Does docetaxel matter in metastatic gastric cancer? FOLFOX versus FLOT regimens as first-line treatment

Gürler F., İlhan A., Güven D. C., Turhan O., Kurt İnci B., Sütçüoğlu O., ...Daha Fazla

Anti-Cancer Drugs, cilt.33, sa.1, ss.477-485, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1097/cad.0000000000001143
  • Dergi Adı: Anti-Cancer Drugs
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, Biotechnology Research Abstracts, CAB Abstracts, Chemical Abstracts Core, EMBASE, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.477-485
  • Anahtar Kelimeler: FLOT, FOLFOX, gastric cancer, gastroesophageal junction adenocarcinoma, PHASE-III TRIAL, FOLINIC ACID, DCF REGIMENS, FLUOROURACIL, OXALIPLATIN, CISPLATIN, 5-FLUOROURACIL, CHEMOTHERAPY, DOXORUBICIN, LEUCOVORIN
  • Gazi Üniversitesi Adresli: Evet

Özet

We aimed to compare the efficacy and the safety of the FOLFOX and the FLOT regimens in metastatic gastric cancer (mGC) as first-line treatment. It was a retrospective multicenter observational study. The comparisons between groups were conducted in terms of progression-free survival (PFS), overall survival (OS), objective response rate (ORR) and hematologic adverse events. Seventy-nine patients, diagnosed with mGC between March 2012 and December 2019, treated with FOLFOX (n = 43) or FLOT (n = 36) regimens as first-line treatment were included in the study. The mPFS was 10.9 months [95% confidence interval (CI), 5.8–16.1] in the FLOT arm and 7.1 months (95% CI, 5.1–9.1) in the FOLFOX arm (P < 0.001). The ORR was 63.9% in the FLOT arm and 30.2% in the FOLFOX arm (P = 0.003). The mOS was 13.3 months (95% CI, 11.3–15.4) in the FLOT arm and 10.9 months (95% CI, 8.2–13.5) in the FOLFOX arm (P = 0.103). The hematologic adverse events in all grades were 88.4% (n = 38) in the FOLFOX arm compared with 80.6% (n = 29) in the FLOT arm (P = 0.335). The FLOT regimen might be a preferred option in mGC with an improved PFS and ORR compared with the FOLFOX regimen.