Epirubicin-docetaxel in advanced gastric cancer: two phase II studies as second and first line treatment

Autor: Suzanne, Nguyen, Christine, Rebischung, Johan, Van Ongeval, Michel, Flesch, Mustapha, Bennamoun, Thierry, André, Marc, Ychou, Erik, Gamelin, Elisabeth, Carola, Christophe, Louvet
Rok vydání: 2006
Předmět:
Zdroj: Bulletin du cancer. 93(1)
ISSN: 1769-6917
Popis: We evaluated the Epitax combination (epirubicin 60 mg/m2 and docetaxel 75 mg/m2, 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.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.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.
Databáze: OpenAIRE