Higher Gemcitabine Dose Was Associated With Better Outcome of Osteosarcoma Patients Receiving Gemcitabine‐Docetaxel Chemotherapy
Abstract
Background: Efficacy of gemcitabine and docetaxel (GEM + DOC) chemotherapy in patients with recurrent or refractory osteosarcoma was evaluated. Methods: Data of 53 patients from 9 institutions, who received GEM (675 or 900 mg/m 2 on days 1 and 8) and DOC (100 mg/m 2 on day 8), were retrospectively reviewed. Results: GEM + DOC was administered as adjuvant (n = 25) or palliative chemotherapy (n = 28). Patients received a median 3 courses (range, 1−10 courses). Objective response rate (CR + PR, where CR is complete response and PR is partial response) and disease control rate (CR+ PR + SD, where SD is stable disease) were 14.3% and 28.6%, respectively. Disease control rate was higher in patients receiving 900 mg/m 2 GEM than in patients receiving 675 mg/m 2 (50.0% vs. 12.5%, P = 0.03). Higher GEM dose was associated with better survival, both in adjuvant (1‐year overall survival, 90.9 ± 8.7% vs. 38.5 ± 13.5%, P = 0.002) and palliative settings (50.0 ± 14.4% vs. 31.3 ± 11.6%, P = 0.04). Conclusions: Further studies are necessary to investigate the efficacy of more aggressive and higher doses of GEM + DOC chemotherapy in osteosarcoma.
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These chemotherapy regimens are recommended based on phase II trials or retrospective studies with small numbers of patients showing moderate response rates of 20-50%.
“These chemotherapy regimens are recommended based on phase II trials or retrospective studies with small numbers of patients with osteosarcoma showing moderate response rates of 20-50% 142,143,144 .”
From Osteosarcoma (2022) · cites this paper as [143]
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- Authors
- Lee, J. A., Jeon, D., Cho, W. H., Song, W. S., Yoon, H. S., Park, H. J., Park, B. K., Choi, H. S., Ahn, H. S., Lee, J. W., Yoo, K. H., Sung, K. W., Koo, H. H., Kang, H. J., Park, K. D., Shin, H. Y., Koh, K., Im, H. J., Seo, J. J., Lim, Y. J., Baek, H. J., & Kook, H.
- Affiliations
- Samsung Medical Center (KR)
- Department of Orthopedic Surgery Korea Cancer Center Hospital Seoul Republic of Korea
- Kyung Hee University (KR)
- National Cancer Center (KR)
- Seoul National University Bundang Hospital (KR)
- Seoul National University (KR)
- Asan Medical Center (KR)
- Chungnam National University (KR)
- Chonnam National University (KR)
- Corresponding author
- Lee, Jun Ah
- ORCID
- Venue
- Pediatric Blood & Cancer
- Publisher
- Wiley
- Published
- 2016-05-16
- Volume
- 63
- Issue
- 9
- Pages
- 1552-1556
- ISSN
- 1545-5009 (ISSN-L)
- 1545-5017
- OpenAlex
- W2394953145
- Cited by
- 21
- References
- 20
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2020: 3 · 2019: 2 · 2018: 4 · 2017: 3
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pediatric Blood & Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Sarcoma Diagnosis and Treatment
- Health Sciences › Medicine › Rheumatology › Bone Tumor Diagnosis and Treatments
- Health Sciences › Medicine › Reproductive Medicine › Ovarian cancer diagnosis and treatment
- Keywords
- osteosarcoma, gemcitabine, docetaxel, dose escalation, recurrent osteosarcoma, adjuvant chemotherapy, palliative chemotherapy, objective response rate, disease control rate, overall survival
- MeSH terms
- Docetaxel, Gemcitabine, Adolescent, Adult, Antineoplastic Combined Chemotherapy Protocols, Bone Neoplasms, Child, Deoxycytidine, Female, Humans, Male, Retrospective Studies, Osteosarcoma, Taxoids
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