PURPOSE: The aim of this study was to investigate the efficacy and safety of the combination chemotherapy of paclitaxel, infusional 5-fluorouracil (5-FU) and leucovorin (FLT regimen) in advanced gastric cancer. The primary end point was the time to progression (TTP). METHODS: Patients with evaluable disease with or without measurable lesions received 175 mg/m2 paclitaxel on day 1 followed by 20 mg/m2 leucovorin and 24-h infusion of 5-FU 1,000 mg/m2 (day 1-3) repeated every 3 weeks. RESULTS: Sixty patients were enrolled. The median TTP and overall survival duration were 13 and 60 weeks, respectively. One-year survival rate was 53.3%. Of the 50 patients with measurable lesion, the overall response rate was 31.7%. The most common grade 3-4 adverse event was neutropenia (61.7%). CONCLUSION: The FLT regimen showed an efficacy comparable to other regimens of cisplatin or anthracycline combinations with the advantage of remarkably low non-hematological toxicity. These data about the efficacy of this regimen need confirmation in a phase III trial.
PURPOSE: The aim of this study was to investigate the efficacy and safety of the combination chemotherapy of paclitaxel, infusional 5-fluorouracil (5-FU) and leucovorin (FLT regimen) in advanced gastric cancer. The primary end point was the time to progression (TTP). METHODS:Patients with evaluable disease with or without measurable lesions received 175 mg/m2 paclitaxel on day 1 followed by 20 mg/m2 leucovorin and 24-h infusion of 5-FU 1,000 mg/m2 (day 1-3) repeated every 3 weeks. RESULTS: Sixty patients were enrolled. The median TTP and overall survival duration were 13 and 60 weeks, respectively. One-year survival rate was 53.3%. Of the 50 patients with measurable lesion, the overall response rate was 31.7%. The most common grade 3-4 adverse event was neutropenia (61.7%). CONCLUSION: The FLT regimen showed an efficacy comparable to other regimens of cisplatin or anthracycline combinations with the advantage of remarkably low non-hematological toxicity. These data about the efficacy of this regimen need confirmation in a phase III trial.
Authors: Hyun Chang; Sun Young Rha; Hei-Cheul Jeung; Jae-Jun Jung; Tae Soo Kim; Ho Jeong Kwon; Byung Soo Kim; Hyun Cheol Chung Journal: J Cancer Res Clin Oncol Date: 2010-03-09 Impact factor: 4.553
Authors: Hong Jae Chon; Sun Young Rha; Chong Kun Im; Chan Kim; Min Hee Hong; Hye Ryun Kim; Jung Ryun An; Sung Hoon Noh; Hyun Cheol Chung; Hei-Cheul Jeung Journal: Cancer Res Treat Date: 2009-12-31 Impact factor: 4.679
Authors: Sina Vatandoust; Tim Bright; Amitesh Chandra Roy; David Watson; Susan Gan; Jeff Bull; Muhammad Nazim Abbas; Christos Stelios Karapetis Journal: BMJ Open Date: 2019-05-05 Impact factor: 2.692