Skip to main content
Top
Published in: Clinical and Translational Oncology 12/2020

01-12-2020 | Maintenance Therapy | Review Article

Maintenance treatment in advanced HER2-negative gastric cancer

Authors: Y. Yao, R. Deng, D. Liao, H. Xie, J. Zuo, Y. Jia, F. Kong

Published in: Clinical and Translational Oncology | Issue 12/2020

Login to get access

Abstract

Survival for patients with advanced gastric cancer (GC) remains poor. Systemic chemotherapy which has reached a plateau stays the standard first-line (1L) treatment for advanced human epidermal growth-factor receptor 2 (HER2)-negative GC. To maximize the benefit of 1L treatment, the concept of maintenance treatment is constantly being explored. In advanced HER2-negative GC, current clinical guidelines do not recommend a standard maintenance therapy strategy. In addition to the monotherapy maintenance with fluorouracil after 4–6 cycles of 1L chemotherapy, some agents that are active against novel targets have been evaluated in clinical trials for maintenance treatment. Whereas most of these trials do not reach their primary endpoints, they open new horizons for the 1L treatment of advanced HER2-negative GC. Therefore, we reviewed the clinical trials in the field of maintenance treatment in advanced HER2-negative GC and discussed some of the problems in clinical trials.
Literature
3.
go back to reference Katai H, Ishikawa T, Akazawa K, Isobe Y, Miyashiro I, Oda I, et al. Five-year survival analysis of surgically resected gastric cancer cases in Japan: a retrospective analysis of more than 100,000 patients from the nationwide registry of the Japanese Gastric Cancer Association (2001–2007). Gastric Cancer. 2018;21(1):144–54. https://doi.org/10.1007/s10120-017-0716-7.CrossRefPubMed Katai H, Ishikawa T, Akazawa K, Isobe Y, Miyashiro I, Oda I, et al. Five-year survival analysis of surgically resected gastric cancer cases in Japan: a retrospective analysis of more than 100,000 patients from the nationwide registry of the Japanese Gastric Cancer Association (2001–2007). Gastric Cancer. 2018;21(1):144–54. https://​doi.​org/​10.​1007/​s10120-017-0716-7.CrossRefPubMed
5.
go back to reference Bang Y-J, Van Cutsem E, Feyereislova A, Chung HC, Shen L, Sawaki 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. Lancet. 2010;376(9742):687–97. https://doi.org/10.1016/S0140-6736(10)61121-X.CrossRefPubMed Bang Y-J, Van Cutsem E, Feyereislova A, Chung HC, Shen L, Sawaki 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. Lancet. 2010;376(9742):687–97. https://​doi.​org/​10.​1016/​S0140-6736(10)61121-X.CrossRefPubMed
9.
go back to reference Muro K, Van Cutsem E, Narita Y, Pentheroudakis G, Baba E, Li J, et al. Pan-Asian adapted ESMO clinical practice guidelines for the management of patients with metastatic gastric cancer: a JSMO-ESMO initiative endorsed by CSCO, KSMO, MOS, SSO and TOS. Ann Oncol. 2019;30(1):19–33. https://doi.org/10.1093/annonc/mdy502.CrossRefPubMed Muro K, Van Cutsem E, Narita Y, Pentheroudakis G, Baba E, Li J, et al. Pan-Asian adapted ESMO clinical practice guidelines for the management of patients with metastatic gastric cancer: a JSMO-ESMO initiative endorsed by CSCO, KSMO, MOS, SSO and TOS. Ann Oncol. 2019;30(1):19–33. https://​doi.​org/​10.​1093/​annonc/​mdy502.CrossRefPubMed
10.
go back to reference NCCN. National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology Gastric Cancer, Version 4. 2019. https://www.nccn.org/professionals/\(physician\_gls/default.aspx.\) 2019. Accessed 20 Dec 2019. NCCN. National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology Gastric Cancer, Version 4. 2019. https://​www.​nccn.​org/​professionals/​\(physician\_gls/default.aspx.\) 2019. Accessed 20 Dec 2019.
11.
go back to reference Gridelli C, de Marinis F, Pujol J-L, Reck M, Ramlau R, Parente B, et al. Safety, resource use, and quality of life in paramount: a phase III study of maintenance pemetrexed versus placebo after induction pemetrexed plus cisplatin for advanced nonsquamous non-small-cell lung cancer. J Thorac Oncol. 2012;7(11):1713–21. https://doi.org/10.1097/JTO.0b013e318267cf84.CrossRefPubMed Gridelli C, de Marinis F, Pujol J-L, Reck M, Ramlau R, Parente B, et al. Safety, resource use, and quality of life in paramount: a phase III study of maintenance pemetrexed versus placebo after induction pemetrexed plus cisplatin for advanced nonsquamous non-small-cell lung cancer. J Thorac Oncol. 2012;7(11):1713–21. https://​doi.​org/​10.​1097/​JTO.​0b013e318267cf84​.CrossRefPubMed
13.
