Poor treatment outcomes with palliative gemcitabine and docetaxel chemotherapy in advanced and metastatic synovial sarcoma View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-10

AUTHORS

Alexandra Pender, Elizabeth J. Davis, Dharmisha Chauhan, Christina Messiou, Omar Al-Muderis, Khin Thway, Cyril Fisher, Shane Zaidi, Aisha Miah, Ian Judson, Winette van der Graaf, Vicki L. Keedy, Charlotte Benson, Robin L. Jones

ABSTRACT

The outcome for patients with unresectable or metastatic soft tissue sarcoma remains poor with few treatment options. Synovial sarcoma is a rare type of sarcoma, predominantly affecting adolescents and young adults. Following failure of first-line anthracycline-based chemotherapy, several salvage options are available. We reviewed the safety and efficacy of gemcitabine/docetaxel chemotherapy in two tertiary oncology centres. We identified patients treated with gemcitabine/docetaxel between 2004 and 2016 in a UK and a US oncology centre using retrospective pharmacy and medical records. Treatment response, toxicity and outcome data were collected. Twenty one patients were treated with gemcitabine/docetaxel, the majority as a second- or third-line treatment for metastatic disease. The response rate was 5% with a median progression-free survival of 2 months (95% CI 1.3-3.7). Toxicities reported were as expected for this chemotherapy combination. Treatment was not discontinued due to toxicity. Gemcitabine/docetaxel chemotherapy shows little efficacy in synovial sarcoma and should not be offered to this patient group outside a clinical trial context. More... »

PAGES

131

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12032-018-1193-5

DOI

http://dx.doi.org/10.1007/s12032-018-1193-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1106255622

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30128716


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