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With the advent of new chemotherapeutic and biological agents, median survival in patients with advanced colorectal cancer (CRC) has improved from <1 year to ≥2 years during the past decade. Phase III trial results have indicated that one such chemotherapy drug, orally administered capecitabine (Xeloda), can substitute for standard intravenous fluorouracil (5-FU) in patients with advanced disease (N Engl J Med 2005; 352:2696). Other findings have indicated that capecitabine also might be less toxic than intravenous 5-FU (J Clin Oncol 2001; 19:4097).
To compare the efficacy and tolerability of capecitabine plus oxaliplatin (Eloxatin)-based chemotherapy (CAP/OX) versus 5-FU plus oxaliplatin-based chemotherapy (FU/OX), investigators conducted a…