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- W2051006006 abstract "Objectives: We retrospectively assessed the combination of biweekly irinotecan with 5-fluorouracil (5-FU), and leucovorin (LV) as salvage chemotherapy in patients with advanced gastric cancer (AGC) previously treated with fluoropyrimidine (F), platinum (P), and taxane (T). Methods: Between October 2003 and February 2006, all 131 patients with AGC were treated with irinotecan (150 mg/m2 on day 1), along with either FOLFIRI-1 (ie, LV (20 mg/m2 bolus) before 5-FU (1000 mg/m2 continuous infusion over 6-hour) on days 1–2), or FOLFIRI-2 (ie, LV (20 mg/m2 bolus) before 5-FU (400 mg/m2 bolus) followed by 22-hour continuous infusion of 600 mg/m2 on days 1–2), or FOLFIRI-3 (ie, 5-FU (400 mg/m2 bolus) followed by 46-hour continuous infusion of 2400 mg/m2 5-FU and 100 mg/m2 LV). Cycles were repeated every 2 weeks. Results: The median age of the patients was 52 years (range, 19–70 years). Patients received a median of 4 cycles of chemotherapy (range, 1–21 cycles). Of the 97 patients with measurable disease, 1 (1.0%) achieved a complete response, and 11 (11.3%) achieved partial responses, making the overall response rate 12.3%. The median time to progression (TTP) was 2.2 months (95% CI, 1.9–2.6 months) and the median overall survival (OS) was 6.2 months (95% CI, 5.6–6.9 months). Good performance status (P = 0.046), fewer metastatic sites (P < 0.001), and longer time to progression of previous chemotherapy (P = 0.006) were independent prognostic factors affecting OS. OS was longer with the FOLFIRI-1 regimen but not with statistical significance (P = 0.064). The treatments were generally well tolerated. Conclusions: In actual clinical practice, biweekly irinotecan with 5-FU and LV had modest activity and tolerability in AGC patients previously treated with F, P, and T." @default.
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- W2051006006 date "2008-04-01" @default.
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- W2051006006 title "Salvage Chemotherapy With Biweekly Irinotecan, Plus 5-Fluorouracil and Leucovorin in Patients With Advanced Gastric Cancer Previously Treated With Fluoropyrimidine, Platinum, and Taxane" @default.
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- W2051006006 doi "https://doi.org/10.1097/coc.0b013e31815878a2" @default.
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