Table 6 Randomised trials of oxaliplatin-infused 5-FU/leucovorin vs oxaliplatin/capecitabine

From: Treatment in advanced colorectal cancer: what, when and how?

Study

Treatment arms

Number of patients

Objective response rates (%)

Median PFS/TTP (months)

Median overall survival (months)

Comments

First line

Porschen et al (2007) German AIO

FUFOX

234

54

8.0

18.8

Primary end point=PFS

 

CAPOX

242

48

7.1

16.8

Non-inferiority margin for 95% CI <1.29.

      

HR: 1.17; 95% CI: 0.96–1.43, therefore 1° end point not met

Diaz-Rubio et al (2007) Spanish TTD

FUOX

174

46

9.5

20.8

Primary end point=TTP

 

CAPOX

174

37

8.9

18.1

Non-inferiority margin for 95% CI <1.27.

      

HR: 1.18; 95% CI: 0.9–1.5, therefore 1° end point not met

Ducreux et al (2007) French

FOLFOX 6

150

46

9.3

20.5

Primary end point=best response rate

 

CAPOX

156

42

8.8

19.9

Non-inferiority margin for 95% CI <15%.

      

Difference in response rate=4.7% upper limit of 95% CI=14.4%, therefore 1° end point just met

Cassidy et al (2008) XELOX -1

FOLFOX 4

1017

39

8.5

19.6

Primary end point=PFS

 

CAPOX

1017

37

7.9

19.8

Non-inferiority margin for 97.5% CI < 1.23.

      

HR: 1.05; 97.5% CI: 0.94–1.18, therefore 1° end point met

Second line

Rothenberg et al (2008) XELOX -2

FOLFOX 4

314

12.4

5.5

13.2

Primary end point=PFS

 

CAPOX

313

15.3

5.1

12.7

Non-inferiority margin for 95% CI <1.30.

      

HR: 1.03; 97.5% CI: 0.87–1.24, therefore 1° end point met

  1. FUFOX, FUOX and FOLFOX=different dose schedules of oxaliplatin/infused 5-FU/LV; PFS=progression free survival; TTP=time to tumour progression; HR=hazard ratio; CI=confidence interval.