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Postoperative treatment with docetaxel, cisplatin, and capecitabine (DCX) and chemoradiotherapy (CRT) with capecitabine for resected gastric adenocarcinoma.

TitlePostoperative treatment with docetaxel, cisplatin, and capecitabine (DCX) and chemoradiotherapy (CRT) with capecitabine for resected gastric adenocarcinoma.
Publication TypeJournal Article
Year of Publication2015
AuthorsSaridaki, Z., Lambrodimou G., Kachris S., Makrantonakis P., Boukovinas I., Polyzos A., Anagnostopoulos A., Athanasiadis A., Stoltidis D., Georgoulias V., & Souglakos J.
JournalAm J Clin Oncol
Volume38
Issue1
Pagination17-22
Date Published2015 Feb
ISSN1537-453X
KeywordsAdenocarcinoma, Adult, Aged, Anemia, Antineoplastic Combined Chemotherapy Protocols, Chemoradiotherapy, Adjuvant, Cisplatin, Deoxycytidine, Feasibility Studies, Female, Fluorouracil, Gastrectomy, Heart Arrest, Humans, Leukopenia, Male, Middle Aged, Neutropenia, Sepsis, Stomach Neoplasms, Taxoids, Treatment Outcome
Abstract

INTRODUCTION: We conducted a feasibility study on docetaxel/capecitabine/cisplatin (DCX) with chemoradiotherapy as adjuvant treatment for gastric cancer patients.METHODS: Patients were scheduled to receive 2 cycles of DCX, followed by 50.4 Gy plus capecitabine as radiotherapy, followed by an additional 2-DCX cycles.RESULTS: From the 40 enrolled patients, 26 (65%) completed treatment as per protocol and 14 (35%) discontinued with the treatment (patients' refusal: n=6; adverse events: n=8). There were 2 toxic deaths. Grade >3 toxicity was 12.1% before and 13.3% after chemoradiotherapy. Disease progression was documented in 11 (27.5%) patients.CONCLUSIONS: No further development of this regimen is justified on the basis of poor tolerability in patients.

DOI10.1097/COC.0b013e3182893f13
Alternate JournalAm. J. Clin. Oncol.
PubMed ID23563209

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