Phase I study of trifluridine/tipiracil (TAS-102) plus irinotecan in combination with bevacizumab as a second-line therapy for patients with metastatic colorectal cancer.

PURPOSE: This phase I trial is to determine the recommended dose of the TAS-102, irinotecan plus bevacizumab regimen and assess its safety and efficacy in patients with metastatic colorectal cancer refractory to fluoropyrimidine and oxaliplatin treatment. METHODS: A 3 + 3 designed dose escalation was performed. Patients were administered TAS-102 (30-35 mg/m2 twice daily on days 1-5) and irinotecan (150-165 mg/m2 on day 1) combined with a fixed dose of bevacizumab (5 mg/kg on day 1) every two weeks. The primary endpoint was the determination of the recommended phase II dose. RESULTS: Eighteen patients were enrolled: 6 at the Level 1 (TAS-102 30 mg/m2 twice daily, irinotecan 150 mg/m2 plus bevacizumab 5 mg/kg), six at the Level 2 (TAS-102 35 mg/m2 twice daily, irinotecan 150 mg/m2 plus bevacizumab 5 mg/kg), and six at the Level 3 (TAS-102 30 mg/m2 twice daily, irinotecan 165 mg/m2 plus bevacizumab 5 mg/kg). Five dose-limiting toxicities occurred: one observed at Level 1 (thrombocytopenia), two at Level 2 (neutropenia and diarrhea), and two at Level 3 (fatigue and neutropenia). The RP2D was established as TAS-102 30 mg/m2 twice daily and irinotecan 150 mg/m2 plus bevacizumab 5 mg/kg. The most frequent grade 3/4 treatment-related adverse events were neutropenia (33.3%), diarrhea (16.7%), and thrombocytopenia (11.1%). No treatment-related death occurred. Two patients (11.1%) experienced partial responses and 14 (77.8%) had stable disease. CONCLUSION: The regimen of TAS-102, irinotecan, and bevacizumab is tolerable with antitumor activity for metastatic colorectal cancer patients refractory to first-line fluoropyrimidines and oxaliplatin treatment.

A kinetics mechanism of NOX formation and reduction based on density functional theory.

NOX are serious pollutants emitted during combustion, which are greatly harmful to human health and the environment. However, previous studies have not accurately elucidated the NOX conversion mechanism in complicated combustion reactions. To reveal the micro-chemical mechanism of NOX conversion and obtain accurate kinetics data, advanced quantum chemistry methods are employed in this study to systematically explore the pathways of NOX formation and reduction, and determine the new rate coefficients. An energy barrier analysis revealed that during NOX formation (N2 → N2O → NO→NO2), NO is primarily produced by a sequence of reactions (N2 + O → N2O → NO) rather than the traditional reaction (O + N2 → NO+N). Meanwhile, NO2 formation (NO→NO2) largely depends on the O and HO2 radicals, while the active O atom can promote both the formation and destruction of NO2. During NOX reduction (NO2 → NO→N2O → N2), NO2 reduction (NO2 → NO) is closely related to H, CO, and O, whereas CO plays a critical role in NO2 destruction. However, NO reduction (NO→N2O) is unfavourable because of a high energy barrier, while N2O reduction (N2O → N2) is strongly affected by the O atom instead of CO. HONO is mainly formed when NO2 reacts with the HO2 and H radicals, and when NO reacts with OH radicals; thus, HONO consumption largely depends on OH and H radicals. Based on the transition state theory, we obtained new kinetic parameters for NOX conversion, which supplement and correct critical kinetics data obtained from the current NOX model. Performance assessment of the proposed NOX kinetic mechanism reveals that it can improve the existing NOX kinetic mode, which is in good agreement with experimental data.

Mechanical Properties, Melting and Crystallization Behaviors, and Morphology of Carbon Nanotubes/Continuous Carbon Fiber Reinforced Polyethylene Terephthalate Composites.

Carbon nanotube/continuous carbon fiber reinforced poly(ethylene terephthalate) (CNT/CCF/PET) composites are prepared by melt impregnating. The effects of CF and CNT content on the mechanical properties, melt and crystallization behaviors, and submicroscopic morphology of CNT/CCF/PET composites are studied. The tensile test results show that the increase of CF and the addition of appropriate amount of CNT improved the tensile strength and tensile modulus of the composites. When the content of CNT is 1.0 wt% and the content of CF is 56 wt%, the properties of the composites are the best, with tensile strength of 1728.7 MPa and tensile modulus of 25.1 GPa, which is much higher than that of traditional resin matrix composites. The results of dynamic mechanical analysis (DMA) show that the storage modulus of the composites increased with the increase of CF and CNT content. In particular, the addition of CNT greatly reduced the loss modulus of the composites. Morphological analysis show that the addition of CNT improved the fiber-matrix interface of the composite, which changes from fiber pull-out and fracture failure to fiber matrix fracture failure, and the fiber matrix interface is firmly bonded. In addition, there are polymer coated CNT protrusions on the surface of the fiber was observed. The results of differential scanning calorimetry (DSC) show that the melting temperature and crystallization temperature of the composites increased with the increase of CF content. The addition of CNT had little effect on the melting temperature of the composites, but it further improved the crystallization temperature of the composites. The effect of CNT content on the crystallization kinetics of the composites is studied. The non-isothermal crystallization kinetics of the composites is described by Jeziorny's improved Avrami equation. The results show that CNT has a great influence on the crystallization type of the composites. As a nucleating agent, CNT has obvious heterogeneous nucleation effect in the composites, which improves the crystallization rate of PET.