Radiochemotherapy with or without cetuximab for unresectable esophageal cancer: final results of a randomized phase 2 trial (LEOPARD-2).


Journal

Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]
ISSN: 1439-099X
Titre abrégé: Strahlenther Onkol
Pays: Germany
ID NLM: 8603469

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 09 04 2020
accepted: 23 05 2020
pubmed: 14 6 2020
medline: 15 12 2020
entrez: 14 6 2020
Statut: ppublish

Résumé

To investigate the efficacy and toxicity of cetuximab when added to radiochemotherapy for unresectable esophageal cancer. This randomized phase 2 trial (clinicaltrials.gov, identifier NCT01787006) compared radiochemotherapy plus cetuximab (arm A) to radiochemotherapy (arm B) for unresectable esophageal cancer. Primary objective was 2‑year overall survival (OS). Arm A was considered insufficiently active if 2‑year OS was ≤40% (null hypothesis = H Two-year OS was 71% in arm A (95% CI: 55-87%) vs. 53% in arm B (95% CI: 36-71%); H Given the limitations of this trial, radiochemotherapy plus cetuximab was feasible. There was a trend towards improved PFS and MFS. Larger studies are required to better define the role of cetuximab for unresectable esophageal cancer.

Identifiants

pubmed: 32533228
doi: 10.1007/s00066-020-01646-4
pii: 10.1007/s00066-020-01646-4
pmc: PMC7449950
doi:

Substances chimiques

Antineoplastic Agents, Immunological 0
Cetuximab PQX0D8J21J

Banques de données

ClinicalTrials.gov
['NCT01787006']

Types de publication

Clinical Trial, Phase II Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

795-804

Références

Ann Oncol. 2009 Oct;20(10):1667-73
pubmed: 19549707
Br J Cancer. 2011 Feb 1;104(3):427-32
pubmed: 21245865
Strahlenther Onkol. 2018 May;194(5):435-443
pubmed: 29349603
Lancet Oncol. 2010 Jan;11(1):21-8
pubmed: 19897418
J Clin Oncol. 2017 Mar;35(7):718-726
pubmed: 28068178
Int J Radiat Oncol Biol Phys. 2010 Mar 1;76(3 Suppl):S10-9
pubmed: 20171502
J Thorac Oncol. 2012 May;7(5):906-12
pubmed: 22481235
Cancer. 1994 Aug 1;74(3):795-804
pubmed: 8039107
J Clin Oncol. 2014 Sep 20;32(27):2940-50
pubmed: 25154822
Strahlenther Onkol. 2019 Apr;195(4):327-334
pubmed: 30361744
N Engl J Med. 1992 Jun 11;326(24):1593-8
pubmed: 1584260
Eur J Cancer. 2009 Jan;45(2):228-47
pubmed: 19097774
Int J Radiat Oncol Biol Phys. 2008 Feb 1;70(2):391-5
pubmed: 17980508
J Clin Oncol. 2007 Apr 1;25(10):1160-8
pubmed: 17401004
Oncologist. 2013;18(3):281-7
pubmed: 23429739
Anticancer Res. 2017 May;37(5):2703-2708
pubmed: 28476848
Br J Cancer. 2017 Mar 14;116(6):709-716
pubmed: 28196063
JAMA Oncol. 2017 Nov 1;3(11):1520-1528
pubmed: 28687830
Clin Cancer Res. 2000 Feb;6(2):701-8
pubmed: 10690556
J Clin Oncol. 2004 Jan 1;22(1):175-84
pubmed: 14701780
Lancet Oncol. 2013 Jun;14(7):627-37
pubmed: 23623280
Radiat Oncol. 2019 Oct 17;14(1):178
pubmed: 31623639
Int J Radiat Oncol Biol Phys. 2004 Mar 1;58(3):984-90
pubmed: 14967460
Oncologist. 2020 Jan;25(1):e53-e59
pubmed: 31227647
J Clin Oncol. 2011 Feb 20;29(6):626-31
pubmed: 21205757
Int J Radiat Oncol Biol Phys. 2010 Nov 1;78(3):675-81
pubmed: 20133084
CA Cancer J Clin. 2020 Jan;70(1):7-30
pubmed: 31912902
J Clin Oncol. 2005 Apr 1;23(10):2310-7
pubmed: 15800321
Biometrics. 1982 Mar;38(1):143-51
pubmed: 7082756
Clin Cancer Res. 1996 May;2(5):909-14
pubmed: 9816249
Cancer Sci. 2012 Nov;103(11):1979-84
pubmed: 22845557
Eur J Cancer. 2016 Mar;56:115-121
pubmed: 26845174
Strahlenther Onkol. 2018 Feb;194(2):116-124
pubmed: 28916906
Oncologist. 2014 Jan;19(1):32-3
pubmed: 24335595
Brachytherapy. 2020 Jan - Feb;19(1):104-110
pubmed: 31636025
Int J Radiat Oncol Biol Phys. 2008 Mar 15;70(4):1108-14
pubmed: 17905528
Ann Oncol. 2018 Jun 1;29(6):1386-1393
pubmed: 29635438
Dis Esophagus. 1998 Oct;11(4):221-5
pubmed: 10071802
N Engl J Med. 2012 May 31;366(22):2074-84
pubmed: 22646630
Cancer Biother Radiopharm. 1999 Dec;14(6):451-63
pubmed: 10850332
Strahlenther Onkol. 2018 Nov;194(11):1007-1016
pubmed: 29872880
Radiother Oncol. 2019 May;134:74-80
pubmed: 31005227

