Lessons Learned: Adding docetaxel to the modified FOLFOX7 backbone (DOF) is a feasible three-drug combination therapy for advanced gastric cancer with high activity, providing evidence that leucovorin is not necessary in this setting.The DOF regimen represents an alternative to the FLOT (5-FU 2,600 mg/m as 24-hour infusion with leucovorin 200 mg/m, oxaliplatin 85 mg/m, and docetaxel 50 mg/m) regimen that can be considered in select patients with advanced gastric cancer and is a potential choice in the curative setting.
Background: The combination of docetaxel, cisplatin, and 5-fluorouracil (5-FU) demonstrates high response rates in advanced gastric cancer, albeit with increased toxicity.