@article{3148555, title = "Phase II Study of Gemcitabine Plus Docetaxel as Second-Line Treatment in Malignant Pleural Mesothelioma A Single Institution Study", author = "Tourkantonis, Ioannis and Makrilia, Nektaria and Ralli, Maria and and Alamara, Christina and Nikolaidis, Ilias and Tsimpoukis, Sotirios and and Charpidou, Andriani and Kotanidou, Anastasia and Syrigos, Kostas", journal = "AMERICAN JOURNAL OF CLINICAL ONCOLOGY - CANCER CLINICAL TRIALS", year = "2011", volume = "34", number = "1", pages = "38-42", publisher = "Lippincott, Williams & Wilkins", issn = "0277-3732", doi = "10.1097/COC.0b013e3181cae90e", keywords = "docetaxel; gemcitabine; mesothelioma; second-line chemotherapy", abstract = "Objective: The combinations of cisplatin-pemetrexed and cisplatin-gemcitabine are considered the standard systemic therapy for malignant pleural mesothelioma (MPM), which is a rapidly progressive tumor. The purpose of the present study is to evaluate the efficacy, safety, and clinical benefit of the gemcitabine plus docetaxel regimen in the second-line treatment of this disease. Patients and Methods: A total of 37 patients with MPM were treated with the combination of docetaxel (80 mg/m(2)) and gemcitabine (1000 mg/m(2)) on day 1 and 14 of a 28-day cycle. The regimen was repeated for a maximum of 6 cycles or until disease progression or unacceptable toxicity. Results: There was partial response of the disease in 7 patients (18.9%), whereas it remained stable in 23 patients (62.2%) and progressed in 7 patients (18.9%). The median time to disease progression was 7 months (range: 5.8-8.2 months) with a mean survival of 16.2 months (range: 13-19.3 months). Conclusion: The biweekly administration of docetaxel and gemcitabine, along with granulocyte colony-stimulating factor support, constitutes a safe, tolerable, and convenient regimen for the treatment of MPM, suggesting that this combination may be a viable option, especially in previously treated patients." }