Non-infusional 5-fluorouracil, doxorubicin and cisplatin in the treatment of locally advanced or metastatic gastro-oesophageal adenocarcinoma
| Autor: | Pentheroudakis, G., Lim, K. C., Dunlop, D. J., Soukop, M., Eatock, M. M. |
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| Jazyk: | angličtina |
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Doxorubicin/administration & dosage Middle Aged Disease-Free Survival Antineoplastic Combined Chemotherapy Protocols/administration & Esophageal Neoplasms/*drug therapy/pathology Fluorouracil/administration & dosage Treatment Outcome Neutropenia/chemically induced dosage/*therapeutic use Injections Intravenous Disease Progression Humans Female Stomach Neoplasms/*drug therapy/pathology Cisplatin/administration & dosage Adenocarcinoma/*drug therapy/pathology Retrospective Studies |
| Popis: | To reduce the Hickman line-associated morbidity of continuous infusion 5-fluorouracil combined with epirubicin and cisplatin (ECF) and to investigate the need for infusional regimens, we conducted a retrospective study in patients with advanced gastro-oesophageal adenocarcinoma. Thirty-six patients, with histologically proven irresectable gastro-oesophageal adenocarcinoma were given: 60 mg/m2 cisplatin on day 1, 35 mg/m2 doxorubicin on day 1 and 500 mg/m2 5-fluorouracil on days 1 and 8 (NIACF) every 3-weeks. A median of 3 cycles was administered. The principal toxicity was myelosuppression with grade III/IV neutropenia in 47% of cycles. Neutropenic fever occurred in 5% of the cycles: non-haematological toxicity was mild and there were no treatment-related deaths. Administered dose intensity was 96.1% for doxorubicin, 93.6% for cisplatin and 90.5% for 5-fluorouracil. There were 16 partial responses and 1 complete response (overall response rate 47%, 95% confidence interval CI 31-63%); 8 patients had stable disease. Median progression-free and overall survival rates were 5 months (95% CI 4-6) and 8 months (95% CI 6-10), respectively. NIACF is a well-tolerated regimen in advanced gastro-oesophageal adenocarcinoma that precludes the need for central venous access, with activity similar to that observed with ECF. Acta Oncol |
| Databáze: | OpenAIRE |
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