Phase II study of epirubicin, oxaliplatin and docetaxel combination in metastatic gastric or gastroesophageal junction adenocarcinoma

<p>Abstract</p> <p>Background</p> <p>This phase II study was designed to evaluate the activity and safety of a combination of epirubicin, oxaliplatin and docetaxel in metastatic gastric or gastroesophageal junction (GEJ) adenocarcinoma.</p> <p>Methods</p&...

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Main Authors: Fattoruso Silvia, Sergi Domenico, Arena Maria, Giacinti Laura, Di Lauro Luigi, Giannarelli Diana, Lopez Massimo
Format: Article
Language:English
Published: BMC 2009-03-01
Series:Journal of Experimental & Clinical Cancer Research
Online Access:http://www.jeccr.com/content/28/1/34
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author Fattoruso Silvia
Sergi Domenico
Arena Maria
Giacinti Laura
Di Lauro Luigi
Giannarelli Diana
Lopez Massimo
author_facet Fattoruso Silvia
Sergi Domenico
Arena Maria
Giacinti Laura
Di Lauro Luigi
Giannarelli Diana
Lopez Massimo
author_sort Fattoruso Silvia
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>This phase II study was designed to evaluate the activity and safety of a combination of epirubicin, oxaliplatin and docetaxel in metastatic gastric or gastroesophageal junction (GEJ) adenocarcinoma.</p> <p>Methods</p> <p>Forty patients with measurable distant metastases received epirubicin 50 mg/m<sup>2</sup>, docetaxel 60 mg/m<sup>2 </sup>followed by oxaliplatin 100 mg/m<sup>2 </sup>on day 1 of each 21-day cycle. Primary end point was response rates (RR).</p> <p>Results</p> <p>All patients were evaluable. The overall RR was 47.5% (95% confidence interval (CI) 32–63). The disease control was 80%. Median time for response was 6 weeks. Median time to progression was 6.3 months (95% CI 5.4–7.2) and the median overall survival time was 12.1 months (95% CI 10.7–13.5). Grade 3/4 neutropenia occurred in 50% of patients with two episodes of febrile neutropenia (5%). Other non-hematological grade 3 toxicities included sensory neuropathy in two patiens (5%), vomiting and mucositis in two patients (5%) and diarrhea in one patient (2.5%).</p> <p>Conclusion</p> <p>The combination of epirubicin, oxaliplatin and docetaxel was found to be effective and well tolerated in patiens with metastatic gastric or GEJ adenocarcinoma and maybe an appropriate regimen to be used in the neoadjuvant setting and with molecularly targeted agents.</p>
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spelling doaj.art-6913eddacb434ceebfcc424295acf2342022-12-22T03:17:46ZengBMCJournal of Experimental & Clinical Cancer Research1756-99662009-03-012813410.1186/1756-9966-28-34Phase II study of epirubicin, oxaliplatin and docetaxel combination in metastatic gastric or gastroesophageal junction adenocarcinomaFattoruso SilviaSergi DomenicoArena MariaGiacinti LauraDi Lauro LuigiGiannarelli DianaLopez Massimo<p>Abstract</p> <p>Background</p> <p>This phase II study was designed to evaluate the activity and safety of a combination of epirubicin, oxaliplatin and docetaxel in metastatic gastric or gastroesophageal junction (GEJ) adenocarcinoma.</p> <p>Methods</p> <p>Forty patients with measurable distant metastases received epirubicin 50 mg/m<sup>2</sup>, docetaxel 60 mg/m<sup>2 </sup>followed by oxaliplatin 100 mg/m<sup>2 </sup>on day 1 of each 21-day cycle. Primary end point was response rates (RR).</p> <p>Results</p> <p>All patients were evaluable. The overall RR was 47.5% (95% confidence interval (CI) 32–63). The disease control was 80%. Median time for response was 6 weeks. Median time to progression was 6.3 months (95% CI 5.4–7.2) and the median overall survival time was 12.1 months (95% CI 10.7–13.5). Grade 3/4 neutropenia occurred in 50% of patients with two episodes of febrile neutropenia (5%). Other non-hematological grade 3 toxicities included sensory neuropathy in two patiens (5%), vomiting and mucositis in two patients (5%) and diarrhea in one patient (2.5%).</p> <p>Conclusion</p> <p>The combination of epirubicin, oxaliplatin and docetaxel was found to be effective and well tolerated in patiens with metastatic gastric or GEJ adenocarcinoma and maybe an appropriate regimen to be used in the neoadjuvant setting and with molecularly targeted agents.</p>http://www.jeccr.com/content/28/1/34
spellingShingle Fattoruso Silvia
Sergi Domenico
Arena Maria
Giacinti Laura
Di Lauro Luigi
Giannarelli Diana
Lopez Massimo
Phase II study of epirubicin, oxaliplatin and docetaxel combination in metastatic gastric or gastroesophageal junction adenocarcinoma
Journal of Experimental & Clinical Cancer Research
title Phase II study of epirubicin, oxaliplatin and docetaxel combination in metastatic gastric or gastroesophageal junction adenocarcinoma
title_full Phase II study of epirubicin, oxaliplatin and docetaxel combination in metastatic gastric or gastroesophageal junction adenocarcinoma
title_fullStr Phase II study of epirubicin, oxaliplatin and docetaxel combination in metastatic gastric or gastroesophageal junction adenocarcinoma
title_full_unstemmed Phase II study of epirubicin, oxaliplatin and docetaxel combination in metastatic gastric or gastroesophageal junction adenocarcinoma
title_short Phase II study of epirubicin, oxaliplatin and docetaxel combination in metastatic gastric or gastroesophageal junction adenocarcinoma
title_sort phase ii study of epirubicin oxaliplatin and docetaxel combination in metastatic gastric or gastroesophageal junction adenocarcinoma
url http://www.jeccr.com/content/28/1/34
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