Adjuvant and neoadjuvant therapy for gastric cancer using epirubicin/cisplatin/5-fluorouracil (ECF) and alternative regimens before and after chemoradiation
2003

Chemotherapy and Radiation for Stomach Cancer

Sample size: 26 publication Evidence: moderate

Author Information

Author(s): Leong T, Michael M, Foo K, Thompson A, Joon D Lim, Weih L, Ngan S, Thomas R, Zalcberg J

Primary Institution: Peter MacCallum Cancer Centre

Hypothesis

Can a new chemotherapy regimen improve outcomes for gastric cancer patients undergoing chemoradiation?

Conclusion

The study suggests that using ECF chemotherapy before and after chemoradiation can be delivered safely with acceptable toxicity.

Supporting Evidence

  • Patients treated with ECF had a 1-year relapse-free survival rate of 87%.
  • The overall rate of grade 3 toxicity was 38%.
  • Continuous infusion 5-FU during radiation is less toxic and better tolerated.

Takeaway

Doctors are trying a new combination of medicines to help people with stomach cancer feel better after surgery. They found that this new way is safer and has fewer side effects.

Methodology

Patients with gastric cancer received a new chemotherapy regimen (ECF) before and after chemoradiation, and their outcomes were monitored for toxicity and feasibility.

Limitations

The short follow-up period limits the analysis of long-term relapse and survival patterns.

Participant Demographics

{"age":{"median":60,"range":"34-82"},"sex":{"male":21,"female":5}}

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601311

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