Comparison of cisplatin and 5-fluorouracil chemotherapy protocols combined with concurrent radiotherapy for esophageal cancer.

Abstract

PURPOSE:

The optimal chemotherapeutic protocol for the treatment of esophageal cancer has not yet been established. This study was performed to identify the differences in toxicity and completion rates of various chemotherapy protocols with that goal in mind.

MATERIALS AND METHODS:

A total of 61 patients with esophageal cancer were enrolled in this study between June 2002 and January 2004. The total radiotherapy dose was 64 Gy. Three chemotherapy protocols were used. Arm A comprised daily low-dose cisplatin (CDDP) and 5-fluorouracil (5FU) (CF protocol) (3 mg/m(2) and 180 mg/m(2), respectively). Arm B was intermediate between arm A and C (CDDP 7 mg/m(2) and 5FU 250 mg/m(2) on days 1-5, 8-12, 29-33, and 36-40). Arm C comprised two courses of standard CF (CDDP 70 mg/m(2) on day 1 and 5FU 600 mg/m(2)/24 h on days 1-4).

RESULTS:

Although there were no significant differences in hematological toxicity between the protocols, leukocytopenia was slightly milder in arm A. Nausea was significantly more severe in arm C. The completion rate was higher in arm A. The 3-year survival rates were 40%, 31%, and 62%, respectively.

CONCLUSION:

The daily low-dose CF protocol showed a trend of mild toxicity regarding leukocytopenia. However, we could not find statistical difference between arms. It also showed a better completion rate than the other two arms.

• Authors: Toru Sakayauchi, Kenji Nemoto, Chikashi Ishioka, Hiroshi Onishi, Michinori Yamamoto, Tomoko Kazumoto, Masaoki Makino, Ryuji Yonekura, Jun Itami, Shigeru Sasaki, Gen Suzuki, Naofumi Hayabuchi, Hiroyasu Tamamura, Rikiya Onimaru, Tetsuo Tamamoto, Shogo Yamada
• Journal: Japanese journal of radiology (Jpn J Radiol) Vol. 27 Issue 3 Pg. 131-7 (Apr 2009) ISSN: 1867-1071 [Print] Japan
• PMID: 19412680 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Cyclophosphamide
• Cisplatin
• Fluorouracil

Topics

• Aged
• Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
• Cisplatin (administration & dosage)
• Combined Modality Therapy
• Cyclophosphamide (therapeutic use)
• Esophageal Neoplasms (drug therapy, radiotherapy)
• Female
• Fluorouracil (administration & dosage, therapeutic use)
• Humans
• Male
• Middle Aged
• Patient Compliance
• Radiotherapy Dosage
• Statistics, Nonparametric
• Survival Rate
• Treatment Outcome