Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2009-3-12
pubmed:abstractText
The aim of this study was to evaluate the efficacy and safety of biweekly oxaliplatin in combination with continuous infusional 5-fluorouracil and leucovorin (modified FOLFOX regimen) in elderly patients with advanced gastric cancer (AGC). Forty-six eligible patients older than 65 years with previously untreated AGC received oxaliplatin 85 mg/m intravenously over a 2-h period on day 1, together with leucovorin 400 mg/m over 2 h, followed by a 46-h infusion of 5-fluorouracil 2600 mg/m every 2 weeks. All patients were evaluable for efficacy and toxicity. A median of seven cycles (range 1-12) was administered. The overall response rate was 45.6% [95% confidence interval (CI): 31-61%] with two complete responses, 19 partial responses, 15 stable diseases, and 10 progressions. Median time to progression was 6.2 months (95% CI: 4.6-7.8) and median overall survival was 9.8 months (95% CI: 8.2-11.4). Toxicity was fairly mild. Grade 3 toxicities included neutropenia (8.7%), nausea (4.3%), vomiting (4.3%), diarrhea (2.2%); and grade 4 toxicities occurred in none of the patients. Grades 1-2 peripheral neuropathy was reported in 43.5% of patients. The modified FOLFOX regimen is active, well tolerated as first-line chemotherapy for elderly patients aged above 65 years with AGC.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1473-5741
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
281-6
pubmed:meshHeading
pubmed-meshheading:19247179-Age Factors, pubmed-meshheading:19247179-Aged, pubmed-meshheading:19247179-Aged, 80 and over, pubmed-meshheading:19247179-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:19247179-Disease Progression, pubmed-meshheading:19247179-Drug Administration Schedule, pubmed-meshheading:19247179-Female, pubmed-meshheading:19247179-Fluorouracil, pubmed-meshheading:19247179-Follow-Up Studies, pubmed-meshheading:19247179-Gastrointestinal Diseases, pubmed-meshheading:19247179-Humans, pubmed-meshheading:19247179-Infusions, Intravenous, pubmed-meshheading:19247179-Leucovorin, pubmed-meshheading:19247179-Male, pubmed-meshheading:19247179-Neutropenia, pubmed-meshheading:19247179-Organoplatinum Compounds, pubmed-meshheading:19247179-Peripheral Nervous System Diseases, pubmed-meshheading:19247179-Stomach Neoplasms, pubmed-meshheading:19247179-Survival Rate, pubmed-meshheading:19247179-Treatment Outcome
pubmed:year
2009
pubmed:articleTitle
A phase II study of modified FOLFOX as first-line chemotherapy in elderly patients with advanced gastric cancer.
pubmed:affiliation
Department of Oncology, Shaoxing People's Hospital, China.
pubmed:publicationType
Journal Article, Clinical Trial, Phase II