Auteurs

Dirk Rades (D)

Department of Radiation Oncology, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany. Rades.Dirk@gmx.net.

Tobias Bartscht (T)

Department of Hematology and Oncology, University of Lübeck, Lübeck, Germany.

Peter Hunold (P)

Department of Radiology and Nuclear Medicine, University of Lübeck, Lübeck, Germany.

Heinz Schmidberger (H)

Department of Radiation Oncology, Johannes-Gutenberg University Mainz, Mainz, Germany.

Laila König (L)

Department of Radiation Oncology, University of Heidelberg, Heidelberg, Germany.

Jürgen Debus (J)

Department of Radiation Oncology, University of Heidelberg, Heidelberg, Germany.

Claus Belka (C)

Department of Radiation Oncology, Ludwig-Maximillians University, Munich, Germany.

Nils Homann (N)

Medical Department II, Klinikum Wolfsburg, Wolfsburg, Germany.

Patrick Spillner (P)

Department of Radiation Oncology, Eberhard-Karls University, Tübingen, Germany.

Cordula Petersen (C)

Department of Radiotherapy and Radiation Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Thomas Kuhnt (T)

Department of Radiation Oncology, University Hospital Leipzig, Leipzig, Germany.

Rainer Fietkau (R)

Department of Radiation Oncology, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.

Karsten Ridwelski (K)

Department of General and Visceral Surgery, Klinikum Magdeburg, Magdeburg, Germany.

Kerstin Karcher-Kilian (K)

Practice for Gastroenterology, Diabetology, Oncology and Hematology Lübeck, Lübeck, Germany.

Anne Kranich (A)

Gesellschaft für Studienmanagement und Onkologie mbH, Hamburg, Germany.

Sofia Männikkö (S)

Pharma Ltd, Turku, Finland.

Steven E Schild (SE)

Department of Radiation Oncology, Mayo Clinic Scottsdale, AZ, USA.

Annett Maderer (A)

1st Department of Internal Medicine, Johannes Gutenberg-University Mainz, Mainz, Germany.

Markus Moehler (M)

1st Department of Internal Medicine, Johannes Gutenberg-University Mainz, Mainz, Germany.

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Classifications MeSH