Published in:
01-12-2019 | Case Report
Pazopanib Monotherapy Is Active in Relapsed and Refractory Metastatic Gastroesophageal Adenocarcinoma and Can Produce Durable Response
Authors:
Vineet Govinda Gupta, Ranga Rao Rangaraju, Rajat Saha, Peush Bajpai
Published in:
Journal of Gastrointestinal Cancer
|
Issue 4/2019
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Excerpt
Metastatic gastroesophageal adenocarcinomas (GEA) constitute a challenging treatment problem. Two-thirds of all patients will either present with or develop metastatic disease over the course of their therapy. Despite advances in treatment, the prognosis of metastatic GEA remains poor with a median survival of less than 1 year, except perhaps for HER2/
neu-amplified patients who can achieve better outcomes with the integration of HER2-directed targeted therapy [
1]. The standard systemic therapy for metastatic GEA comprises palliative-intent chemotherapy, with multiple active agents given in several sequential “lines” of therapy. The most active agents tend to be platinum agents, fluoropyrimidines, and taxanes. However, fitness for chemotherapy, response rates, and progression-free survival drops from one line to the next due to disease progression and side effects of previous treatment. …