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‹ Mon · 30 Mar 2026
Underserved or high-risk populations

Aflibercept and 5-FU vs. FOLFOX as 1st line treatment for older adults or frail elderly patients with metastatic colorectal cancer - The randomized phase 2 AIO/IKF ELDERLY trial (AIO-KRK-0117/IKF 629).

Simplified chemotherapy regimens offer frail elderly patients with advanced colorectal cancer practical alternatives with clearer evidence than previous trial designs.

The AIO/IKF ELDERLY randomized Phase 2 trial directly addresses first-line treatment for frail elderly patients with metastatic colorectal cancer — a historically underrepresented and underserved population in oncology RCTs. Comparative data between a simplified regimen (aflibercept + 5-FU) and FOLFOX provide actionable guidance for a clinical scenario where treatment decisions are often empirical.

What the study was

Study design
Randomized Phase 2 clinical trial
Population
Older adults or frail elderly patients with metastatic colorectal cancer
Category
Treatment Innovation
Maturity
Validated
Journal
European Journal of Cancer

Why it surfaced

Randomized Phase 2 trial specifically designed for frail elderly mCRC — a systematically underserved population lacking RCT data; provides near-actionable comparative data; published in Eur J Cancer.

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