PMID- 35557586 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230916 IS - 2078-6891 (Print) IS - 2219-679X (Electronic) IS - 2078-6891 (Linking) VI - 13 IP - 2 DP - 2022 Apr TI - Analysis of the efficacy and safety of paclitaxel (albumin-bound) combined with S-1 and oxaliplatin combined with S-1 in the first-line treatment of advanced gastric cancer: a cohort study. PG - 630-636 LID - 10.21037/jgo-22-279 [doi] AB - BACKGROUND: Single-drug albumin-bound paclitaxel is one of the standard second-line treatments for advanced gastric cancer. Some clinical studies suggest that albumin-bound paclitaxel combined with S-1 can be used in the first-line treatment of gastric cancer. Both the two regimens have been commonly used in the past few years. Which is more effective? What's the safety? METHODS: From 2016 to 2021, a total of 70 untreated patients with advanced gastric cancer were included in our study. They all received at least two cycles of chemotherapy. Among them, 37 cases received standard S-1 and oxaliplatin (SOX) regimen, and 33 cases received albumin-bound paclitaxel combined with S-1 (aTS) regimen. Progression-free survival (PFS), overall survival (OS), objective response rate (ORR), and adverse events (AEs) were analyzed. The OS and PFS curves were estimated using the Kaplan-Meier method. RESULTS: The PFS of the aTS group was higher than that of the SOX group (9.27 vs. 7.03 months; P=0.046), but there was no significant difference in the OS between the two groups (19.2 vs. 12.5 months; P=0.131). The ORR of the aTS group was higher than that of the SOX group, and the side effects were tolerable. CONCLUSIONS: Both regimens can be applied to advanced gastric cancer patients. Albumin-bound paclitaxel showed a higher ORR and could effectively prolong PFS. CI - 2022 Journal of Gastrointestinal Oncology. All rights reserved. FAU - Ma, Jian AU - Ma J AD - Department of Oncology, Changzhou Cancer Hospital, Changzhou, China. FAU - Xiao, Min AU - Xiao M AD - Department of Oncology, Changzhou Cancer Hospital, Changzhou, China. FAU - Li, Xiaoqian AU - Li X AD - Department of Oncology, Changzhou Cancer Hospital, Changzhou, China. FAU - Zhao, Qiu AU - Zhao Q AD - Department of Oncology, Changzhou Cancer Hospital, Changzhou, China. FAU - Ji, Wenjing AU - Ji W AD - Department of Oncology, Changzhou Cancer Hospital, Changzhou, China. FAU - Ling, Yang AU - Ling Y AD - Department of Oncology, Changzhou Cancer Hospital, Changzhou, China. FAU - Yang, Quanliang AU - Yang Q AD - Department of Oncology, Changzhou Cancer Hospital, Changzhou, China. LA - eng PT - Journal Article PL - China TA - J Gastrointest Oncol JT - Journal of gastrointestinal oncology JID - 101557751 PMC - PMC9086041 OTO - NOTNLM OT - Albumin-bound paclitaxel OT - S-1 OT - advanced gastric cancer OT - first-line therapy COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jgo.amegroups.com/article/view/10.21037/jgo-22-279/coif). The authors have no conflicts of interest to declare. EDAT- 2022/05/14 06:00 MHDA- 2022/05/14 06:01 PMCR- 2022/04/01 CRDT- 2022/05/13 18:05 PHST- 2022/03/07 00:00 [received] PHST- 2022/04/11 00:00 [accepted] PHST- 2022/05/13 18:05 [entrez] PHST- 2022/05/14 06:00 [pubmed] PHST- 2022/05/14 06:01 [medline] PHST- 2022/04/01 00:00 [pmc-release] AID - jgo-13-02-630 [pii] AID - 10.21037/jgo-22-279 [doi] PST - ppublish SO - J Gastrointest Oncol. 2022 Apr;13(2):630-636. doi: 10.21037/jgo-22-279.