Objective To evaluate the clinica1 efficacy and toxicity of docetaxo1 plus5Fu and cisplatin in the treatment of advanced gastric cancer.Methods Fifty-eight patients with advanced gastric cancer were randomly divided into 2groups.One group received docetaxol,5-Fu and cisplatin(DCF regimen,trial group),the other received epirubicin,5-Fu and cisplatin(ECF regimen,control group).Both regimens were repeated every 3 weeks.Results The tota1 response rate(CR + PR) was 36.6%(11 /30) in the trial group,and 28.5%(8 /28) in the control group.There was no significant difference between 2 groups(P 0.05).The main toxicity had no significant difference between 2 groups.Conclusion Docetaxol plus 5Fu and cisplatin were effective in treating advanced gastric cancer,the toxicity is mild and tolerable for most patients.