Capecitabine plus cisplatin treatment in patients with advanced hepatocellular carcinoma  

进展期肝细胞癌患者的卡培他滨加顺铂的联合治疗(英文)

作　　者：Manal M Abdel Wahab Lobna R Ezz Elarab Mohamed A Ezz Elarab 

机构地区：[1]Radiation Oncology and Nuclear Medicine Department,Faculty of Medicine,Ain Shams University [2]National Hepatology and Tropical Medicine Research Institute

出　　处：《The Chinese-German Journal of Clinical Oncology》2010年第12期718-723,共6页中德临床肿瘤学杂志（英文版）

摘　　要：Objective： Hepatocellular carcinoma （HCC） is the sixth most common cancer in the world and the third leading cause of cancer related death globally. Parentral treatment of Egyptian patients of bilharziasis contributed to the high incidence of viral hepatitis, and subsequently liver cirrhosis and HCC. CapecJtabJne plus cJsplatJn protocol was evaluated regarding the efficacy and safety in patients with advanced HCC as first line chemotherapy. Methods： One hundred patients with advanced HCC were randomized to receive either capecitabine （1000 mg/m2） twice daily for fourteen days plus intravenous cisplatin （60 mg/m2） on day one to be repeated every three weeks with a maximum of six cycles or placebo （phase III trial）. Results： Baseline characteristics were comparable in both groups. According to Barcelona Clinic Liver Cancer Staging System, stage C was the most predominant （82% vs. 75%） in both groups. Median OS was 12 months versus 10 months in favor of the treated group （P value 〈 0.05）. Median TTP was significantly higher in the chemotherapy group （7 months vs. 4.5 months） as well as disease control rate （40% vs. 29%）, no patient had achieved complete response. Grade 3 toxicity was more pronounced in the treatment group, as regards vomiting and diarrhea （10% vs. 2%）, neurotoxicity （6% vs. 2%）, elevation of aminotransferase and bilirubin （9.8% vs. 4.9%）, hand and foot syndrome reaction was recorded only in chemotherapy group. Conclusion： Capecitabine plus cisplatin regimen showed modest antitumor activity with tolerable toxicity in patients with advanced HCC. Moreover, because of the significantly prolonged time to progression, we demand further attention to this convenient, outpatient, and economic profile based chemotherapy protocol.

关 键 词：CAPECITABINE CISPLATIN hepatocellular carcinoma （HCC） BILHARZIASIS liver cirrhosis 

分 类 号：R735.7[医药卫生—肿瘤]