Chemotherapy with 5-fluorouracil, cisplatin and streptozocin for neuroendocrine tumours.

Abstract:

BACKGROUND:The role of chemotherapy for neuroendocrine tumours remains controversial and there is no standard regimen. METHOD:We report the outcome for a consecutive series of chemonaive patients with metastatic or locally advanced neuroendocrine tumours treated with a combination of 5-fluorouracil (500 mg m(-2)), cisplatin (70 mg m(-2)) and streptozocin (1000 mg m(-2)) (FCiSt) administered three weekly for up to six cycles. Patients were assessed for radiological response, toxicity and survival. RESULTS:In the 79 patients assessable for response, treatment with FCiSt was associated with an overall response rate of 33% (38% for pancreatic primary sites and 25% for non-pancreatic primary sites). Stable disease occurred in a further 51%, with progression in 16%. The median time to progression was 9.1 months and median overall survival was 31.5 months. The most common grade 3-4 toxicity was neutropaenia (28% patients) but grade 3-4 infection was rare (7%). The most frequent non-haematological grade 3-4 toxicity was nausea and vomiting (17%). Prognostic factors included Ki-67, mitotic index, grade and chromogranin A, whereas response to chemotherapy was predicted by mitotic index, grade and alpha-fetoprotein. CONCLUSIONS:FCiSt is an effective regimen for neuroendocrine tumours with an acceptable toxicity profile. Grade and mitotic index are the best predictors of response.

journal_name

Br J Cancer

authors

Turner NC,Strauss SJ,Sarker D,Gillmore R,Kirkwood A,Hackshaw A,Papadopoulou A,Bell J,Kayani I,Toumpanakis C,Grillo F,Mayer A,Hochhauser D,Begent RH,Caplin ME,Meyer T

doi

10.1038/sj.bjc.6605618

subject

Has Abstract

pub_date

2010-03-30 00:00:00

pages

1106-12

issue

7

eissn

0007-0920

issn

1532-1827

pii

6605618

journal_volume

102

pub_type

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