A phase II study of paclitaxel and capecitabine as a first-line combination chemotherapy for advanced gastric cancer
2008

Paclitaxel and Capecitabine for Advanced Gastric Cancer

Sample size: 45 publication Evidence: moderate

Author Information

Author(s): Kang H J, Chang H M, Kim T W, Ryu M-H, Sohn H-J, Yook J H, Oh S T, Kim B S, Lee J-S, Kang Y-K

Primary Institution: University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea

Hypothesis

The combination of paclitaxel and capecitabine will be effective as first-line therapy for advanced gastric cancer.

Conclusion

The combination of paclitaxel and capecitabine is effective and well tolerated as a first-line chemotherapy for advanced gastric cancer.

Supporting Evidence

  • Overall response rate was 48.9% with 2 complete responses and 20 partial responses.
  • Median time to progression was 5.6 months.
  • Median overall survival was 11.3 months.
  • 46.5% of patients experienced grade 3 or 4 neutropaenia.

Takeaway

Doctors tested two medicines, paclitaxel and capecitabine, to see if they could help people with a serious stomach cancer, and they found that many patients got better.

Methodology

Patients with advanced gastric cancer were treated with paclitaxel and capecitabine, and their responses were evaluated after a median of 6 cycles of treatment.

Potential Biases

Potential bias due to the single-arm design and lack of a control group.

Limitations

The study had a small sample size and was limited to patients with specific eligibility criteria.

Participant Demographics

Median age was 57 years, with 71.1% male and 28.9% female participants.

Statistical Information

P-Value

p=0.459

Confidence Interval

95% CI=30.3–63.5%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604186

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