Phase II study of weekly oxaliplatin plus infusional fluorouracil and folinic acid (FUFOX regimen) as first-line treatment in metastatic gastric cancer
2005

Weekly Oxaliplatin and Fluorouracil for Metastatic Gastric Cancer

Sample size: 48 publication 10 minutes Evidence: moderate

Author Information

Author(s): Lordick F, Lorenzen S, Stollfuss J, Vehling-Kaiser U, Kullmann F, Hentrich M, Zumschlinge R, Dietzfelbinger H, Thoedtmann J, Hennig M, Seroneit T, Bredenkamp R, Duyster J, Peschel C

Primary Institution: Technical University of Munich

Hypothesis

The study aims to assess the efficacy and safety of weekly oxaliplatin plus infusional fluorouracil and folinic acid as first-line treatment in metastatic gastric cancer.

Conclusion

The weekly FUFOX regimen is well tolerated and shows notable activity as first-line treatment in metastatic gastric cancer.

Supporting Evidence

  • 54% of patients showed a response to the treatment.
  • Median overall survival was 11.4 months.
  • Median time to progression was 6.5 months.
  • 67% of patients experienced mild sensory neuropathy.

Takeaway

Doctors tested a new medicine combination to help people with stomach cancer, and it worked well for many patients.

Methodology

Patients with untreated metastatic gastric cancer received oxaliplatin and 5-FU/FA weekly for treatment, and their responses were evaluated according to RECIST criteria.

Potential Biases

Patient selection bias may have influenced the results.

Limitations

The study was nonrandomized and open-label, which may introduce bias.

Participant Demographics

Median age was 62 years; 81% were male and 19% were female.

Statistical Information

P-Value

0.001

Confidence Interval

95% CI, 39–69%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602697

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