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A phase I/II study of docetaxel, oxaliplatin, and fluorouracil (D-FOX) chemotherapy in patients with untreated locally unresectable or metastatic adenocarcinoma of the stomach and gastroesophageal junction

American Journal of Clinical Oncology Mar 29, 2018

Blum Murphy MA, et al. - Given that docetaxel, cisplatin, and 5-fluorouracil (DCF)-related toxicity limits its use in patients with untreated advanced gastric cancer (AGC) despite its being established as one of the standard treatments for these patients in a randomized phase III study, researchers assessed a less toxic regimen ie, a modified DCF (oxaliplatin, 5-fluorouracil, and docetaxel [D-FOX]) for untreated AGC patients in this single arm, phase I/II trial. Maximum tolerated dose of docetaxel in phase I study and progression-free survival (PFS) at 6 months and overall survival (OS) in phase II study were determined. The maximum tolerated dose of docetaxel was 50 mg/m2. When administered every 2 weeks, D-FOX was well-tolerated and represented an active regimen in untreated AGC patients. The median PFS was approximately 6.5 months and the median OS was 11.1 months.
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