title: The first line systemic chemotherapy in metastatic gastric carcinoma: A comparison of docetaxel, cisplatin and fluorouracil (DCF) versus cisplatin and fluorouracil (CF); versus epirubicin, cisplatin and fluorouracil (ECF) regimens in clinical setting.
abstract: OBJECTIVE
  This study evaluated the efficacy and safety of the first-line chemotherapy regimens in advanced gastric carcinoma (AGC). METHODOGY: In this study, 116 patients who had advanced stage gastric adenocarcinoma were evaluated. The patients receiving Cisplatin/5-Flourouracil (CF) regimen (n=36) were compared with either those receiving Epirubicin/Cispatin/5-Flourouracil (ECF) regimen (n=40) or those receiving Docetaxel/Cispatin/5-Flourouracil (DCF) regimen (n=40).
  
  
  RESULTS
  The overall response rate (ORR) was 18%, 30%, and 40% with CF, ECF, and DCF, respectively. Progression-free survival (PFS) was 4.3, 4.4 and 5.8 months for CF, ECF and DCF, respectively. Although overall survival was similar in all 3 groups, 1-year and 2-year survival rates were better on DCF group compared to the other two groups.
  
  
  CONCLUSIONS
  The results of our study suggest that DCF is superior in terms of ORR and PFS in comparison to CF and ECF combinations in AGC.
authors.affiliation: Hacettepe University Institute of Oncology, Department of Medical Oncology, Ankara, Turkey.
authors.forename: Saadettin
authors.initials: S
authors.lastname: Kilickap
authors.forename: Suayib
authors.initials: S
authors.lastname: Yalcin
authors.forename: Ozturk
authors.initials: O
authors.lastname: Ates
authors.forename: Gulten
authors.initials: G
authors.lastname: Tekuzman
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy* / Q000473:pathology; D000293:Adolescent; D000328:Adult; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use*; D002945:Cisplatin / Q000008:administration & dosage; D000077143:Docetaxel; D015251:Epirubicin / Q000008:administration & dosage; D005260:Female; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D018709:Statistics, Nonparametric; D013274:Stomach Neoplasms / Q000188:drug therapy* / Q000473:pathology; D015996:Survival Rate; D043823:Taxoids / Q000008:administration & dosage; D016896:Treatment Outcome
chemical_list: D043823:Taxoids; D000077143:Docetaxel; D015251:Epirubicin; D002945:Cisplatin; D005472:Fluorouracil