Aimery de Gramont
MD
Professor of Oncology; Head, Medical Oncology Department (Emeritus)
👥Biography 个人简介
Aimery de Gramont, MD is a Professor of Oncology at Sorbonne Université and the longtime Head of the Medical Oncology Department at Institut Hospitalier Franco-Britannique in Levallois-Perret, France. He is one of the most consequential figures in the history of colorectal cancer chemotherapy, widely credited as the inventor of the FOLFOX regimen and the LV5FU2 infusional fluorouracil/leucovorin schedule that formed its backbone. In the early 1990s, Dr. de Gramont developed and championed infusional fluorouracil schedules as superior to bolus 5-FU in colorectal cancer, a contribution that reshaped fluoropyrimidine delivery worldwide. He subsequently developed the FOLFOX regimen (oxaliplatin combined with LV5FU2), which he evaluated in a series of pivotal phase II and III trials through the Groupe Coopérateur Multidisciplinaire en Oncologie (GERCOR) and MOSAIC cooperative groups. His 2000 publication in the Journal of Clinical Oncology established FOLFOX6 as a second-line standard in mCRC, and he subsequently led or co-led the MOSAIC trial demonstrating a survival benefit of adjuvant FOLFOX4 (oxaliplatin plus LV5FU2) in stage III colon cancer—one of the most significant advances in adjuvant CRC therapy of the past 25 years. Dr. de Gramont's contributions form the foundation of modern colorectal cancer chemotherapy practice. He is the recipient of numerous international honors and has been a leading voice in European and global oncology for more than four decades.
🧪Research Fields 研究领域
🎓Key Contributions 主要贡献
Invention of FOLFOX and LV5FU2
Developed and validated the LV5FU2 infusional fluorouracil/leucovorin schedule and subsequently the FOLFOX regimen (oxaliplatin plus LV5FU2), now one of the most widely used chemotherapy regimens globally for both metastatic and adjuvant colorectal cancer.
MOSAIC Trial: Adjuvant FOLFOX4 in Colon Cancer
Led or co-led the MOSAIC trial, the pivotal phase III study demonstrating that adjuvant FOLFOX4 significantly improved disease-free and overall survival compared with LV5FU2 alone in stage III colon cancer, establishing oxaliplatin-based adjuvant therapy as the international standard and securing FDA and EMA approval.
Infusional vs Bolus 5-FU in CRC
Conducted foundational trials in the 1990s establishing the superiority of infusional over bolus fluorouracil in colorectal cancer, shifting the global standard from bolus Mayo Clinic regimens to infusional LV5FU2-based schedules and reducing fluorouracil toxicity.
Second-Line FOLFOX in Metastatic CRC
Established FOLFOX4 as a second-line standard in irinotecan-refractory metastatic colorectal cancer through a pivotal phase III trial (V303), contributing to the EMA approval of oxaliplatin in mCRC and validating the concept of oxaliplatin-based salvage therapy.
Representative Works 代表性著作
Oxaliplatin, Fluorouracil, and Leucovorin as Adjuvant Treatment for Colon Cancer (MOSAIC)
New England Journal of Medicine (2004)
Landmark phase III trial demonstrating that FOLFOX4 adjuvant chemotherapy significantly improved disease-free survival versus LV5FU2 in stage III colon cancer, establishing oxaliplatin-based adjuvant therapy as the global standard.
Leucovorin and Fluorouracil with or without Oxaliplatin as First-Line Treatment in Advanced Colorectal Cancer
Journal of Clinical Oncology (2000)
Phase III trial establishing FOLFOX6 superiority over LV5FU2 in first-line mCRC, providing the pivotal data supporting European approval of oxaliplatin and international adoption of FOLFOX as a first-line backbone.
Randomized Trial Comparing Monthly Low-Dose Leucovorin and Fluorouracil Bolus with Bimonthly High-Dose Leucovorin and Fluorouracil Bolus plus Continuous Infusion in Advanced Colorectal Cancer (LV5FU2)
Journal of Clinical Oncology (1997)
Pivotal trial establishing infusional LV5FU2 as superior to Mayo Clinic bolus 5-FU schedule in mCRC, forming the backbone for subsequent FOLFOX development.
Oxaliplatin Combined with Irinotecan and Fluorouracil: Updated Efficacy and Safety Data from GERCOR OPTIMOX1
Journal of Clinical Oncology (2006)
GERCOR OPTIMOX1 trial exploring maintenance and intermittent FOLFOX strategies in mCRC, demonstrating that FOLFOX stop-and-go with fluorouracil maintenance preserves efficacy while reducing cumulative neuropathy.
🏆Awards & Recognition 奖项与荣誉
📄Data Sources 数据来源
Last updated: 2026-04-05 | All information from publicly available academic sources
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