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多西紫杉醇联合奥沙利铂、卡培他滨与FOL FOX4 方案治疗晚期胃癌疗效比较[J]. 肿瘤防治研究, 2007, 34(11): 873-876. DOI: 10.3971/j.issn.1000-8578.496
引用本文: 多西紫杉醇联合奥沙利铂、卡培他滨与FOL FOX4 方案治疗晚期胃癌疗效比较[J]. 肿瘤防治研究, 2007, 34(11): 873-876. DOI: 10.3971/j.issn.1000-8578.496
Clinical Comparison of Docetaxel/ Oxal iplatin/ Capecitabine and Folfox 4 in Treating Advanced Gastric Cancer[J]. Cancer Research on Prevention and Treatment, 2007, 34(11): 873-876. DOI: 10.3971/j.issn.1000-8578.496
Citation: Clinical Comparison of Docetaxel/ Oxal iplatin/ Capecitabine and Folfox 4 in Treating Advanced Gastric Cancer[J]. Cancer Research on Prevention and Treatment, 2007, 34(11): 873-876. DOI: 10.3971/j.issn.1000-8578.496

多西紫杉醇联合奥沙利铂、卡培他滨与FOL FOX4 方案治疗晚期胃癌疗效比较

Clinical Comparison of Docetaxel/ Oxal iplatin/ Capecitabine and Folfox 4 in Treating Advanced Gastric Cancer

  • 摘要: 目的 观察多西紫杉醇联合奥沙利铂、卡培他滨方案与FOLFOX4方案治疗晚期胃癌的客观疗效,疾病进展时间和毒性反应。方法 治疗组41例晚期胃癌患者接受多西紫杉醇25mg/m2(d1,d8,d15),奥沙利铂60mg/m^2(d1,d8,d15),卡培他滨每日1250mg/m2,分2次口服,d1~14,28d为1周期,疗程2~6周期。对照组40例晚期胃癌患者接受奥沙利铂85mg/m^2d1,亚叶酸钙200mg/m2(2h静脉输注)d1-d2,而后5-Fu400mg/m2(10min静脉推注)及5-Fu600mg/m2(持续静脉泵入22h),d1~d2,每14d重复,2次为1周期。结果 多西紫杉醇联合奥沙利铂、卡培他滨方案治疗组总有效率为58.5%,中位疾病进展时间(TTP)为6.8个月。常见的毒性反应为白细胞和中性粒细胞减低,手足综合征和周围神经毒性反应等。FOLFOX4方案总有效率为47.4%,中位TTP为5.9个月。常见的毒性反应为白细胞和中性粒细胞减低和周围神经毒性反应等。结论 多西紫杉醇联合奥沙利铂、卡培他滨化疗方案治疗晚期胃癌近期疗效显著,耐受性较好。

     

    Abstract: Objective  To evaluate the objective response rate, time to progression ( TTP) and toxicity between Docetaxel/ Oxaliplatin/ Capecitabine and Folfox 4 in the t reatment for the advanced gastric cancer. Methods  Forty-one patients with advanced gastric cancer were administ rated with Docetaxel 25 mg/ m2 (d1, d8, d15), Oxaliplatin 60 mg/ m2 (d1, d8, d15), and Capecitabine 1 250 mg/ m2 / d divided in two daily doses given from d1 to d14 . The cycles were repeated every 28 days. All patient s received two to six cycles. The other 40 patients with advanced gast ric cancer were administ rated with Oxaliplatin (85 mg/ m2, ivgtt, d1) combined with Leucovorin (200 mg/ m2, ivgtt ; d1 to d2), Fluorouraci1 ( 400 mg/ m2, iv, followed by 5-Fu 600 mg/ m2 continuous venous infusion 22 hours, dl to d2), repeated every 14 days, twice for one recycle. The t reatment was finished after 2 recycles. Results  The outcomes the regimen was as follows : The total response rate in Docetaxel/ Oxaliplatin/ Capecitabine was 51. 6 %, The most common adverse effects were leucopenia, neut ropenia, hand foot syndrome and peripheral neuropathy. The response rate in Folfox4 was 47. 4 %, The most common adverse effect s were leucopenia, neut ropenia, and peripheral neuropathy. The median TTP of primary and secondary treatment were 6. 8 months and 5. 9 months respectively. Conclusion  The Docetaxel/ Oxaliplatin/ Capecitabine regimen offers a better therapeutic option in patients with advanced gastric cancer.

     

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