Literature DB >> 19688059

A phase II study of leucovorin, 5-FU and docetaxel combination chemotherapy in patients with inoperable or postoperative relapsed gastric cancer.

Kwang-Sun Lee1, Ha-Yeon Lee, Eun-Kyung Park, Joung-Soon Jang, Sang-Jae Lee.   

Abstract

PURPOSE: To estimate the effect and toxicity of bimonthly low-dose leucovorin (LV) and fluorouracil (5-FU) bolus plus continuous infusion(LV5FU2) with docetaxel combination chemotherapy in patients with inoperable or postoperative relapsed gastric cancer.
MATERIALS AND METHODS: Total 27 patients are enrolled in this study. LV 20 mg/m(2) (bolus), 5FU 400 mg/m(2) (bolus), 5-FU 600 mg/m(2) (24-hour continuous infusion) on day 1, 2, 15, and 16, docetaxel 60 mg/m(2) (1-hour infusion) on day 15 every 4 weeks.
RESULTS: Total of 141 cycles were administered and response rate were 36.8% with 2 complete response (10.5%) and 5 partial response (26.3%) in 19 evaluable patients. The median response duration is 8.1 months (95% CI, 4.0 approximately 12.1). The median progression-free survival time is 6.7 months (95% CI, 5.0 approximately 8.5) and the median overall survival time is 11.9 months (95% CI, 4.8 approximately 19.1). The grade 3-4 toxicity of neutropenia (24.8%) and anemia (11.3%), neutropenic fever (2.8%) is observed. The grade 1 toxicity of injection site reaction is observed all patients and the grade 1-2 toxicity of alopecia is observed 60%.
CONCLUSIONS: LV5FU2 with docetaxel combination chemotherapy is effective and tolerable in patients with inoperable or postoperative relapsed gastric cancer.

Entities:  

Keywords:  Docetaxel; Fluorouracil; Stomach neoplasms

Year:  2008        PMID: 19688059      PMCID: PMC2699084          DOI: 10.4143/crt.2008.40.1.11

Source DB:  PubMed          Journal:  Cancer Res Treat        ISSN: 1598-2998            Impact factor:   4.679


  20 in total

1.  New guidelines to evaluate the response to treatment in solid tumors. European Organization for Research and Treatment of Cancer, National Cancer Institute of the United States, National Cancer Institute of Canada.

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2.  Phase II multi-institutional randomized trial of docetaxel plus cisplatin with or without fluorouracil in patients with untreated, advanced gastric, or gastroesophageal adenocarcinoma.

Authors:  Jaffer A Ajani; Miguel B Fodor; Sergei A Tjulandin; Vladimir M Moiseyenko; Yee Chao; Sebastiao Cabral Filho; Alejandro Majlis; Sylvie Assadourian; Eric Van Cutsem
Journal:  J Clin Oncol       Date:  2005-08-20       Impact factor: 44.544

3.  ESMO Minimum Clinical Recommendations for diagnosis, treatment and follow-up of gastric cancer.

Authors:  D Cunningham; L M Jost; G Purkalne; J Oliveira
Journal:  Ann Oncol       Date:  2005       Impact factor: 32.976

4.  Combination chemotherapy with docetaxel and cisplatin for locally advanced and metastatic gastric cancer.

Authors:  K Ridwelski; T Gebauer; J Fahlke; H Kröning; E Kettner; F Meyer; K Eichelmann; H Lippert
Journal:  Ann Oncol       Date:  2001-01       Impact factor: 32.976

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Journal:  J Clin Oncol       Date:  2001-11-01       Impact factor: 44.544

Review 6.  Chemotherapy in advanced gastric cancer: a systematic review and meta-analysis based on aggregate data.

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Journal:  J Clin Oncol       Date:  2006-06-20       Impact factor: 44.544

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Journal:  J Clin Oncol       Date:  1989-10       Impact factor: 44.544

8.  Efficacy of intravenous continuous infusion of fluorouracil compared with bolus administration in advanced colorectal cancer.

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Journal:  J Clin Oncol       Date:  1998-01       Impact factor: 44.544

9.  Phase III study of docetaxel and cisplatin plus fluorouracil compared with cisplatin and fluorouracil as first-line therapy for advanced gastric cancer: a report of the V325 Study Group.

Authors:  Eric Van Cutsem; Vladimir M Moiseyenko; Sergei Tjulandin; Alejandro Majlis; Manuel Constenla; Corrado Boni; Adriano Rodrigues; Miguel Fodor; Yee Chao; Edouard Voznyi; Marie-Laure Risse; Jaffer A Ajani
Journal:  J Clin Oncol       Date:  2006-11-01       Impact factor: 44.544

10.  Docetaxel (Taxotere) in advanced gastric cancer: results of a phase II clinical trial. EORTC Early Clinical Trials Group.

Authors:  A Sulkes; J Smyth; C Sessa; L Y Dirix; J B Vermorken; S Kaye; J Wanders; H Franklin; N LeBail; J Verweij
Journal:  Br J Cancer       Date:  1994-08       Impact factor: 7.640

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  1 in total

1.  Docetaxel and capecitabine for advanced gastric cancer: investigating dose-dependent efficacy in two patient cohorts.

Authors:  P C Thuss-Patience; A Kretzschmar; Y Dogan; F Rothmann; I Blau; I Schwaner; K Breithaupt; D Bichev; M Grothoff; C Grieser; P Reichardt
Journal:  Br J Cancer       Date:  2011-07-26       Impact factor: 7.640

  1 in total

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