Review Article

From Molecular Classification to Targeted Therapeutics: The Changing Face of Systemic Therapy in Metastatic Gastroesophageal Cancer

Table 1

Current and recently completed phase III trials in gastric and gastroesophageal junction cancer.

AgentClinical trialRandomizationNCT identifier

HER2 inhibitors
PertuzumabJACOBPertuzumab in combination with Herceptin and chemotherapy780NCT01774786
T-DM1GATSBYT-DM1 with or without taxane.412NCT01641939
TrastuzumabHELOISEXP-T (standard versus high-dose)400NCT01450696

MET pathway inhibitors
RilotumumabRILOMET-2XP with or without rilotumumab450NCT02137343
RilotumumabRILOMET-1ECX with or without rilotumumab600NCT01697072
OnartuzumabMETGASTRICFOLFOX with or without onartuzumab800NCT01662869

Cancer stemness inhibitor
BBI608BRIGHTERPaclitaxel with or without BBI608680NCT02178956

EGFR inhibitors
PanitumumabREAL-3EOX with or without panitumumab574NCT00824785
CetuximabEXPANDXP with or without cetuximab904NCT00678535

Angiogenesis inhibitors
RamucirumabREGARDRamucirumab versus BSC355NCT00917384
RamucirumabRAINBOWPaclitaxel with or without ramucirumab665NCT01170663
RegorafenibINTEGRATERegorafenib versus BSC150Actrn12612000239864

T-DM1: trastuzumab emtansine; XP: cisplatin, capecitabine; XP-T: cisplatin, capecitabine; T: trastuzumab; ECX: epirubicin, cisplatin, and capecitabine; FOLFOX: 5FU, folinic acid, and oxaliplatin; EOX: epirubicin, oxaliplatin, and capecitabine; BSC: best supportive care.