo, Foggia, Italy

5. Dipartimento di Internistica Clinica e Sperimentale, Università della Campania “Luigi Vanvitelli”, Naples, Italy

6. Dipartimento di Ricerca Traslazionale e delle Nuove Tecnologie, University of Pisa, Pisa, Italy

7. Dipartimento di Oncologia Medica, Ospedale Cardinale G. Panico, Tricase, Lecce, Italy

8. Oncologia Medica, Fondazione Poliambulanza, Brescia, Italy

9. Oncologia Medica, Clinical Cancer Center, AUSL-IRCCS, Reggio Emilia, Italy

Abstract

Aim: To help to remove misperception of an appropriate position of trifluridine/tipiracil (FTD/TPI) in the treatment of metastatic colorectal cancer. Materials & methods: The RAND Corporation/UCLA Appropriateness Method was used by a panel of Italian experts to develop recommendations concerning daily practice with FTD/TPI. Forty-three clinical scenarios were discussed in two rounds and the resulting statements were rated as appropriate, uncertain or inappropriate, according to the median score. Results: Several topics were dealt with, covering the profile of eligible patients, therapeutic options beyond the second line, the practice of treatment with FTD/TPI, evaluation and efficacy and toxicity, as well as costs and compliance. Conclusion: FTD/TPI is an important therapeutic resource in refractory metastatic colorectal cancer that combines manageability and safety.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

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