A phase II study of weekly paclitaxel as second-line chemotherapy for advanced gastric Cancer (CCOG0302 study).

Abstract:

BACKGROUND:Although paclitaxel was given triweekly in phase II trials prior to its approval for gastric cancer in Japan, it is currently more often delivered by a weekly schedule in the second-line setting. PATIENTS AND METHODS:A phase II trial with response rate as the primary end-point was conducted. Patients with metastatic or unresectable gastric adenocarcinoma who had measurable lesions and had disease progression with the front-line chemotherapy were treated by weekly administration of paclitaxel at a dose of 80 mg/m2. RESULTS:Forty-five patients were accrued and 44 were assessable for response. Partial responses were observed in 7 patients (16%). Stable disease was documented in further 14 patients (48%). Median progression-free survival of all patients enrolled was 2.6 months and median overall survival was 7.8 months. Toxicity was mild and manageable, the most frequent > or = grade 3 toxicity being neutropenia occurring in 16% of the patients. CONCLUSION:With modest response rate, favorable toxicity profile, and progression-free or overall survival similar to those of more intense combination regimens, weekly paclitaxel remains a rational therapeutic option for gastric cancer refractory to the first-line chemotherapy.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Kodera Y,Ito S,Mochizuki Y,Fujitake S,Koshikawa K,Kanyama Y,Matsui T,Kojima H,Takase T,Ohashi N,Fujiwara M,Sakamoto J,Akimasa N,Chubu Clinical Cancer Group.

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

2667-71

issue

4C

eissn

0250-7005

issn

1791-7530

journal_volume

27

pub_type

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