go back to reference Goey KKH, Elias SG, van Tinteren H, Laclé MM, Willems SM, Offerhaus GJA, et al. Maintenance treatment with capecitabine and bevacizumab versus observation in metastatic colorectal cancer: updated results and molecular subgroup analyses of the phase 3 CAIRO3 study. Ann Oncol. 2017;28(9):2128–34. https://doi.org/10.1093/annonc/mdx322.CrossRefPubMed Goey KKH, Elias SG, van Tinteren H, Laclé MM, Willems SM, Offerhaus GJA, et al. Maintenance treatment with capecitabine and bevacizumab versus observation in metastatic colorectal cancer: updated results and molecular subgroup analyses of the phase 3 CAIRO3 study. Ann Oncol. 2017;28(9):2128–34. https://​doi.​org/​10.​1093/​annonc/​mdx322.CrossRefPubMed
14.
go back to reference Qiu M-z, Wei X-l, Zhang D-s, Jin Y, Zhou Y-x, Wang D-s. Efficacy and safety of capecitabine as maintenance treatment after first-line chemotherapy using oxaliplatin and capecitabine in advanced gastric adenocarcinoma patients: a prospective observation. Tumour Biol J Int Soc Oncodev Biol Med. 2014;35(5):4369–75. https://doi.org/10.1007/s13277-013-1574-5.CrossRef Qiu M-z, Wei X-l, Zhang D-s, Jin Y, Zhou Y-x, Wang D-s. Efficacy and safety of capecitabine as maintenance treatment after first-line chemotherapy using oxaliplatin and capecitabine in advanced gastric adenocarcinoma patients: a prospective observation. Tumour Biol J Int Soc Oncodev Biol Med. 2014;35(5):4369–75. https://​doi.​org/​10.​1007/​s13277-013-1574-5.CrossRef
16.
go back to reference Wu J, Ryan T, Levinson B, Newman E, Hochster HS, Muggia F. Cisplatin with capecitabine: tolerance and activity in a phase I/II study preferentially enrolling patients with gastric cancer. Anticancer Res. 2012;32(3):939–45.PubMed Wu J, Ryan T, Levinson B, Newman E, Hochster HS, Muggia F. Cisplatin with capecitabine: tolerance and activity in a phase I/II study preferentially enrolling patients with gastric cancer. Anticancer Res. 2012;32(3):939–45.PubMed
23.
25.
go back to reference Meulendijks D, de Groot JWB, Los M, Boers JE, Beerepoot LV, Polee MB, et al. Bevacizumab combined with docetaxel, oxaliplatin, and capecitabine, followed by maintenance with capecitabine and bevacizumab, as first-line treatment of patients with advanced HER2-negative gastric cancer: A multicenter phase 2 study. Cancer. 2016;122(9):1434–43. https://doi.org/10.1002/cncr.29864.CrossRefPubMed Meulendijks D, de Groot JWB, Los M, Boers JE, Beerepoot LV, Polee MB, et al. Bevacizumab combined with docetaxel, oxaliplatin, and capecitabine, followed by maintenance with capecitabine and bevacizumab, as first-line treatment of patients with advanced HER2-negative gastric cancer: A multicenter phase 2 study. Cancer. 2016;122(9):1434–43. https://​doi.​org/​10.​1002/​cncr.​29864.CrossRefPubMed
31.
go back to reference Giessen C, Laubender RP, Ankerst DP, Stintzing S, Modest DP, Mansmann U, et al. Progression-free survival as a surrogate endpoint for median overall survival in metastatic colorectal cancer: literature-based analysis from 50 randomized first-line trials. Clin Cancer Res Off J Am Assoc Cancer Res. 2013;19(1):225–35. https://doi.org/10.1158/1078-0432.Ccr-12-1515.CrossRef Giessen C, Laubender RP, Ankerst DP, Stintzing S, Modest DP, Mansmann U, et al. Progression-free survival as a surrogate endpoint for median overall survival in metastatic colorectal cancer: literature-based analysis from 50 randomized first-line trials. Clin Cancer Res Off J Am Assoc Cancer Res. 2013;19(1):225–35. https://​doi.​org/​10.​1158/​1078-0432.​Ccr-12-1515.CrossRef
36.
go back to reference Bang YJ, Cho JY, Kim YH, Kim JW, Di Bartolomeo M, Ajani JA, et al. Efficacy of sequential ipilimumab monotherapy versus best supportive care for unresectable locally advanced/metastatic gastric or gastroesophageal junction cancer. Clin Cancer Res Off J Am Assoc Cancer Res. 2017;23(19):5671–8. https://doi.org/10.1158/1078-0432.Ccr-17-0025.CrossRef Bang YJ, Cho JY, Kim YH, Kim JW, Di Bartolomeo M, Ajani JA, et al. Efficacy of sequential ipilimumab monotherapy versus best supportive care for unresectable locally advanced/metastatic gastric or gastroesophageal junction cancer. Clin Cancer Res Off J Am Assoc Cancer Res. 2017;23(19):5671–8. https://​doi.​org/​10.​1158/​1078-0432.​Ccr-17-0025.CrossRef
Metadata
Title
Maintenance treatment in advanced HER2-negative gastric cancer
Authors
Y. Yao
R. Deng
D. Liao
H. Xie
J. Zuo
Y. Jia
F. Kong
Publication date
01-12-2020
Publisher
Springer International Publishing
Published in
Clinical and Translational Oncology / Issue 12/2020
Print ISSN: 1699-048X
Electronic ISSN: 1699-3055
DOI
https://doi.org/10.1007/s12094-020-02379-7

Other articles of this Issue 12/2020

Clinical and Translational Oncology 12/2020 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine