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 Printable version |
Epirubicin-docetaxel in advanced gastric cancer: two phase II studies as second and first line treatment |
Bulletin du Cancer. Volume 93, Number 1, 10001-6, Janvier 2006, Electronic journal of oncology
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 Free Article
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Author(s) : Suzanne Nguyen, Christine Rebischung, Johan Van Ongeval, Michel Flesch, Mustapha Bennamoun, Thierry André, Marc Ychou, Erik Gamelin, Elisabeth Carola, Christophe Louvet |
Summary : Methods: We evaluated the Epitax combination (epirubicin 60 mg/m
2 and docetaxel 75 mg/m
2, every 3 weeks) in advanced gastric cancer (AGC) as second-line treatment after fluorouracil and platinum in 50 patients, then as first-line treatment in 36 patients. We report here the results of these two phase II studies. Results: In the second-line treatment, the response rate (RR) was 15.5%. Grade 3-4 neutropenia was observed in 68% (febrile neutropenia in 40%, one treatment-related death). Median time to progression (TTP) and overall survival (OS) were 2.4 and 5.0 months, respectively. In the first-line treatment, the RR was 19.4%. With prophylactic granulocyte colony-stimulating factor, grade 3-4 neutropenia was reported in 38.9%. Then 22 patients received a second-line and 11 patients a third-line treatment. Median TTP and OS were 4.5 and 12 months, respectively. Conclusion: Epitax showed moderate activity in AGC. RR in both trials suggests a non-cross resistance with fluorouracil /platinum combination. The 12-month OS in the first-line treatment could be partly explained by early evaluation and active non-cross resistant second-line therapy. |
Keywords : advanced gastric cancer, epirubicin, docetaxel, phase II, first-line, second-line |
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