Advances in Systemic Therapy for Metastatic or Advanced Gastric Cancer

被引:21
作者
Shitara, Kohei [1 ]
Ohtsu, Atsushi [1 ]
机构
[1] Natl Canc Ctr Hosp East, Dept Gastrointestinal Oncol, Kashiwa, Chiba, Japan
来源
JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK | 2016年 / 14卷 / 10期
关键词
RANDOMIZED PHASE-III; DOUBLE-BLIND; 1ST-LINE THERAPY; PLUS PACLITAXEL; OPEN-LABEL; SUPPORTIVE CARE; TRIAL; ADENOCARCINOMA; CHEMOTHERAPY; CAPECITABINE;
D O I
10.6004/jnccn.2016.0138
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In recent years, various new agents have been investigated for the treatment of advanced gastric cancer (AGC). The anti-HER2 antibody trastuzumab has been shown to prolong the overall survival of patients with HER2-positive AGC and has become a standard treatment. However, lapatinib, or ado-trastuzumab emtansine (T-DM1), did not show survival benefit in AGC, although it has shown remarkable efficacy for HER2-positive breast cancer. The efficacy of the anti vascular endothelial growth factor receptor monoclonal antibody ramucirumab for pretreated gastric cancer is a milestone for antiangiogenic therapy for AGC. Early clinical trials of TAS-118, TAS-102, and STAT3 inhibitors; IMAB362 (anti Claudin 18.2); and immune checkpoint inhibitors are all encouraging. These findings warrant further evaluation in larger clinical trials.
引用
收藏
页码:1313 / 1320
页数:8
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