Heated (37 degrees C) oxaliplatin infusion in combination with capecitabine for metastatic colorectal carcinoma: can it reduce neuropathy?

Background/purpose: Oxaliplatin-associated neuropathy remains a dose-limiting toxicity of the standard chemotherapy regimen of oxaliplatin and capecitabine for metastatic colorectal cancer. No preventive strategy has definitively been established. Because this neuropathy is triggered by cold, we hypothesized that infusing oxaliplatin at 37 degrees C might reduce neuropathy.

A new saponin lactone from Astragalus corniculatus.

A new oleanane-type saponin lactone was isolated from the ethanolic extract of the aerial parts of Astragalus corniculatus Bieb. The structure of the saponin was elucidated as 19-hydroxyolean-12-ene-28, 21beta-olide 3beta-D-xylopyranoside (1) by chemical and spectral methods.