刘丽英, 陈小兵, 高明. 多西他赛联合奥沙利铂 卡培他滨治疗晚期胃癌的临床研究[J]. 中国肿瘤临床, 2011, 38(8): 470-472 . DOI: 10.3969/j.issn.1000-8179.2011.08.013
引用本文: 刘丽英, 陈小兵, 高明. 多西他赛联合奥沙利铂 卡培他滨治疗晚期胃癌的临床研究[J]. 中国肿瘤临床, 2011, 38(8): 470-472 . DOI: 10.3969/j.issn.1000-8179.2011.08.013

多西他赛联合奥沙利铂 卡培他滨治疗晚期胃癌的临床研究

  • 摘要: 目的:临床观察多西他赛联合奥沙利铂、 卡培他滨治疗晚期胃癌的疗效及不良反应。方法: 56例晚期胃癌患者接受多西他赛75 mg/m2, d1, 奥沙利铂85 mg/m2, d2, 卡培他滨每天1 000 mg/m2, bid, d1~d14, 21d为1个周期, 化疗2个周期后评价疗效。结果: 56例患者均可评价疗效, 其中CR 6例 (10.7%), PR 30例 (53.6%), SD 12例 (21.4%), PD 8例 (14.3%), 总有效率64.3%,中位TTP为6.2个月 (3.6~11.8个月), 中位OS为11.6个月 (5.9~14.6个月)。常见不良反应为骨髓抑制、 胃肠道反应和外周神经炎, 无化疗相关性死亡。结论: 多西他赛联合奥沙利铂、 卡培他滨治疗晚期胃癌有效率较高, 血液学毒性低, 近期疗效较好, 提高了患者的生活质量。

     

    Abstract: Effect of Docetaxel Combined with Oxaliplatin and Capecitabine on Advanced Gastric CancerLiying LIU1, Xiaobing CHEN2, Ming GAO3Correspondence to: Ming GAO, E-mail: gaohaoming033@163.com1Department of Oncology, The First People's Hospital of Zhengzhou, Zhengzhou 450004, China2Department of Oncology, The Cancer Hospital of He'nan Province, Zhengzhou 450008, China3Department of Oncology, The First Affliated Hospital of Zhengzhou University, Zhengzhou 450052, ChinaAbstract Objective: To investigate the response rate and adverse reactions in patients with advanced or metastatic gastric can-cer treated with the regimen of Docetaxel in combination with Oxaliplatin and Capecitabine. Methods: Fifty-six patients were treatedwith the regimen as follows: Docetaxel 75mg/m2, intravenous, day 1; Oxaliplatin 85mg/m2, intravenous, day 2; Capecitabine 1000mg/m2, twice a day, PO, for 14 days, 21 days for each cycle. Evaluation was performed at the end of 2 cyeles. Results: All of these 56 pa-tients were evaluable for response. Six ( 10.7% ) patients achieved complete response ( CR ), 30 ( 53.6% ) patients had partial response( PR ), 12 ( 21.4% ) patients had stable disease ( SD ), 8 ( 14.3% ) patients had disease progression ( DP ), with a total response rate (RR ) of 64.3%. The median progression-free survival was 6.2 months ( 3.6-11.8months ) and the median overall survival time was11.6 months ( 5.9-14.6months ). The most common adverse effects were myelosuppression, gastrointestinal toxicities and neurotoxicity.No chemotherapy-related death was observed. Conclusion: Docetaxel combined with Oxaliplatin and Capecitabine is effective for ad-vanced gastric cancer, with tolerable side effects.Keywords Advanced gastric cancer; Docetaxel; Oxaliplatin; Capecitabine

     

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