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Second-line docetaxel plus cisplatin for advanced gastric cancer showing resistance to S-1.

Abstract
The purpose of this study was to clarify the efficacy and safety of docetaxel and cisplatin as second-line treatment for patients with S-1 refractory advanced gastric cancer. Between 1999 and 2006, 32 patients received docetaxel (60 mg/m²) and cisplatin (60 mg/m²) (Dp regimen) on day 1 every 3 weeks. This regimen was repeated at least three times at 3-week intervals until disease progression or unacceptable toxicity was detected. The overall response rate was 21.9%. Seven patients showed partial response, 17 showed stable disease and 8 showed disease progression. The median survival time was 12.3 months after the start of the first-line treatment. The median survival time and time to progression following the DP regimen was 7.8 months and 4.0 months, respectively. The major adverse effects were leukopenia and neutropnea. Non-hematological toxicities were generally mild to moderate and controllable. this study showed satisfactory therapeutic outcomes for patients with gastric cancer refractory to S- 1 chemotherapy.
AuthorsR Takagawa, C Kunisaki, H Makino, Y Nagano, S Fujii, J Kimura, T Kosaka, H A Ono, H Akiyama, I Endo
JournalJournal of chemotherapy (Florence, Italy) (J Chemother) Vol. 23 Issue 1 Pg. 44-8 (Feb 2011) ISSN: 1973-9478 [Electronic] England
PMID21482495 (Publication Type: Journal Article)
Chemical References
  • Drug Combinations
  • Taxoids
  • S 1 (combination)
  • Tegafur
  • Docetaxel
  • Oxonic Acid
  • Cisplatin
Topics
  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols (administration & dosage, adverse effects)
  • Cisplatin (administration & dosage, adverse effects)
  • Disease Progression
  • Docetaxel
  • Drug Combinations
  • Drug Resistance, Neoplasm
  • Female
  • Humans
  • Leukopenia (chemically induced)
  • Male
  • Middle Aged
  • Oxonic Acid (pharmacology)
  • Prognosis
  • Retrospective Studies
  • Stomach Neoplasms (blood, drug therapy)
  • Survival Rate
  • Taxoids (administration & dosage, adverse effects)
  • Tegafur (pharmacology)
  • Watchful Waiting

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