Clinical Study

Comparison of Survival in Patients with Isolated Peritoneal Carcinomatosis from Colorectal Cancer Treated with Cytoreduction and Melphalan or Mitomycin-C as Hyperthermic Intraperitoneal Chemotherapy Agent

Table 4

Outcomes in patients with PC from CRC treated with CRS and HIPEC or Early Postoperative Intraperitoneal Chemotherapy.

StudyYearNo of patientsPerfusion agent, dose, length, t°Median OS (months),
(resection status)

Glehen et al. [10]200453
23
MMC: 40-60 mg at 46-48°C for 90 min13 (all patients)
33 (CC-0)
Glehen et al. [11]2004506
271
106
(1) MMC (30/50 mg/m2) ± cisplatin (50-100 mg/m2) at 41-42.5 °C for 60-120 min
(2) oxaliplatin (360-460 mg/m2) ± irinoteacan (100-200 mg/m2) ± IV 5-FU + leucovorin at 43 °C for 30 min
19 (all patients)
32 (CC-0)
24 (CC-1)
Elias et al. [12]2010
523
439
(1) MMC (30/50 mg/m2) ± cisplatin (50-100 mg/m2) at 41°C for 60-120 min
(2) oxaliplatin (360-460 mg/m2) ± irinoteacan (200 mg/m2) ± IV 5-FU + leucovorin at 43 °C for 30 min
30 (all patients)
33 (CC-0)
Verwaal et al. [13]2008
54
MMC: initial dose of 17.5 mg/m2 with additional 8.8 mg/m2 every 30 min (maximal dose in total 70 mg/m2)at 41-42 °C for 90 min22 (all patients)
48 (R-1)
Franko et al. [14]2010
67
MMC: initial dose of 30 mg for 60 min with additional 10 mg after for 40 min35 (all patients)
ASPSM study [15]2014
392
MMC: initial dose of 30 mg with additional 10 mg in 60 min at 42°C for 90 minutes33 (CC-0/1)
This study201819
29
Melphalan
MMC
36 (CC-0/1)
28 (CC-0/1)

MMC: mitomycin-C; OS: overall survival; R-0: no gross disease with negative resection margins, R-1: no gross disease with positive resection margins; CC-0: no visible residual disease; CC-1: residual disease <2mm;