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Page Background

Targeted therapies?

EGFR:

The SCOPE1 trial: addition of cetuximab to standard chemoradiation for localized

esophageal cancers

Stop before phase 3 chemoradiation plus cetuximab

shorter median OS

and more grade 3 and 4 toxicities

Crosby T, Hurt CN, Falk S, Gollins S, Mukherjee S, Staffurth J, et al. Chemoradiotherapy with or without

cetuximab in patients with oesophageal cancer (SCOPE1): A multicentre, phase 2/3 randomised trial. Lancet

Oncol. 2013;14(7):627–37

HER2:

Overexpressed in gastric & GEJ tumor

Positive TOGA trial

RTOG 1010 ongoing

VEGF:

AVAGAST trial randomized inoperable locally advanced or metastatic gastric or

GEJ adenocarcinomas to bevacizumab or placebo with capecitabine and cisplatin

Survival did not reach statistical significance

Shen L, Li J, Xu J, Pan H, Dai G, Qin S, et al. Bevacizumab plus capecitabine and cisplatin in chinese

patients with inoperable locallyadvanced or metastatic gastric or gastroesophageal junction cancer:

Randomized, double-blind, phase III study (AVATAR study). Gastric Cancer. 2015;18(1):168–76