Review Article

Novel Immunotherapeutic Strategies of Gastric Cancer Treatment

Table 2

Major trials using anti-EGFR monoclonal antibodies.

TreatmentEnrolled patientsDisease stageResponse rateTime to progressionOverall survivalReferences

Cetuximab + Cis/CPT/RT5 EAC, 12 GEJACLocally advanced13% (2/15)NSNS[62]
Cetuximab + Carbo/paclitaxel/RT45 EAC, 3 GAC, 12 SCCLocally advanced27% (13/49)NSNS[63]
Cetuximab + Cis/docetaxel/RT15 EAC/GEJAC, 13 SCCLocally advanced32% (9/28)NSNS[64]
Cetuximab + FOLFOX/RT9 AC, 18 SCCLocally advanced40% (4/10)NSNS[65]
Cetuximab/RT20 EAC 11 GEJAC, 9 SCCLocally advanced36% (13/36)NSNS[66]
Cetuximab/Cis/CPT + surgery + Cetuximab/5-FU/LV/RT20 GAC/GEJACLocally advanced0% (of 18)NSNS[67]
Cetuximab + FOLFIRI4 GEJAC, 34 GACMetastatic
(EGFR +ve)
44% (of 34)8 months16 months[68]
Cetuximab + FUFIRI15 GEJAC, 34 GACMetastatic42% (of 48)8.5 months16.6 months[69]
Cetuximab + FUFOX25 GEJAC, 27 GACMetastatic65% (of 46)7.6 months9.5 months[70]
Cetuximab + 5-FU/Cis verses 5-FU/Cis32 SCC
30 SCC
Metastatic19%
13%
5.7 months
3.6 months
9.5 months
5.5 months
[71]
Cetuximab + CI 5-FU/LV/Cis35 GACMetastatic69%11 months14.5 months[72]
Cetuximab + Cis/docetaxel8 GEJAC, 40 GACUnresectable/meta
static
41% (of 42)NSNS[73]
Cetuximab + oxaliplatin/CPT51 GACMetastatic63% (of 35)6.2 months9.5 months[74]
Cetuximab55 EAC/GEJACMetastatic
(2nd-line)
2%1.8 months4 months[75]
Cetuximab + Cis/CPT1 EAC, 7 GEJAC, 1 SCCMetastatic
(PD on Cis/CPT)
11%1.3 monthsNS[76]
Cetuximab + docetaxel38 NSMetastatic
(PD on docetaxel)
6% (of 35)2.1 months5.2 months[77]
Cetuximab + CPT19 EAC/GEJAC, 8 GAC, 4 SCCMetastatic
(PD on platinum)
6%3.2 monthsNS[78]
Matuzumab2 SCCMetastatic (phase I)1 of 2 patients with 6-month partial response[79]
Matuzumab + ECX5 EAC, 7 GEJAC, 9 GACMetastatic (phase I)65% (of 20)5.2 monthsNS[80]
Panitumumab3 NSMetastatic (phase I)1 of 3 patients with 7-month stable disease[81]

5-FU: 5-fluorouracil; EAC: esophageal adenocarcinoma; Carbo: carboplatin; CI: continuous infusion; Cis: cisplatin; CPT: irinotecan; ECX: epirubicin/cisplatin/capecitabine; FOLFIRI: biweekly bolus 5-FU/leucovorin, irinotecan, infusional 5-FU; FUFIRI: weekly irinotecan/leucovorin/infusional; 5-FUFUFOX: weekly oxaliplatin/leucovorin/infusional 5-FU; LV: leucovorin; GAC: gastric adenocarcinoma; GEJAC: gastroesophageal junction adenocarcinoma; N/A: not applicable; NS: not stated; ORR: objective response rate; OS: overall survival; pCR: pathologic complete response; PD: progressive disease; RT: radiation therapy; SCC: squamous cell carcinoma; TTP: time-to-progression.