晚期胃癌化疗及分子靶向治疗研究进展

高丹丹 刘磊 白玉贤

高丹丹, 刘磊, 白玉贤. 晚期胃癌化疗及分子靶向治疗研究进展[J]. 中国肿瘤临床, 2012, 39(23): 1978-1981. doi: 10.3969/j.issn.1000-8179.2012.23.028
引用本文: 高丹丹, 刘磊, 白玉贤. 晚期胃癌化疗及分子靶向治疗研究进展[J]. 中国肿瘤临床, 2012, 39(23): 1978-1981. doi: 10.3969/j.issn.1000-8179.2012.23.028
Dandan GAO, Lei LIU, Yuxian BAI. Advancement in Chemotherapy and Molecular Targeted Therapy of Advanced Gastric Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2012, 39(23): 1978-1981. doi: 10.3969/j.issn.1000-8179.2012.23.028
Citation: Dandan GAO, Lei LIU, Yuxian BAI. Advancement in Chemotherapy and Molecular Targeted Therapy of Advanced Gastric Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2012, 39(23): 1978-1981. doi: 10.3969/j.issn.1000-8179.2012.23.028

晚期胃癌化疗及分子靶向治疗研究进展

doi: 10.3969/j.issn.1000-8179.2012.23.028
详细信息
    通讯作者:

    白玉贤   Baiyuxian@163.com

Advancement in Chemotherapy and Molecular Targeted Therapy of Advanced Gastric Cancer

More Information
  • 摘要: 目前化疗仍然是晚期胃癌的主要治疗手段, 但尚无标准方案。与最佳支持治疗相比, 化疗可延长患者中位生存期, 提高其生存质量。近年来, 随着各种新型抗癌药物的出现, 化疗方案不断演进, 晚期胃癌的治疗有效率和生存期得到进一步提高。同时, 随着胃癌分子生物学研究的不断深入, 针对人表皮生长因子受体2(HER-2)、表皮生长因子受体(EGFR)、血管内皮生长因子(VEGF)的分子靶向治疗成为胃癌综合治疗的热点。化疗联合分子靶向治疗在晚期胃癌中显示出良好的治疗效果及前景, 但仍需在临床研究和实践中进一步调整和优化。本文将结合最新文献, 对晚期胃癌的化疗及分子靶向治疗进行综述。

     

