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← Rectal Cancer

HEALTH PROFESSIONAL · SOURCE READING

Systemic therapy

Source: Rectal Cancer Treatment (PDQ®)–Health Professional Version, National Cancer Institute.

Source updated: February 12, 2025 · Captured 2026-09-09.

Selected source text with whitespace normalised. This Triangle page is not an NCI PDQ summary. Independent clinical review is pending.

Context: Treatment of Stage IV and Recurrent Rectal Cancer / Treatment Options for Stage IV and Recurrent Rectal Cancer

The following drugs are used alone and in combination with other drugs for patients with metastatic colorectal cancer:

Fluorouracil (5-FU).

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Irinotecan.

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Oxaliplatin.

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Capecitabine.

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Bevacizumab.

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FOLFOXIRI (irinotecan, oxaliplatin, leucovorin [LV], and 5-FU).

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Cetuximab.

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Ziv-aflibercept.

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Ramucirumab.

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Panitumumab.

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Anti-epidermal growth factor receptor (EGFR) antibody versus anti-vascular endothelial growth factor (VEGF) antibody with first-line chemotherapy.

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Regorafenib.

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Fruquintinib.

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Trifluridine-tipiracil.

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Encorafenib with cetuximab for patients with BRAF V600E variants.

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Sotorasib with panitumumab for patients with KRAS G12C variants.

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Preserved source evidence · Independent clinical review pending · Not medical advice