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Multicenter phase II study of trastuzumab plus S-1 alone in elderly patients with HER2-positive advanced gastric cancer (JACCRO GC-06)

机译:曲妥珠单抗加S-1在老年HER2阳性晚期胃癌患者中的多中心II期研究(JACCRO GC-06)

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摘要

BackgroundS-1 plus cisplatin is a standard regimen for advanced gastric cancer (AGC) in Asia. The ToGA trial established a fluoropyrimidine plus cisplatin and trastuzumab as a standard treatment for human epidermal growth factor receptor 2 (HER2)-positive AGC. In the HERBIS-1 trial, trastuzumab combined with S-1 plus cisplatin showed promising antitumor activity in patients with HER2-positive AGC. However, cisplatin has several important drawbacks, including vomiting and renal toxicity. These disadvantages of cisplatin are prominent in elderly patients. Therefore, we conducted a prospective phase II study of trastuzumab plus S-1 without cisplatin in elderly patients with HER2-positive AGC.
机译:背景S-1加顺铂是亚洲晚期胃癌(AGC)的标准治疗方案。 ToGA试验建立了氟嘧啶加顺铂和曲妥珠单抗作为人表皮生长因子受体2(HER2)阳性AGC的标准治疗方法。在HERBIS-1试验中,曲妥珠单抗联合S-1加顺铂对HER2阳性AGC患者显示出有希望的抗肿瘤活性。但是,顺铂有几个重要的缺点,包括呕吐和肾毒性。顺铂的这些缺点在老年患者中很明显。因此,我们对患有HER2阳性AGC的老年患者进行了曲妥珠单抗加S-1(不含顺铂)的前瞻性II期研究。

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