  • [1] Wagner AD, Unverzagt S, Grothe W, et al. Chemotherapy for advanced gastric cancer[J]. Cochrane Database Syst Rev, 2010, 3: CD004064. http://www.onacademic.com/detail/journal_1000040180829710_93ed.html
    [2] Power DG, Kelsen DP, Shah MA. Advanced gastric cancer-slow but steady progress[J]. Cancer Treat Rev, 2010, 36(5): 384-392. doi: 10.1016/j.ctrv.2010.01.005
    [3] Koizumi W, Narahara H, Hara T, et al. S-1 plus cisplatin versus S-1 alone for first-line treatment of advanced gastric cancer (SPIRITS trial): a Phase 3 trial[J]. Lancet Oncol, 2008, 9(3): 215-221. doi: 10.1016/S1470-2045(08)70035-4
    [4] Yun J, Lee J, Park SH, et al. A randomised Phase 2 study of combination chemotherapy with epirubicin cisplatin and capecitabine (ECX) or cisplatin and capecitabine (CX) in advanced gastric cancer[J]. Eur J Cancer, 2010, 46(5): 885-891. doi: 10.1016/j.ejca.2009.12.015
    [5] Pozzo C, Ohashi Y. Meta-analysis of randomized trials assessing the influence of chemotherapy and prognostic factor in advanced/recurrent gastric cancer[J]. J Clin Oncol, 2009, 27(15): Abstract 4550. http://europepmc.org/abstract/MED/27963035
    [6] Shah MA, Stoller R, Shibata S, et al. Random assignment multicenter Phase 2 study of modified docetaxel Cisplatin, fluorouracil (mDCF) versus DCF with growth factor support (GCSF) in metastatic gastroesophageal adenocarcinoma (GE) [J]. Gastrointestinal Cancers Symposium, 2010, 46: 22-24.
    [7] Okines AF, Norman AR, McCloud P, et al. Meta-analysis of the REAL-2 and ML17032 trials: evaluating capecitabine-based combination chemotherapy and infused 5-fluorouracil-based combinationchemotherapy for the treatment of advanced oesophago-gastric cancer[J]. Ann Oncol, 2009, 20(9): 1529-1534. doi: 10.1093/annonc/mdp047
    [8] Ma BB, Hui EP, Mok TS. Population-based differences in treatment outcome following anticancer drug therapies[J]. Lancet Oncol, 2010, 11(1): 75-84. doi: 10.1016/S1470-2045(09)70160-3
    [9] 谈凯, 谢敏. 奥沙利铂联合卡培他滨在Ⅱ~Ⅲ期胃癌术后化疗中的疗效观察[J]. 中国肿瘤临床, 2011, 38(18): 1166-1168. doi: 10.3969/j.issn.1000-8179.2011.18.028
    [10] Kang Y, Ohtsu A, Van Cutsem E, et al. AVAGAST: a randomized, double-blind, placebo-controlled Phase 3 study of first-line capecitabine and cisplatin plus bevacizumab or placebo in patients with advanced gastric cancer (AGC)[J]. J Clin Oncol, 2010, 28(Suppl 18): Abstract LBA4007. http://europepmc.org/abstract/MED/27937466
    [11] Thuss-Patience P, Kretzschmar A, Bichev D, et al. Survival advantage for irinotecan versus best supportive care as second-line chemotherapy in gastric cancer-a randomised Phase Ⅲ study of the Arbeitsgemeinschaft Internistische Onkologie (AIO[J]. Eur J Cancer, 2011, 47(15): 2306-2314. doi: 10.1016/j.ejca.2011.06.002
    [12] Park SH, Lim DH, Park K, et al. A multicenter, randomized Phase 3 trial comparing second-line chemotherapy (SLC) plus best supportive care (BSC) with BSC alone for pretreated advanced gastric cancer (AGC)[J]. J Clin Oncol, 2012, 30(13): 1513-1518. doi: 10.1200/JCO.2011.39.4585
    [13] Gubanski M, Johnsson A, Fernebro E, et al. Randomized Phase 2 study of sequentialdocetaxel and irinotecan with 5-fluorouracil/folinic acid (leucovorin) in patients with advanced gastric cancer: the GATAC trial Gastric cancer taxotere vs Campto trial (GATAC)study group[J]. Gastric Cancer, 2010, 13(3): 155-161. doi: 10.1007/s10120-010-0553-4
    [14] Bang Y, Chung H, Xu J, et al. Pathological features of advanced gastric cancer (GC): relationship to human epidermal growth factor receptor 2 (HER2) positivity in the global screening programme of the ToGA trial[J]. J Clin Oncol, 2009, 27(15s): Abstract 4556.
    [15] Bang YJ, Van Cutsem E, Feyereislova A, et al. Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced gastric or gastro-oesophageal junction cancer (ToGA): a Phase 3, open-label, randomised controlled trial[J]. Lancet, 2010, 376(9742): 687-697. doi: 10.1016/S0140-6736(10)61121-X
    [16] Lordick F, Luber B, Lorenzen S, el al. Cetuximab plus oxaliplatin/leucovorin/5-fluorouracil in first-line metastatic gastric cancer: a phase Ⅱ study of the Arbeitsgemeinschaft Internistische Onkologie(AIO)[J]. Br J Cancer, 2010, 102(3): 500-505. doi: 10.1038/sj.bjc.6605521
    [17] Dragovich T, McCoy S, Fenoglio-Preiser CM, et al. Phase 2 trial of erlotinib in gastroesophageal junction and gastric adenocarcinomas[J]. J Clin Oncol, 2006, 24(30): 4922-4927. doi: 10.1200/JCO.2006.07.1316
    [18] Sun W, Powell M, O'Dwyer PJ, et al. Phase 2 study of sorafenib in combination with docetaxel and cisplatin in the treatment of metastatic or advanced gastric and gastroesophageal junction adenocarcinoma[J]. J Clin Oncol, 2010, 28(18): 2947-2951. doi: 10.1200/JCO.2009.27.7988
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出版历程
  • 收稿日期:  2012-06-18
  • 修回日期:  2012-09-27

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