Ramucirumab and paclitaxel in patients with gastric cancer and prior trastuzumab: subgroup analysis from RAINBOW study

被引:30
|
作者
De Vita, Ferdinando [1 ]
Borg, Christophe [2 ]
Farina, Gabriella [3 ]
Geva, Ravit [4 ]
Carton, Iris [5 ]
Cuku, Hera [6 ]
Wei, Ran [7 ]
Muro, Kei [8 ]
机构
[1] Univ Campania Luigi Vanvitelli, Dept Precis Med, Div Med Oncol, I-80138 Naples, Italy
[2] Univ Hosp Besancon, Dept Med Oncol, F-25000 Besancon, France
[3] Fatebenefratelli Sacco Hosp, Dept Med Oncol, I-20121 Milan, Italy
[4] Tel Aviv Univ, Oncol Div, IL-6997801 Tel Aviv, Israel
[5] Eli Lilly & Co, B-1000 Brussels, Belgium
[6] Eli Lilly & Co, I-50019 Florence, Italy
[7] Eli Lilly & Co, Indianapolis, IN 46285 USA
[8] Aichi Canc Ctr Hosp, Dept Clin Oncol, Nagoya, Aichi 4648681, Japan
关键词
gastric cancer; HER-2; inhibitor; prior trastuzumab; ramucirumab plus paclitaxel; targeted therapy; VEGFR-2; ENDOTHELIAL GROWTH-FACTOR; ADENOCARCINOMA; CHEMOTHERAPY; MULTICENTER;
D O I
10.2217/fon-2019-0243
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aim: This subgroup analysis of the RAINBOW study evaluated the efficacy and safety of ramucirumab in patients with gastric cancer/gastroesophageal junction adenocarcinoma who received prior trastuzumab therapy. Patients & methods: Of adult patients enrolled in the RAINBOW study, 39 had received prior trastuzumab therapy. Of these, 20 patients were treated with ramucirumab plus paclitaxel and 19 patients with placebo plus paclitaxel within the RAINBOW trial. Results: Overall survival was longer with ramucirumab plus paclitaxel (11.4 months; 95% CI: 7.0-17.9) versus placebo plus paclitaxel (7.0 months; 95% CI: 3.4-14.6), hazard ratio: 0.68 (0.33-1.41); p = 0.30. Longer progression-free survival, higher objective response were observed in ramucirumab combination group. Conclusion: Ramucirumab plus paclitaxel demonstrated efficacy benefits with manageable safety profile in a subgroup of patients pretreated with trastuzumab.
引用
收藏
页码:2723 / 2731
页数:9
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