Clinical efficacy and safety of paclitaxel liposomes as first-line chemotherapy in advanced gastric cancer

To compare the performance of first-line paclitaxel liposome + oxaliplatin and SOX (tegafur/gimeracil/oteracil + oxaliplatin) in advanced gastric cancer patients.   Stage IIb–IV gastric cancer patients underwent either first-line paclitaxel liposome + oxaliplatin (n = 52) or SOX (n = 69) between 201...

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Veröffentlicht in:Future oncology (London, England) England), 2019-05, Vol.15 (14), p.1617-1627
Hauptverfasser: Han, Guangjie, Shi, Jianfei, Mi, Lili, Li, Ning, Shi, Huacun, Li, Cuizhen, Shan, Baoen, Yin, Fei
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container_end_page 1627
container_issue 14
container_start_page 1617
container_title Future oncology (London, England)
container_volume 15
creator Han, Guangjie
Shi, Jianfei
Mi, Lili
Li, Ning
Shi, Huacun
Li, Cuizhen
Shan, Baoen
Yin, Fei
description To compare the performance of first-line paclitaxel liposome + oxaliplatin and SOX (tegafur/gimeracil/oteracil + oxaliplatin) in advanced gastric cancer patients.   Stage IIb–IV gastric cancer patients underwent either first-line paclitaxel liposome + oxaliplatin (n = 52) or SOX (n = 69) between 2010–2013, and followed up until 2015 or death. Both groups had similar objective response rate (p = 0.48) and disease control rate (p = 0.992) after two chemotherapy cycles, median progression-free survival (p = 0.495) and median overall survival (p = 0.208). Liposome group had significantly lower rate of grade I–II platelet decline and liver function damage (p = 0.04 and 0.019). Multivariate COX regression identified pre-treatment neutrophil-to-lymphocyte ratio as an independent prognostic factor.   First-line paclitaxel liposome + oxaliplatin has comparable efficacy, but causes reduced adverse reactions in advanced gastric cancer as compared with SOX.
doi_str_mv 10.2217/fon-2018-0439
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subjects advanced gastric cancer
adverse reactions
Cancer therapies
Cell division
Chemotherapy
Committees
Gastric cancer
Lymphocytes
Medical prognosis
Neutrophils
NLR
paclitaxel liposomes
Patients
prognosis
SOX
Surgery
Tumors
title Clinical efficacy and safety of paclitaxel liposomes as first-line chemotherapy in advanced gastric cancer
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