Biweekly Docetaxel and S-1 combination chemotherapy as first-line treatment for elderly patients with advanced gastric cancer.

Abstract:

BACKGROUND/AIM:This study assessed the toxicity and activity of biweekly docetaxel and S-1 combination therapy in elderly patients with advanced gastric cancer. PATIENTS AND METHODS:One-hundred and thirteen patients were enrolled: 35 were 75 years old or more. The objective response rate, toxicity, progression-free survival (PFS), and overall survival (OS) were compared. RESULTS:Dose reduction was significantly frequent in the elderly group (24/35 versus 25/78, p<0.001). The overall response rate was 54.9%. Out of these, 18 (15.9%) underwent gastrectomy (13 R0 gastrectomy). The median OS was 17.3 months and the median PFS was 8.0 months. Neutropenia was the most frequently observed hematological toxicity at grade 3 and 4 (34.5%), followed by leukopenia (24.8%). Most non-hematological toxicities were of grade 1 or 2. There were no significant differences in overall response rate, median OS, median PFS, or toxicities between the two groups. CONCLUSION:This combination offers favourable survival benefits with controllable tolerance for therapy of AGC in the elderly.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Kunisaki C,Takahashi M,Ono HA,Hasegawa S,Tsuchida K,Oshima T,Ota M,Fukushima T,Tokuhisa M,Izumisawa Y,Takagawa R,Kimura J,Kosaka T,Makino H,Akiyama H,Endo I

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

697-704

issue

2

eissn

0250-7005

issn

1791-7530

pii

33/2/697

journal_volume

33

pub_type

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