Skip to main content

Advertisement

Log in

The role of maintenance strategies in upper gastrointestinal (GI) and pancreatic carcinoma

  • short review
  • Published:
memo - Magazine of European Medical Oncology Aims and scope Submit manuscript

Abstract

Cancers of the upper gastrointestinal tract and pancreas are still among the most devastating neoplastic diseases. Cure is achieved only if the diagnosis is made at an early stage. Given the low incidence of these neoplasias in the Western world, surveillance programs are not available and practicable; therefore, most of the patients suffering from these cancers are diagnosed in a locally advanced or metastatic stage and treated in a palliative setting. Treatment response and duration is crucial and maintenance strategies are therefore desperately warranted. Molecular targeted therapies with a low toxicity profile could make ideal proponents for this attempt. This short review summarizes the relevant trials investigating maintenance treatments in esophageal cancer, gastric cancer and pancreatic cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rodriguez CP, Adelstein DJ, Rice TW, Rybicki LA, Videtic GM, Saxton JP, et al. A phase II study of perioperative concurrent chemotherapy, gefitinib, and hyperfractionated radiation followed by maintenance gefitinib in locoregionally advanced esophagus and gastroesophageal junction cancer. J Thorac Oncol. 2010;5(2):229–35.

    Article  PubMed  Google Scholar 

  2. Van Cutsem E, de Haas S, Kang YK, Ohtsu A, Tebbutt NC, Ming Xu J, et al. Bevacizumab in combination with chemotherapy as first-line therapy in advanced gastric cancer: a biomarker evaluation from the AVAGAST randomized phase III trial. J Clin Oncol. 2012;30(17):2119–27.

    Article  PubMed  Google Scholar 

  3. Bang YJ, Van Cutsem E, Feyereislova A, Chung HC, Shen L, Sawaki A, et al. Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced gastric or gastro-oesophageal junction cancer (ToGA): a phase 3, open-label, randomised controlled trial. Lancet. 2010;376(9742):687–97.

    Article  PubMed  CAS  Google Scholar 

  4. Hegewisch-Becker S, et al. Trastuzumab (TRA) in combination with different first-line chemotherapies for treatment of HER2-positive metastatic gastric or gastroesophageal junction cancer (MGC): Findings from the German noninterventional observational study HerMES. J Clin Oncol. 2012;30(suppl; abstr 4065).

  5. Waddell TS, et al. A randomized multicenter trial of epirubicin, oxaliplatin, and capecitabine (EOC) plus panitumumab in advanced esophagogastric cancer (REAL3). J Clin Oncol 2012;30:(suppl; abstr LBA4000)

  6. Lordick F, et al. Cetuximab in combination with capecitabine and cisplatin as first line treatment in advanced gastric cancer: randomized controlled phase III EXPAND study. ESMO 2012:abstr LBA3.

  7. Ohtsu A, Shah MA, Van Cutsem E, Rha SY, Sawaki A, Park SR, et al. Bevacizumab in combination with chemotherapy as first-line therapy in advanced gastric cancer: a randomized, double-blind, placebo-controlled phase III study. J Clin Oncol. 2011;29(30):3968–76.

    Article  PubMed  CAS  Google Scholar 

  8. Moore MJ, Goldstein D, Hamm J, Figer A, Hecht JR, Gallinger S, et al. Erlotinib plus gemcitabine compared with gemcitabine alone in patients with advanced pancreatic cancer: a phase III trial of the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol. 2007;25(15):1960–6.

    Article  PubMed  CAS  Google Scholar 

  9. Conroy T, Desseigne F, Ychou M, Bouche O, Guimbaud R, Becouarn Y, et al. FOLFIRINOX versus gemcitabine for metastatic pancreatic cancer. N Engl J Med. 2011;364(19):1817–25.

    Article  PubMed  CAS  Google Scholar 

  10. Reni M, et al. Maintenance sunitinib or observation in metastatic pancreatic adenocarcinoma: clinical and translational results of a phase II randomized trial. J Clin Oncol. 2012;30:(suppl; abstr 4017).

Download references

Conflict of interest

The author declares that there is no actual or potential conflict of interest in relation to this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ewald Wöll MD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wöll, E. The role of maintenance strategies in upper gastrointestinal (GI) and pancreatic carcinoma. memo 6, 26–28 (2013). https://doi.org/10.1007/s12254-013-0073-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12254-013-0073-0

Keywords

Navigation