PMID- 37414979 OWN - NLM STAT- MEDLINE DCOM- 20240126 LR - 20240206 IS - 1699-3055 (Electronic) IS - 1699-048X (Linking) VI - 26 IP - 2 DP - 2024 Feb TI - Efficacy and safety of trifluridine/tipiracil (TAS-102) in patients with metastatic colorectal cancer: a systematic review and meta-analysis. PG - 468-476 LID - 10.1007/s12094-023-03268-5 [doi] AB - OBJECTIVES: The purpose of this meta-analysis is to evaluate the efficacy and safety of TAS-102 in treating metastatic colorectal cancer (mCRC) using the most recent data available. METHODS: The literature on the efficacy and safety of TAS-102 versus placebo and/or best supportive care (BSC) in mCRC was obtained through a systematic search of PubMed, Embase, and Web of Science databases through January 2023. Identify the included literature and extract pertinent data, such as the overall survival (OS), progression-free survival (PFS), time to treatment failure (TTF), disease control rate (DCR), incidence of adverse events (AEs) and serious adverse events (SAEs). RESULTS: There were eight eligible articles that included 2903 patients (1964 TAS-102 versus 939 Placebo and/or BSC). In this meta-analysis, TAS-102 treatment resulted in longer OS, PFS, TTF, and higher DCR in patients with mCRC versus placebo and/or BSC. TAS-102 improved OS and PFS in subgroup analyses of mCRC patients with KRAS wild-type and KRAS mutant-type. In addition, TAS-102 did not increase the incidence of serious adverse events. CONCLUSION: TAS-102 can enhance the prognosis of mCRC patients whose standard therapy has failed, regardless of KRAS mutation status, and its safety is acceptable. CI - (c) 2023. The Author(s), under exclusive licence to Federacion de Sociedades Espanolas de Oncologia (FESEO). FAU - Huang, Fengxiang AU - Huang F AUID- ORCID: 0009-0005-2410-0051 AD - Department of Oncology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Yang, Haiyan AU - Yang H AD - Department of Oncology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Bao, Wenguang AU - Bao W AD - Department of Oncology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Bin, Yehong AU - Bin Y AD - Department of Oncology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Zhou, Shengsheng AU - Zhou S AD - Department of Oncology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Wang, Man AU - Wang M AD - Department of Oncology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Lv, Xiaoping AU - Lv X AUID- ORCID: 0000-0001-7144-9508 AD - Department of Gastroenterology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. 1612318241@qq.com. LA - eng GR - 81860104/National Natural Science Foundation of China/ GR - 2017GXNSFAA198299/Natural Science Foundation of Guangxi Zhuang Autonomous Region/ PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20230707 PL - Italy TA - Clin Transl Oncol JT - Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico JID - 101247119 RN - NGO10K751P (tipiracil) RN - 0 (trifluridine tipiracil drug combination) RN - RMW9V5RW38 (Trifluridine) RN - 56HH86ZVCT (Uracil) RN - EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras)) RN - 0 (Drug Combinations) RN - 0 (Pyrrolidines) RN - QR26YLT7LT (Thymine) SB - IM EIN - Clin Transl Oncol. 2023 Aug 3;:. PMID: 37535184 MH - Humans MH - Trifluridine/adverse effects MH - Uracil/adverse effects MH - *Colorectal Neoplasms/pathology MH - Proto-Oncogene Proteins p21(ras) MH - *Colonic Neoplasms/drug therapy MH - *Rectal Neoplasms/drug therapy MH - Drug Combinations MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - *Pyrrolidines MH - *Thymine OTO - NOTNLM OT - Efficacy OT - Meta-analysis OT - Metastatic colorectal cancer OT - Safety OT - TAS-102 EDAT- 2023/07/07 01:05 MHDA- 2024/01/26 06:43 CRDT- 2023/07/06 23:29 PHST- 2023/05/22 00:00 [received] PHST- 2023/06/25 00:00 [accepted] PHST- 2024/01/26 06:43 [medline] PHST- 2023/07/07 01:05 [pubmed] PHST- 2023/07/06 23:29 [entrez] AID - 10.1007/s12094-023-03268-5 [pii] AID - 10.1007/s12094-023-03268-5 [doi] PST - ppublish SO - Clin Transl Oncol. 2024 Feb;26(2):468-476. doi: 10.1007/s12094-023-03268-5. Epub 2023 Jul 7.