Xiao SD, Li DH, Zhang DZ, Shen MJ, Zhu XT, He GF, Zhao TP, Li LP, Deng XC, Wang M, Wang XL, Chen Q, Zhang YP, Yao CL, Bao JG, Tong GW, Zhu LF, Jiang H, Minoru K. Multicenter randomized study on Me-CCNU, 5-FU and ADM vs ACNU, 5-FU and ADM for treatment of advanced gastric cancer. World J Gastroenterol 1997; 3(4): 238-241 [PMID: 27053876 DOI: 10.3748/wjg.v3.i4.238]
Corresponding Author of This Article
Dr. Shu-Dong Xiao, Professor, Director, Shanghai Institute of Digestive Disease, Shanghai Second Medical University, Shanghai 200001, China
Article-Type of This Article
Original Research
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World J Gastroenterol. Dec 15, 1997; 3(4): 238-241 Published online Dec 15, 1997. doi: 10.3748/wjg.v3.i4.238
Table 1 General data of evaluable patients in Groups A and B
Parameter
Group A
Group B
No. of cases
47
46
Sex, M
36
32
Sex, F
11
14
Age (yr), -40
4
7
41-50
9
4
51-60
8
14
61-70
16
17
71-80
10
4
Performance status grade 1
1
0
Performance status grade 2
5
11
Performance status grade 3
5
5
Performance status grade 4
35
26
Unclear
1
4
Histology
Papillary adenocarcinoma
3
1
Tubular adenocarcinoma 1
4
8
Tubular adenocarcinoma 2
17
12
Low differentiated adenocarcinoma
13
8
Mucocellular carcinoma
2
1
Signet ring cell carcinoma
0
2
Others
8
14
Table 2 Courses of treatment in Groups A and B patients
Groups
No. of courses
Total
1
2
3
4
5
6
7
8
Group A
16
20
5
2
0
1
0
0
47
Group B
8
23
6
2
0
0
1
1
46
Table 3 Data on partial remission cases
Case No.
Group
Sex
Age
Performance status
Pathohistology
No. of courses
Effective site
22
B
M
54
4
Tubular adenocarcinoma
4
Liver
35
B
M
46
4
Tubular adenocarcinoma
3
Stomach
45
B
M
65
4
Low differentiated adenocarcinoma
7
Liver
67
B
F
60
4
Low differentiated adenocarcinoma
4
Spleen
71
B
F
66
3
Tubular adenocarcinoma
3
Stomach
82
B
F
72
2
Low differentiated adenocarcinoma
2
Liver spleen
83
B
M
74
4
Tubular adenocarcinoma
8
Stomach
100
B
M
65
4
Tubular adenocarcinoma
3
Liver
Table 4 Anti-tumor effect in Group A and B patients
Group
A
B
Partial response (%)
0 (0)
8 (17.4)
No change (moderate response)
16 (1)
17 (2)
Progressive lesion
31
21
95% reliability
0, 6.2%
6.4%, 28.4%
Fisher’s test
P > 0.01
P > 0.01
Median survival time
108 d
112 d
Average course
1.9
2.3
Table 5 Adverse effects in Group A and B patients
Group A
Group B
Cases
%
Cases
%
Loss of appetite
3
6.5
4
8.7
Nausea
3
6.5
3
6.5
Vomiting
9
19.6
8
17.4
Fatigue
1
2.2
1
2.2
Muscular disability
4
8.7
3
8.7
Alopecia
4
8.7
3
6.5
Fever
1
2.2
2
4.3
EKG abnormality
1
2.2
1
2.2
Leukopenia
2
4.3
5
10.9
Decrease of hemoglobin
1
2.2
0
0.0
Citation: Xiao SD, Li DH, Zhang DZ, Shen MJ, Zhu XT, He GF, Zhao TP, Li LP, Deng XC, Wang M, Wang XL, Chen Q, Zhang YP, Yao CL, Bao JG, Tong GW, Zhu LF, Jiang H, Minoru K. Multicenter randomized study on Me-CCNU, 5-FU and ADM vs ACNU, 5-FU and ADM for treatment of advanced gastric cancer. World J Gastroenterol 1997; 3(4): 238-241