Individual Approach In Treatment Of Advanced Stomach Cancer

  • D Juraev National Research Centre of Oncology, Tashkent
  • M Egamberdiev National Research Centre of Oncology, Tashkent
  • S Khudayorov National Research Centre of Oncology, Tashkent
  • N Tuyev National Research Centre of Oncology, Tashkent
Keywords: Stomach Cancer, Chemotherapy, Target Therapy

Abstract

Background: To study efficiency of the combined treatment of advanced gastric cancer with inclusion Trastuzumab.

Material: We present the intermediate analysis of the use of target therapy with Trastuzumab in patients with a HER2-positive gastric cancer. Up to 01.10.2009y 118 patients have been tested for HER-2 expression, and in 24 gastric cancer patients it is revealed HER2-positive status of tumor. It is lead chemotherapy to all patients by the PLF regimen and Herceptin in doze 6 mg/kg once in 3 weeks (6 cycles). In control group in 26 patients it is lead only chemotherapy by the PLF regimen once in 3 weeks without addition Trastuzumab (6 cycles).

Results:  At the moment of the analysis of preliminary data, the median remission duration in compared groups has made 8.3 months, and 5.2 months, accordingly.

Conclusion: At advanced gastric cancer with high level HER-2 expression Trastuzumab increases frequency of objective effect and the median remission duration.

References

Aksel E. M. Condition of the oncological service to the population of Russia and the CIS countries in 2005 // Vestnik of N.N.Blohina of Russian Academy of Medical Science - 2007. - Т. 18, №2. – P. 8-51.

Davidov M. I., Aksel E. M. Death rate of the population of Russia and CIS countries from malignant tumors in 2005 // Vestnik of N.N.Blohina of Russian Academy of Medical Science, 2007. - Т.18, №2, - P. 90-120.

Karaseva V.V., Jerlov G.K., Lazerev A. F. The combined chemotherapy in disseminated stomach cancer // Russian ocological journal. - 2004. - №5. - P. 28-30.

Andrés Cervantes, Rosello S., Roda D. et al. The treatment of advanced gastric cancer: current strategies and future perspectives // ESMO Conference Lugano. Switzerland, (Lugano), 2008. Symposium lecture. - P. 103-107.

American Cancer Society. Global Cancer Facts and Figures 2007

Ohtsu A. J Gastroenterol 2008; 43:256-264

Hofmann M, Stoss O, Shi D, Buttner R, van d, V, Kim W et al. Assessment of a HER2 scoring system for gastric cancer: results from a validation study. Histopathology 2008; 52 (7):797-805.

Park DI, Yun JW, Park JH, Oh SJ, Kim HJ, Cho YK et al. HER-2/neu amplification is an independent prognostic factor in gastric cancer. Dig Dis Sci 2006; 51 (8):1371-1379.

Sasako M. Multimodal treatment of resectable gastric cancer: The Asian view // 10th World Congress on Gastrointestinal Cancer. Spain, (Barcelona), 2008. - P.153-161.

Van Cutsem et al. Abstract #7BA ECCO/ESMO 2009

Published
2010-04-01
Section
Articles