Based on the time and the portable pump, your wife is on the (m)Folfirinox regimen which is a first-line cocktail considered the “gold standard”. The first drug infused is oxaliplatin (Eloxatin) for 120 minutes followed by Leucovorin (Folinic Acid) for 120 minutes. Next comes Irinotecan (Camptosar) for 90 minutes and then some oncologists first inject a bolus of 5-FU over a period ranging from 5-15 minutes while others do not do this step and go directly to connection of the portable pump containing 5-FU (5-Fluorouricil) with infusion over 46 hours.

One cycle is 14 days with 11 days of rest. The next cycle begins on day 15 and a typical course of treatment is 12 cycles that takes a total of 6 months (12 weeks). Ct imaging is done between cycles 6-7 (3 months) and again after cycle 12 (6 months) to determine efficacy. Blood draws are done for the biomarker CA19-9 before each infusion to monitor the trend of the CA19-9 between CT imaging.