Oxaliplatin (Eloxatin)

Chemotherapy · Approved since 2002

US FDA Approved EU EMA Approved ES Funded by SNS approved in CRC IV 846 Clinical Trials

Description

Oxaliplatin is a third-generation platinum-based chemotherapy agent that forms a cornerstone of colorectal cancer treatment in both adjuvant and metastatic settings. It is administered as part of combination regimens such as FOLFOX (with 5-fluorouracil and leucovorin) and CAPOX/XELOX (with capecitabine) for treating stage III colon cancer following surgical resection and metastatic colorectal cancer regardless of molecular subtype. The drug is effective across different CRC molecular profiles including KRAS-mutated, BRAF wild-type, and microsatellite stable (MSS) tumors, making it a versatile backbone therapy. Oxaliplatin-based regimens are frequently combined with targeted agents like bevacizumab or immunotherapy agents in specific patient populations.

Mechanism of Action

Oxaliplatin functions as a DNA alkylating agent that forms platinum-DNA adducts by cross-linking DNA strands, primarily creating intrastrand crosslinks between adjacent guanine and adenine bases. These DNA lesions block DNA replication and transcription, triggering apoptosis in rapidly dividing cancer cells. Unlike other platinum compounds, oxaliplatin's diaminocyclohexane carrier ligand provides enhanced activity against colorectal cancer cells and helps overcome some forms of platinum resistance.

Side Effects

Peripheral neuropathy Nausea and vomiting Diarrhea Fatigue Neutropenia Thrombocytopenia Acute cold-induced dysesthesias Elevated liver enzymes

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT07702032 Phase 3
Recruiting
Study of Petosemtamab Plus Chemotherapy Versus Cetuximab Plus Chemotherapy in RAS and BRAF Wild-type, Unresectable or Metastatic, Left-sided Colorectal Cancer (LiGeR-CRC1)
United States, Puerto Rico
NCT07659795 Phase 2
Recruiting
A Phase 2 Study of VS-7375 in Patients With KRAS G12D-Mutated Colorectal Cancer
United States, Australia
NCT07281768 Phase 2
Recruiting
Capecitabine/Oxaliplatin Chemotherapy and Cemiplimab With or Without Fianlimab or REGN7075 in Locally Advanced Rectal Cancer
United States
NCT06783491 Phase 3
Recruiting
Efficacy of the Use of Neoadjuvant With/Without Hyperthermic Intraperitoneal Chemotherapy in the Treatment of Locally Advanced Colon Cancer
Spain
NCT07500298 Phase 1
Recruiting
Phase 1 Study Of SAR445877 In Combination With FOLFOX6 And Bevacizumab As First-Line Treatment For Microsatellite Stable Metastatic Colorectal Cancer
United States
NCT07646639 Phase 2
Recruiting
Different-Dose SCRT Plus CAPOX, PD-1 Blockade and IL-2 in LARC
China
View all 846 clinical trials →