KMID : 0360320000320030524
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Journal of Korean Cancer Research Association 2000 Volume.32 No. 3 p.524 ~ p.530
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Combination Chemotherapy with Etoposide. Doxorubicin, Cisplatin (EAP) for Recurred or Metastatic Gastric Cancer Refractory to Prior Chemotherapy
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Cho Nam-Kuk
Choi Tae-Sik Park Yeon-Hee Lee Seung-Chul Yuh Young-Jin Kim Sung-Rok
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Abstract
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Purpose :We performed this study to evaluated the efficacy and the safety of EAp regimen as second line therapy for the recurred or metastatic gastric cancer unresponsive to 5-fluorouracil base chemotherapy.
Materials and Methods : Recurred or metastatic gastric cancer patients unresponsive to 5-flurouracil based regimen were entered into this trial. They were treated by EAp chemotherapy which consisted of etoposide 40 mg/§³, doxorubicin 15 mg/§³, and cisplatin 25 mg/§³ ¥³ during 3 days each every 3 weeks.
Results : From December 1994 to March 1998, Eighteen patients were enrolled in this protocol. Fourteen patients were evaluable for response. The overall response rate was 28.6% (95% CI: 11.7¡ 56.7%). The median response duration was 21 weeks. The median survival for all enrolled patients was 28 weeks. The major toxicity was myelosuppression. Among total of 69 cycle chemotherapy. WHO grade 3 or 4 granulocytopenia and thrombocytopenia were observed in 71.0% and 27.5%, respectively.
Conclusion :Second line therapy with EAP regimen was active for gastric cancer. Chemotherapy induced toxicities were moderate to severe.
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KEYWORD
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Stomach neoplasm, Etoposide, Doxorubicin, Cisplatin, Chemotherapy,
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