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KMID : 0939920050370040208
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대한암학회지
2005 Volume.37 No. 4 p.208 ~ p.211
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A Phase II Trial of Haptaplatin/5-FU and Leucovorin for Advanced Stomach Cancer
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Lee Won-Sup
Lee Gyeong-Won
Kim Hwal-Woong
Lee Ok-Jae
Lee Young-Joon
Ko Gyung-Hyuck
Lee Jong-Seok
Jang Joung-Soon
Ha Woo-Song
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Abstract
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Purpose: Heptaplatin (SKI-2053 R) is a new platinum analogue, with a better toxicity profile than cisplatin, and has antitumor activity even in cisplatin resistant cell lines. 5-fluoruracil (5-FU) has shown synergy with platinum compounds. This phase II trial was designed to determine the efficacy and toxicities of heptaplatin/ 5-FU (5-fluorouracil) for treating stomach cancer.
Materials and Methods: Thirty-two patients with advanced, measurable gastric adenocarcinomas were enrolled in this trial. The treatment consisted of heptaplatin, 400 mg/m2/day (1 hour IV infusion), on day 1 and 5-FU, 800 mg/m2/day (12 hours IV infusion), on days 1 to 5. The cycles were repeated every 3 weeks.
Results: Of the 26 evaluable patients, 9 had partial responses and 1a complete response (overall response rate, 38%; 95% confidence interval, 19~57%). The median response duration was 23 weeks (range: 4~60 weeks). The median time to progression was 26 weeks (range: 3~68 weeks). The grades III-IV toxicities were mostly hematological toxicities: leucopenia was observed in 11 patients (35%) and thrombocytopenia 4 (13%). No definite neuropathy was observed. Grade I-II nephropathy was also noted: grade I high BUN/creatinine levels occurred in 5 patients (16%), grade II proteinuria 2 (6%), grade I proteinuria 5 (16%). Neutropenic fever developed in 5 patients (16%) and 1 died of pneumonia in a neutropenic state.
Conclusion: This study suggests that the regimen of Heptaplatin/5-FU should be effective and have a favorable toxicity profile for the patients suffering with advanced stomach cancer. (Cancer Res Treat. 2005;37:208-211)
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KEYWORD
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Stomach neoplasms, Heptaplatin (SKI-2053 R), 5-FU, Chemotherapy
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