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Second-line combination chemotherapy with docetaxel and nedaplatin for cisplatin-pretreated refractory metastatic/recurrent esophageal squamous cell carcinoma
Journal of Thoracic Oncology, 08/14/09
Jin J et al. – In a study to investigate the efficacy and toxicity of the combination of docetaxel followed by nedaplatin as second-line chemotherapy for patients with cisplatin-pretreated refractory metastatic/recurrent esophageal squamous cell carcinoma (ESCC) after surgery, it appears that the combination docetaxel and nedaplatin used in the outpatient setting is well tolerated and useful as second-line chemotherapy for cisplatin-pretreated refractory metastatic/recurrent ESCC.
Methods- This study investigated the efficacy and toxicity of the combination of docetaxel (30 mg/m2) during a 1-hr infusion, followed by nedaplatin (50 mg/m2) during a 2-hr infusion (both drugs were administered on day 1 as an outpatient regimen and repeated every 2 wks) as second-line chemotherapy for pts with cisplatin-pretreated refractory metastatic/recurrent ESCC after surgery.
- 46 of 48 pts (95.8%) were assessable for response.
- Partial response was confirmed in 13 of 48 cases yielding a response rate of 27.1%.
- Median overall time to progression and overall survival (OS) was 3.1 mos and 5.9 mos, respectively.
- Estimate of OS at 12 mos was 16.7%.
- Grade 3 anemia leucopenia, grade 4 anemia leucopenia and neutropenia were detected in only 4 (8.7%), 8 (17.4%), and 9 pts (19.6%), respectively.
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