Prospective Study
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Dec 28, 2014; 20(48): 18452-18457
Published online Dec 28, 2014. doi: 10.3748/wjg.v20.i48.18452
Table 1 Patient characteristics n (%)
Unresectable(n = 55)Recurrent(n = 10)P value
Age (median, range)68 (47-83)70 (51-79)0.43
Sex (male / female)31/247/30.42
ECOG performance status0.76
028 (51)6 (60)
125 (45)4 (40)
2-32 (4)0
Primary biliary site0.07
Gallbladder26 (47)4 (40)
Intrahepatic bile duct20 (36)2 (20)
Extrahepatic bile duct9 (16)3 (30)
Ampulla of Vater01 (10)
Baseline sum of longest diameter(median, range, cm)9 (1.0-31.9)2.8 (1.2-16.0)0.04
Table 2 Tumor response n (%)
Unresectable(n = 55)Recurrent(n = 10)P value
Complete response02 (20.0)
Partial response14 (25.5)2 (20.0)
Stable disease29 (52.7)3 (30.0)
Progressive disease10 (18.2)2 (20.0)
Not evaluable2 (3.6)1 (10.0)
Response rate25.5%40.0%0.34
Disease control rate78.2%70.0%0.57
Table 3 Drug administration
Unresectable(n = 55)Recurrent(n = 10)P value
Treatment cycle
Median, range4 (1-26)7.5 (1-23)0.15
Dose intensity (overall)
Gemcitabine96.8%83.5%< 0.01
S-191.8%75.9%< 0.01
Dose intensity (first two cycles)
Gemcitabine95.3%89.4%0.13
S-190.7%78.9%0.04
Table 4 Toxicity n (%)
Unresectable(n = 55)
Recurrent(n = 10)
All gradesGrade 3-4All gradesGrade 3-4
Hematological
Leukopenia33 (60)16 (29)9 (90)2 (20)
Neutropenia30 (55)16 (29)9 (90)6 (60)
Anemia41 (75)9 (16)7 (70)1 (10)
Thrombocytopenia25 (45)9 (16)5 (50)0
Non-hematological
Nausea12 (22)1 (2)4 (40)0
Vomiting3 (5)02 (20)0
Anorexia19 (35)2 (4)4 (40)0
Stomatitis14 (25)02 (20)0
Diarrhea7 (13)000
Constipation16 (29)01 (10)0
Pigmentation12 (22)03 (30)0
Skin rash10 (18)3 (5)2 (20)0
Liver dysfunction7 (13)1 (2)00