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KMID : 0360320000320030524
Journal of Korean Cancer Research Association
2000 Volume.32 No. 3 p.524 ~ p.530
Combination Chemotherapy with Etoposide. Doxorubicin, Cisplatin (EAP) for Recurred or Metastatic Gastric Cancer Refractory to Prior Chemotherapy
Cho Nam-Kuk

Choi Tae-Sik
Park Yeon-Hee
Lee Seung-Chul
Yuh Young-Jin
Kim Sung-Rok
Abstract
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.
KEYWORD
Stomach neoplasm, Etoposide, Doxorubicin, Cisplatin, Chemotherapy,
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