Evaluation of Second-Line Chemotherapy with Docetaxel and Nedaplatin for Advanced or Recurrent Squamous Cell Carcinoma of the Esophagus

  • Miura Akinori
    Department of Surgery, Tokyo Medical and Dental University Hospital
  • Nagai Kagami
    Department of Surgery, Tokyo Medical and Dental University Hospital
  • Kojima Kazuyuki
    Department of Surgery, Tokyo Medical and Dental University Hospital
  • Yamada Hiroyuki
    Department of Surgery, Tokyo Medical and Dental University Hospital
  • Nishikage Tetsurou
    Department of Surgery, Tokyo Medical and Dental University Hospital
  • Inokuchi Mikito
    Department of Surgery, Tokyo Medical and Dental University Hospital
  • Nakajima Yasuaki
    Department of Surgery, Tokyo Medical and Dental University Hospital
  • Sekita Yoshihisa
    Department of Surgery, Tokyo Medical and Dental University Hospital
  • Ogiya Kazuo
    Department of Surgery, Tokyo Medical and Dental University Hospital
  • Tanaka Kouji
    Department of Surgery, Tokyo Medical and Dental University Hospital
  • Kawano Tatsuyuki
    Department of Surgery, Tokyo Medical and Dental University Hospital

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Other Title
  • 進行・再発食道癌に対するsecond‐lineとしてのDocetaxel+Nedaplatin併用療法の検討
  • 進行・再発食道癌に対するsecond-lineとしてのDocetaxel+Nedaplatin併用療法の検討
  • シンコウ サイハツ ショクドウガン ニ タイスル second line ト シテ ノ Docetaxel Nedaplatin ヘイヨウ リョウホウ ノ ケントウ

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Abstract

We evaluated the efficacy and safety of a new combination chemotherapy including Docetaxel (TXT) and Nedaplatin (CDGP) as a second-line treatment for the advanced or recurrent esophageal carcinomas. Subsequent to administration of TXT at a dose of 60 mg for 60 minutes, CDGP was administered intravenously at a dose of 80 mg for 60 minutes. A total of nine male and one female with a median age of 65 (range 56-70) years were included and had been treated with prior chemotherapy. Prior treatments consisted of surgery and adjuvant chemoradiotherapy in 4 patients, surgery and adjuvant chemotherapy in 1 patient, chemotherapy for recurrent lesion after surgery in 3 patients, and chemotherapy alone in 2 patients. Eight patients underwent one course of treatment, 1 had two and 1 had three courses. Two PRs, 6 SDs and 2 NCs were obtained in all patients and the overall response rate was 20%. Median survival time was 170 days and median response time was 135 days. The prevailing toxicity was myelo-suppression with Grade 3 and 4 neutropenia occurring in 5 and 2 patients, respectively. The findings of this study indicated that a combination chemotherapy of TXT and CDGP is effective as a second-line treatment for advanced or recurrent esophageal cancers ; however, further investigations are needed to establish its efficacy.

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