Review
Copyright ©2006 Baishideng Publishing Group Co.
World J Gastroenterol. Jan 14, 2006; 12(2): 204-213
Published online Jan 14, 2006. doi: 10.3748/wjg.v12.i2.204
Table 1 Single agent activity in advanced gastric cancer
AgentsResponse rate (%)
Mitomycin C30
Doxorubicin17
Epirubicin19
Cisplatin19
BCNU18
5-Fluorouracil21
Etoposide (oral)21
Hydroxurea19
UFT27
Capecitabina19
S-145
Paclitaxel17-23
Docetaxel17-29
CPT-1118
Table 2 Combination therapy for advanced gastric cancer
Response rat (%)Median survival (mo)
FU-based combinations
FAM30-426-9
FAMTX33-636
ELF5311
Modified-ELF16-426-9.5
Cisplatin-5-FU CI synergism
PF409-10
ECF59-718.7
P-5-FU 48-h CI509.3
P-5FU 24-h CI5811
Cisplatin-based combinations
EAP33-649
FLEP358
FLEP-type3911
LV5FU2-P2713.3
Combinations including new drugs
P-CPT1141-589-12
LOHP-CPT11508.5
CPT11-bolus 5-FU227.6
CPT11- 5-FU CI207
P-Xeloda54.810.1
ECC599.6
P-S-173-7412
TPFU/LV5011-14
DP37-569-11
DPF519.3
Table 3 Meta-analysis of randomized trials of adjuvant cytotoxic chemotherapy in gastric cancer
Author.YearNumber of patients/number of trials includedMortalityrisk ratio95% confidence intervalP value
Hermans.19932 096/110.880.78-1.08NS
Earle. 19991 190/130.800.66-0.970.024
Mari. 20003 658/200.820.75-0.89<0.001
Panzini.20022 913/170.720.62-0.84NA
Janunger.20023 962/210.840.74-0.96NA
Table 4 Phase II studies of preoperative chemotherapy in localized gastric cancer
Author.YearNumber of patientsNeoadjuvant chemotherapy regimenAdjuvant chemotherapy regimenR0 ratePCRMedian survival (mo)2-yr survival rate (%)
Wilke.198934EAP × 2EAP × 22951826
Leichman.199238CF ×2Intraperitoneal76317NR
Ajani.199348EAP × 3EAP × 27701642
Kang.199653EFP ×2-3EFP × 3-671443NR
54SurgeryNone6130NR
Crookes.199759CF ×2Intraperitoneal7154864
Songun.199927FAMtx × 4None5603662
29SurgeryNone6213.1NR