Sasaki T, Isayama H, Nakai Y, Ito Y, Yasuda I, Toda N, Yagioka H, Matsubara S, Hanada K, Maguchi H, Kamada H, Hasebe O, Mukai T, Okabe Y, Maetani I, Koike K. Treatment outcomes of chemotherapy between unresectable and recurrent biliary tract cancer. World J Gastroenterol 2014; 20(48): 18452-18457 [PMID: PMC4277986 DOI: 10.3748/wjg.v20.i48.18452]
Corresponding Author of This Article
Hiroyuki Isayama MD, PhD, Department of Gastroenterology, Graduate School of Medicine, the University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. isayama-2im@h.u-tokyo.ac.jp
Research Domain of This Article
Oncology
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
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World J Gastroenterol. Dec 28, 2014; 20(48): 18452-18457 Published online Dec 28, 2014. doi: 10.3748/wjg.v20.i48.18452
Table 1 Patient characteristics n (%)
Unresectable(n = 55)
Recurrent(n = 10)
P value
Age (median, range)
68 (47-83)
70 (51-79)
0.43
Sex (male / female)
31/24
7/3
0.42
ECOG performance status
0.76
0
28 (51)
6 (60)
1
25 (45)
4 (40)
2-3
2 (4)
0
Primary biliary site
0.07
Gallbladder
26 (47)
4 (40)
Intrahepatic bile duct
20 (36)
2 (20)
Extrahepatic bile duct
9 (16)
3 (30)
Ampulla of Vater
0
1 (10)
Baseline sum of longest diameter(median, range, cm)
9 (1.0-31.9)
2.8 (1.2-16.0)
0.04
Table 2 Tumor response n (%)
Unresectable(n = 55)
Recurrent(n = 10)
P value
Complete response
0
2 (20.0)
Partial response
14 (25.5)
2 (20.0)
Stable disease
29 (52.7)
3 (30.0)
Progressive disease
10 (18.2)
2 (20.0)
Not evaluable
2 (3.6)
1 (10.0)
Response rate
25.5%
40.0%
0.34
Disease control rate
78.2%
70.0%
0.57
Table 3 Drug administration
Unresectable(n = 55)
Recurrent(n = 10)
P value
Treatment cycle
Median, range
4 (1-26)
7.5 (1-23)
0.15
Dose intensity (overall)
Gemcitabine
96.8%
83.5%
< 0.01
S-1
91.8%
75.9%
< 0.01
Dose intensity (first two cycles)
Gemcitabine
95.3%
89.4%
0.13
S-1
90.7%
78.9%
0.04
Table 4 Toxicity n (%)
Unresectable(n = 55)
Recurrent(n = 10)
All grades
Grade 3-4
All grades
Grade 3-4
Hematological
Leukopenia
33 (60)
16 (29)
9 (90)
2 (20)
Neutropenia
30 (55)
16 (29)
9 (90)
6 (60)
Anemia
41 (75)
9 (16)
7 (70)
1 (10)
Thrombocytopenia
25 (45)
9 (16)
5 (50)
0
Non-hematological
Nausea
12 (22)
1 (2)
4 (40)
0
Vomiting
3 (5)
0
2 (20)
0
Anorexia
19 (35)
2 (4)
4 (40)
0
Stomatitis
14 (25)
0
2 (20)
0
Diarrhea
7 (13)
0
0
0
Constipation
16 (29)
0
1 (10)
0
Pigmentation
12 (22)
0
3 (30)
0
Skin rash
10 (18)
3 (5)
2 (20)
0
Liver dysfunction
7 (13)
1 (2)
0
0
Citation: Sasaki T, Isayama H, Nakai Y, Ito Y, Yasuda I, Toda N, Yagioka H, Matsubara S, Hanada K, Maguchi H, Kamada H, Hasebe O, Mukai T, Okabe Y, Maetani I, Koike K. Treatment outcomes of chemotherapy between unresectable and recurrent biliary tract cancer. World J Gastroenterol 2014; 20(48): 18452-18457