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Trifluridine/tipiracil (FTD/TPI) and regorafenib in older patients with metastatic colorectal cancer

J Geriatr Oncol. 2023 May;14(4):101477. doi: 10.1016/j.jgo.2023.101477. Epub 2023 Mar 27.

Abstract

Colorectal cancer is a disease of older patients, but few guidelines directly address age in their recommendations. Older patients may present comorbidities that affect the choice of chemotherapy, and care must be taken when choosing the best approach. This narrative review aimed to describe the literature regarding approved oral agents for third-line treatment in older patients with refractory metastatic colorectal cancer, regorafenib, and trifluridine/tipiracil (FTD/TPI).

Keywords: Chemotherapy; FTD/TPI; Metastatic colorectal cancer; Older people; Regorafenib.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Colonic Neoplasms* / drug therapy
  • Colorectal Neoplasms* / drug therapy
  • Colorectal Neoplasms* / pathology
  • Frontotemporal Dementia* / drug therapy
  • Humans
  • Rectal Neoplasms* / drug therapy
  • Trifluridine / therapeutic use
  • Uracil / therapeutic use

Substances

  • tipiracil
  • Trifluridine
  • regorafenib
  • Uracil