Weekly paclitaxel in combination with doxifluridine for peritoneally disseminated gastric cancer with malignant ascites.

Abstract:

BACKGROUND:The efficacy of systemic chemotherapy for peritoneal dissemination of gastric cancer remains unclear. The efficacy of weekly paclitaxel in combination with doxifluridine (5'-DFUR) in gastric cancer patients with malignant ascites was evaluated. PATIENTS AND METHODS:Patients with histologically confirmed gastric cancer with ascites were eligible. The treatment consisted of paclitaxel intravenously (i.v.) administered at 80 mg/m(2) on days 1, 8 and 15 every 4 weeks, and doxifluridine administered orally at 533 mg/m(2) on days 1-5 every week. The response rate for patients with ascites was determined based on the Japanese Classification of Gastric Carcinoma. Also, the concentration of paclitaxel in the ascites was measured. RESULTS:Twenty-four patients were investigated. The response rate (RR) was 41.7%, including complete remission (CR) and partial remission (PR) in 4 and 6 patients, respectively. The concentration of paclitaxel in the ascites was maintained between 0.01 μM and 0.05 μM until 72 hours. The median overall survival (OS) was 215 days, and 1-year survival rate was 29.2%. No severe toxicity was noted. CONCLUSION:Weekly paclitaxel in combination with doxifluridine is effective for gastric cancer patients with malignant ascites with an acceptable toxicity profile.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Takeyoshi I,Makita F,Iwazaki S,Ishikawa H,Kakinuma S,Sato Y,Ohya T,Nakagami K,Tomizawa N,Izumi M,Kobayashi I,Tanahashi Y,Kobayashi J,Kamoshita N,Kawate S,Sunose Y,Sakamoto I,Yoshinari D,Yamada T,Okabe T

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

4625-30

issue

12

eissn

0250-7005

issn

1791-7530

pii

31/12/4625

journal_volume

31

pub_type

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