1. ¹Department of Internal Medicine, Division of Haematology and Oncology, Seoul Veterans Hospital, Kangdong-Ku, Seoul, Korea
2. ²Korea Institute of Radiological and Medical Science, Seoul Veterans Hospital, Kangdong-Ku, Seoul, Korea

Correspondence: Dr B-S Kim, Department of Internal Medicine, Division of Haematology and Oncology, Seoul Veterans Hospital, 6-2, Dunchon-Dong, Kangdong-Ku, Seoul 134-791, Korea. E-mail: yhpark1229@yahoo.com or seog@e-bohun.or.kr

Received 22 August 2005; Revised 13 February 2006; Accepted 15 February 2006; Published online 21 March 2006.

Abstract

Capecitabine plus oxaliplatin every 3 weeks (XELOX regimen) has proven efficacy in patients with colorectal carcinoma. We investigated this combination in patients with previously untreated advanced gastric carcinoma. The study population comprised patients with histologically confirmed nonresectable advanced gastric adenocarcinoma. Patients received intravenous oxaliplatin 130 mg m^-2 over 2 h on day 1 plus oral capecitabine 1000 mg m^-2 twice daily on days 1–14, every 3 weeks. Patients received a maximum of eight cycles. Twenty evaluable patients (17 men, 3 women) with a median age of 64 years (range 38–75) were enrolled. The overall response rate was 65% (95% confidence interval (CI), 44–86%), with complete responses in two patients and partial responses in 11 patients. Median progression-free survival was 7.5 months (95% CI, 3.2–11.7 months); median overall survival was not reached during the study period. There was no grade 4 and little grade 3 toxicity. The most common haematological adverse event was anaemia (65% of patients) and the most common nonhaematological toxicities were vomiting (65%), neuropathy (60%), diarrhoea (30%), and hand–foot syndrome (20%). In conclusion, XELOX is apparently as effective as triplet combinations and is well tolerated as first-line therapy for advanced gastric carcinoma. We are starting a large multi-institutional phase II study of XELOX in this setting.