[Docetaxel and gastric cancer]
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Updated: Aug 24, 2026

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Michel Ducreux1, Valérie Boige, Arnaud Roth
1Unité de gastroentérologie, Institut Gustave-Roussy, rue Camille-Desmoulins, 94805 Villejuif. ducreux@igr.fr
Abstract:
There are very few active drugs in the treatment of metastatic gastric carcinoma. Among new drugs, docetaxel has shown one of the most important activity. With precise evaluation of objective response, this drug has demonstrated a 20% response rate in monotherapy. The favorable toxicity profile of this compound allowed combination therapy with other active drugs in this disease: 5-fluorouracil (5FU), cisplatin and epiadriamycin. Two of the most interesting combinations are: bitherapy with docetaxel cisplatin and three therapy with docetaxel, continuous infusion of 5FU and cisplatin (TCF). Several large phase III trials are on-going to compare these new schedules to classical combination chemotherapies of this disease (5FU cisplatin or ECF). The potential place of docetaxel in gastric cancer is not restricted to metastatic disease and the same three-therapy with TCF is currently under evaluation as a neoadjuvant or adjuvant treatment in resectable lesions. With a high activity in terms of radiosensitization, docetaxel could also become a major drug in the design of new radiochemotherapy protocols for neoadjuvant or adjuvant disease.
Insights
Docetaxel shows significant promise for metastatic gastric cancer, with a 20% response rate in monotherapy. Combination therapies, including docetaxel-cisplatin and TCF, are being evaluated for improved treatment outcomes.
Area of Science:
- Oncology
- Medical Chemistry
Background:
- Limited effective treatments exist for metastatic gastric carcinoma.
- Docetaxel emerges as a promising agent with notable activity.
Purpose of the Study:
- To evaluate the efficacy of docetaxel in monotherapy and combination regimens for gastric cancer.
- To explore the potential of docetaxel in neoadjuvant, adjuvant, and radiochemotherapy settings.
Main Methods:
- Objective response evaluation of docetaxel monotherapy.
- Assessment of combination therapies: docetaxel-cisplatin and docetaxel, 5-fluorouracil (5FU), cisplatin (TCF).
- Ongoing Phase III trials comparing new schedules with classical chemotherapies (5FU-cisplatin, ECF).
Main Results:
- Docetaxel demonstrated a 20% response rate in monotherapy for metastatic gastric carcinoma.
- Favorable toxicity profile allows combination therapies.
- TCF regimen is under evaluation for resectable gastric cancer (neoadjuvant/adjuvant).
Conclusions:
- Docetaxel is a significant drug for metastatic gastric cancer treatment.
- Combination therapies involving docetaxel show potential for improved outcomes.
- Docetaxel's radiosensitizing properties suggest a role in future radiochemotherapy protocols.
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