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Table 5 Dose calculation of trifluridine/tipiracil according to BSA for dose reduction levels

From: Study protocol of the FIRE-8 (AIO-KRK/YMO-0519) trial: a prospective, randomized, open-label, multicenter phase II trial investigating the efficacy of trifluridine/tipiracil plus panitumumab versus trifluridine/tipiracil plus bevacizumab as first-line treatment in patients with metastatic colorectal cancer

Dose (mg/m2)

BSA (m2)

Dose in mg (BID)

Tablets per Dose (BID) 15 mg/6.14 mg

Tablets per Dose (BID) 20 mg/8.19 mg

Total daily dose (mg)

Level 1 dose reduction: From 35 mg/m2 to 30 mg/m2

30

< 1.09

30

2

0

60

1.09–1.24

35

1

1

70

1.25–1.39

40

0

2

80

1.40–1.54

45

3

0

90

1.55–1.69

50

2

1

100

1.70–1.94

55

1

2

110

1.95–1.09

60

0

3

120

2.10–2.28

65

3

1

130

≥ 2.29

70

2

2

140

Level 2 dose reduction: From 30 mg/m2 to 25 mg/m2

25

< 1.10

25 a

2 a

1 a

50

1.10–1.29

30

2

0

60

1.30–1.49

35

1

1

70

1.50–1.69

40

0

2

80

1.70–1.89

45

3

0

90

1.90–2.09

50

2

1

100

2.10–2.29

55

1

2

110

≥ 2.30

60

0

3

120

Level 3 dose reduction: From 25 mg/m2 to 20 mg/m2

20

< 1.14

20

0

1

40

1.14–1.34

25a

2 a

1 a

50

1.35–1.59

30

2

0

60

1.60–1.94

35

1

1

70

1.95–2.09

40

0

2

80

2.10–2.34

45

3

0

90

≥ 2.35

50

2

1

100

  1. BSA Body surface area, BID twice daily
  2. aAt a total daily dose of 50 mg, patients should take 1 × 20 mg /8.19 tablet in the morning and 2 × 15 mg/6.14 mg tablets in the evening