Phase I study of combination therapy with S-1 and weekly docetaxel for advanced gastric cancer

Tomohiro Ozaki, Kenji Tamura, Taroh Satoh, Takayasu Kurata, Toshio Shimizu, Masaki Miyazaki, Isamu Okamoto, Kazuhiko Nakagawa, Masahiro Fukuoka

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3 Citations (Scopus)

Abstract

Background: The primary objective of this study was to determine the maximum tolerated dose (MTD), the toxicity profile and the recommended dose (RD) for phase II of a combination of S-1 and weekly administration of docetaxel. Patients and Methods: Patients with histologically diagnosed recurrent or unresectable locally advanced gastric cancer were enrolled. A fixed oral dose of 80 mg/m2 S-1 was given for 3 weeks. Docetaxel was infused intravenously on day 1, 8 and 15, repeated every 5 weeks. A pharmacokinetic study was also performed. Results: A total of 14 patients were enrolled. One dose-limiting toxicity (DLT) (grade 3 diarrhea with febrile neutropenia) occurred at level 2. DLTs occurred in 3/5 patients at level 3, (grade 3 stomatitis, with febrile neutropenia or continuous grade 4 neutropenia). The pharmacokinetic study suggested no drug interactions. Overall response and disease control rates were 20% and 80%, respectively. The response rate at the RD (level 2) was 50%. Overall survival was 9.4 months. Conclusion: RD was level 2 (80 mg/m2 of S-1 for 3 weeks and 20 mg/m2 of docetaxel on day 1, 8 and 15, every 5 weeks). Dose intensities of S-1 and docetaxel were 48 mg/m2/week and 12 mg/m2/week, respectively. This regimen showed promising activity for advanced gastric cancer.

Original languageEnglish
Pages (from-to)2657-2665
Number of pages9
JournalAnticancer research
Volume27
Issue number4 C
Publication statusPublished - Jul 2007
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

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    Ozaki, T., Tamura, K., Satoh, T., Kurata, T., Shimizu, T., Miyazaki, M., Okamoto, I., Nakagawa, K., & Fukuoka, M. (2007). Phase I study of combination therapy with S-1 and weekly docetaxel for advanced gastric cancer. Anticancer research, 27(4 C), 2657-2665.