Oxaliplatin is a platinum-based chemotherapy drug in the same family as cisplatin and carboplatin. Compared to cisplatin the two amine groups are replaced by diamino cyclohexane (DACH) group to provide a greater antitumor effect. However, this leads to poorer water solubility, which was compensated by the addition of the chloride moieties. Due to this chemical moiety, oxaliplatin readily undergoes non-enzymatic biotransformation, thus complicating oxaliplatin's pharmacokinetics. Like most platinum-based compounds, oxaliplatin's mechanism of action is primarily through DNA damage through DNA crosslinking, particularly intrastrand and interstrand crosslinking. However, due to the structure of oxaliplatin, its adducts make the binding of mismatch repair protein to DNA harder compared to cisplatin or carboplatin's adducts, resulting in greater cytotoxic effects. The DACH moiety also prevents cross-resistance with cisplatin and carboplatin.
Although oxaliplatin has been investigated as a monotherapy, it is typically administered in combination with fluorouracil and leucovorin, known as the FOLFOX regimen, for the treatment of colorectal cancer. This is an effective combination treatment both as a first-line treatment and in patients refractory to an initial fluorouracil and leucovorin combination. Ongoing trials have also shown promising results for oxaliplatin use in nonHodgkin’s lymphoma, breast cancer, mesothelioma, and non-small cell lung cancer.
Oxaliplatin was approved by the FDA on January 9, 2004 and is currently marketed by Sanofi-Aventis under the trademark Eloxatin®.
Oxaliplatin, in combination with infusional fluorouracil and leucovorin, is indicated for the treatment of advanced colorectal cancer and adjuvant treatment of stage III colon cancer in patients who have undergone complete resection of the primary tumor.
Medical & Surgical Specialists, LLC, Galesburg, Illinois, United States
Indiana University Cancer Center, Indianapolis, Indiana, United States
Helen F. Graham Cancer Center, Newark, Delaware, United States
Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center, Columbus, Ohio, United States
Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States
University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States
H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, United States
San Juan Veterans Hospital, Rio Piedras, Puerto Rico
Medical & Surgical Specialists, LLC, Galesburg, Illinois, United States
Indiana University Cancer Center, Indianapolis, Indiana, United States
Quality Cancer Center (MCGOP), Indianapolis, Indiana, United States
UM Saint Joseph Medical Center, Towson, Maryland, United States
Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States
Saint Luke's Hospital, Maumee, Ohio, United States
Hokkaido University Hospital (Hokkaido University Graduate School of Medicine), Sapporo, Hokkaido, Japan
UniversitaetsSpital Zuerich, Zurich, Switzerland
Krankenhaus Nordwest, Frankfurt, Germany
Chattanooga Oncology Hematology Associates, Chattanooga, Tennessee, United States
Greenview Regional Hospital, Bowling Green, Kentucky, United States
Baton Rouge General Medical Center, Baton Rouge, Louisiana, United States
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-371-615-4559) Mon - Fri from 9 AM - 5PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., Verona, Italy
St. Louis Cancer Care, Chesterfield, Missouri, United States
Jackson Oncology Associates, Jackson, Mississippi, United States
Chattanooga Oncology and Hematology Associates, Chattanooga, Tennessee, United States
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