Maintenance in gastric cancer: New life for an old issue?


Journal

Critical reviews in oncology/hematology
ISSN: 1879-0461
Titre abrégé: Crit Rev Oncol Hematol
Pays: Netherlands
ID NLM: 8916049

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 04 08 2020
revised: 06 02 2021
accepted: 03 03 2021
pubmed: 24 3 2021
medline: 21 4 2021
entrez: 23 3 2021
Statut: ppublish

Résumé

The interest in maintenance therapy for patients with advanced cancers has been rapidly growing. Maintenance therapy is a useful strategy that may strengthen results of induction therapy thus extending survival and preserving the quality of life (QoL) with less toxicity. Maintenance also represents a suitable setting to investigate novel agents. The value of maintenance therapy after first-line chemotherapy has been well established in several solid tumours, such as colorectal, lung, breast, and ovarian cancer in which it is largely adopted. To date, there is no established role for maintenance therapy following first-line chemotherapy for advanced gastric cancer (GC). This review summarizes the current knowledge regarding maintenance strategies in advanced GC exploring cytotoxic agents, biologic agents and immunotherapy. We also critically review new issues to optimize randomized clinical trials for maintenance therapies and suggest clinical consideration to guide a personalized approach in daily clinical practice for this setting.

Identifiants

pubmed: 33753249
pii: S1040-8428(21)00095-0
doi: 10.1016/j.critrevonc.2021.103307
pii:
doi:

Substances chimiques

Antineoplastic Agents 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

103307

Informations de copyright

Copyright © 2021 Elsevier B.V. All rights reserved.

Auteurs

Giandomenico Roviello (G)

Department of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Viale Pieraccini, 6, 50139, Florence, Italy. Electronic address: giandomenico.roviello@unifi.it.

Maria Grazia Rodriquenz (MG)

Oncology Unit, Foundation IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.

Giuseppe Aprile (G)

Department of Oncology, San Bortolo General Hospital, Vicenza, Italy.

Alberto D'Angelo (A)

Department of Biology and Biochemistry, University of Bath, Bath, BA2 7AY, United Kingdom.

Franco Roviello (F)

Department of Medical, Surgical and Neuro Sciences, Section of Surgery, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.

Stefania Nobili (S)

Department of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Viale Pieraccini, 6, 50139, Florence, Italy.

Enrico Mini (E)

Department of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Viale Pieraccini, 6, 50139, Florence, Italy.

Italo Sarno (I)

Division of Medical Oncology, Department of Onco-Hematology, IRCCS-CROB, Referral Cancer Center of Basilicata, Rionero in Vulture (PZ), Italy.

Karol Polom (K)

Department of Medical, Surgical and Neuro Sciences, Section of Surgery, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy; Department of Surgical Oncology, Gdansk Medical University, Gdansk, Poland.

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Classifications MeSH