PMID- 22415232 OWN - NLM STAT- MEDLINE DCOM- 20120511 LR - 20240404 IS - 1532-1827 (Electronic) IS - 0007-0920 (Print) IS - 0007-0920 (Linking) VI - 106 IP - 7 DP - 2012 Mar 27 TI - Safety of UFT/LV and S-1 as adjuvant therapy for stage III colon cancer in phase III trial: ACTS-CC trial. PG - 1268-73 LID - 10.1038/bjc.2012.86 [doi] AB - BACKGROUND: The Adjuvant Chemotherapy Trial of TS-1 for Colon Cancer (ACTS-CC) is a phase III trial designed to validate the non-inferiority of S-1 to UFT/leucovorin (LV) as postoperative adjuvant chemotherapy for stage III colon cancer. We report the results of a planned safety analysis. METHODS: Patients aged 20-80 years with curatively resected stage III colon cancer were randomly assigned to receive UFT/LV (UFT, 300 mg m(-2) per day as tegafur; LV, 75 mg per day on days 1-28, every 35 days, 5 courses) or S-1 (80, 100, or 120 mg per day on days 1-28, every 42 days, 4 courses). Treatment status and safety were evaluated. RESULTS: Of 1535 enrolled patients, a total of 1504 (756 allocated to S-1 and 748 to UFT/LV) were analysed. The completion rate of protocol treatment was 77% in the S-1 group and 73% in the UFT/LV group. The overall incidence of adverse events (AEs) were 80% in S-1 and 74% in UFT/LV. Stomatitis, anorexia, hyperpigmentation, and haematological toxicities were common in S-1, whereas increased alanine aminotransferase and aspartate aminotransferase were common in UFT/LV. The incidences of >/=grade 3 AEs were 16% and 14%, respectively. CONCLUSION: Although AE profiles differed between the groups, feasibility of the protocol treatment was good. Both S-1 and UFT/LV could be safely used as adjuvant chemotherapy. FAU - Mochizuki, I AU - Mochizuki I AD - Department of Gastroenterological Surgery, Iwate Central Prefectural Hospital, 1-4-1 Ueda, Morioka, Iwate 020-0066, Japan. FAU - Takiuchi, H AU - Takiuchi H FAU - Ikejiri, K AU - Ikejiri K FAU - Nakamoto, Y AU - Nakamoto Y FAU - Kinugasa, Y AU - Kinugasa Y FAU - Takagane, A AU - Takagane A FAU - Endo, T AU - Endo T FAU - Shinozaki, H AU - Shinozaki H FAU - Takii, Y AU - Takii Y FAU - Takahashi, Y AU - Takahashi Y FAU - Mochizuki, H AU - Mochizuki H FAU - Kotake, K AU - Kotake K FAU - Kameoka, S AU - Kameoka S FAU - Takahashi, K AU - Takahashi K FAU - Watanabe, T AU - Watanabe T FAU - Watanabe, M AU - Watanabe M FAU - Boku, N AU - Boku N FAU - Tomita, N AU - Tomita N FAU - Matsubara, Y AU - Matsubara Y FAU - Sugihara, K AU - Sugihara K LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20120313 PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 RN - 0 (Drug Combinations) RN - 0 (UFT(R) drug) RN - 150863-82-4 (S 1 (combination)) RN - 1548R74NSZ (Tegafur) RN - 56HH86ZVCT (Uracil) RN - 5VT6420TIG (Oxonic Acid) RN - Q573I9DVLP (Leucovorin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/*therapeutic use MH - Chemotherapy, Adjuvant MH - Colonic Neoplasms/*drug therapy/surgery MH - Disease-Free Survival MH - Drug Combinations MH - Female MH - Humans MH - Leucovorin/*administration & dosage MH - Male MH - Middle Aged MH - Oxonic Acid/*administration & dosage/adverse effects MH - Tegafur/*administration & dosage/adverse effects MH - Uracil/*administration & dosage/adverse effects PMC - PMC3314794 EDAT- 2012/03/15 06:00 MHDA- 2012/05/12 06:00 PMCR- 2013/03/27 CRDT- 2012/03/15 06:00 PHST- 2012/03/15 06:00 [entrez] PHST- 2012/03/15 06:00 [pubmed] PHST- 2012/05/12 06:00 [medline] PHST- 2013/03/27 00:00 [pmc-release] AID - bjc201286 [pii] AID - 10.1038/bjc.2012.86 [doi] PST - ppublish SO - Br J Cancer. 2012 Mar 27;106(7):1268-73. doi: 10.1038/bjc.2012.86. Epub 2012 Mar 13.