Activity and safety of pegylated liposomal doxorubicin, 5-fluorouracil and folinic acid in inoperable hepatocellular carcinoma: A phase II study

作者: Giuseppe Di Lorenzo , Antonio Rea , Chiara Carlomagno , Stefano Pepe , Giovannella Palmieri

DOI: 10.3748/WJG.V13.I48.6553

关键词:

摘要: AIM: To improve the results of New therapeutic strategies in hepatocellular carcinoma (HCC). We have conducted a phase II study with pegylated liposomal doxorubicin (PLD), 5-fluorouracil (5FU) and folinic acid (FA). METHODS: Thirty-one patients hystologically-confirmed, inoperable HCC, received combination chemotherapy PLD 25 mg/mq on d 1, 5FU 1200 48 h continuous infusion, oral FA 30 mg 1 2 every 3 wk until disease progression or intolerable toxicity. RESULTS: The median age was 65 years (range 41-82) 28 were hepatitis C virus seropositive (90%). majority Child-Pugh Class B (55%). Two showed partial response (PR), 16 had stable (SD). With follow-up 14 mo, time to all evaluable 4 mo (95% CI 1.7-7). Median overall survival 9 3-24 mo). After year, 18 PR/SD alive. Chemotherapy well tolerated. CONCLUSION: PLD/FU/FA seems capable achieving durable stabilization HCC. manageable toxicity supports role for other anticancer agents.

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