A Multi-Center, Phase II Clinical Trial of Padexol(TM) (Paclitaxel) and Cisplatin for Patients Suffering with Advanced Gastric Cancer.
- Author:
Min Kyoung KIM
1
;
Kyung Hee LEE
;
Myung Soo HYUN
;
Young Rok DO
;
Hong Suk SONG
;
Won Sik LEE
;
Keon Uk PARK
;
Jin Ho BAEK
;
Jong Gwang KIM
Author Information
1. Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. lkhee@medical.yu.ac.kr
- Publication Type:Clinical Trial ; Multicenter Study ; Original Article
- Keywords:
Padexol(TM);
Paclitaxel;
Cisplatin;
Stomach neoplasms
- MeSH:
Adenocarcinoma;
Cisplatin*;
Febrile Neutropenia;
Humans;
Infusions, Intravenous;
Male;
Neutropenia;
Paclitaxel;
Stomach Neoplasms*;
Treatment Outcome
- From:Cancer Research and Treatment
2005;37(6):349-353
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We conducted a multi-center, phase II trial to evaluate the efficacy and safety of using Padexol (a paclitaxel formulation) combined with cisplatin for the patients suffering with advanced gastric adenocarcinoma. MATERIALS AND METHODS: 39 patients (median age: 60 years; males: 90%) who were diagnosed with advanced gastric cancer were enrolled from 5 hospitals. Padexol 175 mg/m2 was administered as a 3-hr infusion, and this was followed by cisplatin 75 mg/m2 as an intravenous infusion on day 1, once every 3 weeks. RESULTS: Out of these 39 patients, 34 patients were assessable for treatment efficacy and 39 patients were assessable for the toxicity. Objective responses occurred in 13 patients (33%); 1 patient (3%) had a complete response and 12 patients (31%) had partial responses. 6 patients (15%) achieved a stable disease state. The median duration of response was 7.1 months, and the median time to progression and the overall survival were 4.8 months and 6.7 months, respectively. The major treatment-related adverse events were hematologic toxicity, including WHO grade 3 or 4 neutropenia in 13 patients (33%). However, febrile neutropenia occurred in only 1 patient and the non-hematologic toxicity was usually mild. CONCLUSION: The combination of Padexol and cisplatin was found to be active and it seems to be a relatively well-tolerated regimen for the treatment of advanced gastric cancer.
