Abstract:
Effect of Low-Dose Gimeracil and Oteracil Potassium Combined with Oxaliplatin on AgedPatients with Advanced Gastric Cardiac AdenocarcinomaDiansen CHEN, Ruinuo JIA, Shegan GAO, Xiaoshan FENG, Lixian PAN, Nasha SONG, YufengWANG, Kaili DINGCorrespondence to: Shegan GAO, E-mail: gsg112258@sohu.comCancer Institute, The First Affiliated Hospital of He'nan University of Science and Technology, Luoyang 471003, ChinaThis work was supported by grants from 2007 Scientific Development Plan of He'nan Province (No. 072102310086) and 2007 ScientificDevelopment Plan of Luoyang City (No. 0701049A)Abstract Objective: To evaluate the effects and safety of low-dose Gimeracil and Oteracil Potassium combined with Oxaliplatin( L-OHP ) for aged patients with advanced gastric cardiac adenocarcinoma ( GCA ). Methods: Sixty advanced GCA patients aged over 75years were randomized into the low-dose ( LD ) group ( n = 32; 50 mg/m2) and the control group ( n = 28; 80 mg/m2). Gimeracil and OteracilPotassium capsules were administered orally for both the LD and the control group, twice daily for 14 days. Acombined therapy with L-OHPwas administered synchronously to both groups at 65 mg/m2i.v. drip for 2 h on d 1 and d 8. The regimen was repeated for at least 4 cycles,with 21 days for each cycle. Results: The response rate ( RR ) was 59.4% in LD group and 59.3% in the control group; the disease controlrate ( DCR ) was 93.8% in LD group and 88.9% in the control group ( P > 0.05 ). As for the side effects, the incidence of neutropenia was48.4% in LD group and 75% in the control group ( P < 0.05 ), anemia 53.1% in LD group and 78.6% in the control group ( P < 0.05 ), andthrombocytopenia 43.8% in LD group and 71.4% in the control group ( P < 0.05 ). There was a statistical significance between the two groups.Conclusion: Gimeracil and Oteracil Potassium Capsules ( 50 mg/m2) combined with Oxaliplatin has similar efficacy to that of Gimeraciland Oteracil Potassium Capsules ( 80 mg/m2) combined with Oxaliplatin for aged patients with advanced GCA, with lower incidence ofside effects and better tolerance.Keywords Gimeracil and Oteracil Potassium Capsules; Oxaliplatin; Gastric cardic adenocarcinoma;Efficacy; Adverse reaction