BACKGROUND: Although the efficacy and safety of combining first-line chemotherapy with bevacizumab in elderly patients with colorectal cancer (CRC) is supported by the results of a phase III trial, real-practice data are limited. PATIENTS AND METHODS: Our multi-center, community-based observational study included 233 elderly patients with CRC (median age=73 years, range=70-84 years). Baseline comorbidities and geriatric evaluation were also analyzed. Pre-specified end-points of the study were safety, tolerability and outcome results. RESULTS: The incidence of both chemotherapy-induced and specific bevacizumab-related toxicities was low, and not influenced by baseline concurrent morbidities. Median progression free survival (PFS) and median overall survival (OS) were 9.9 months and 23.6 months, respectively. Fifty-six percent of patients received second-line chemotherapy. CONCLUSION: The upfront treatment of older patients with CRC with chemotherapy and bevacizumab is safe and efficacious in a real-world setting. No un expected toxicities were reported. Multi-dimensional geriatric evaluation is under-used in clinical practice.
Bevacizumab and first-line chemotherapy for older patients with advanced colorectal cancer: final results of a Community-based Observational Italian Study / Lutrino, Stefania Eufemia; Bergamo, Francesca; Schirripa, Marta; Rosati, Gerardo; Avallone, Antonio; Giampieri, Riccardo; Cordio, Stefano; Berretta, Massimiliano; Llimpe, Fabiola Rojas; Pisa, Federica Edith; Lonardi, Sara; Loupakis, Fotios; Fasola, Gianpiero; Aprile, Giuseppe. - In: ANTICANCER RESEARCH. - ISSN 0250-7005. - ELETTRONICO. - 35:4(2015), p. 2391-9.