《Table 1 Clinical trials classified on molecular targets》

《Table 1 Clinical trials classified on molecular targets》   提示:宽带有限、当前游客访问压缩模式
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《Precision medicine in gastric cancer》


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Surgical resection with pre-and post-operative chemotherapy and/or radiotherapy is the primary curative treatment of early-stage GC with a 5-year survival of about30%[117-119].Systemic chemotherapy is used to treat patients with localized and advanced GC.Palliative systemic therapy and chemo/radiotherapy are standard treatment options for patients with unresectable or metastatic advanced GC.Neoadjuvant chemotherapy with surgery is associated with the improved survival of patients with metastatic disease[120].Perioperative chemotherapy with docetaxel,oxaliplatin,fluorouracil,and leucovorin(FLOT)significantly improves progressionfree survival(referred to herein as PFS)and OS among patients with resectable GC compared with epirubicin,cisplatin,and fluorouracil or capecitabine(ECF/ECX)[121].A Bayesian network meta-analysis obtained an estimate of the efficacy of perioperative FLOT and neoadjuvant treatments for resectable GC.Compared with surgery alone,perioperative cisplatin with fluorouracil(CF),perioperative ECF/ECX,and perioperative FLOT significantly improved survival.The most effective neoadjuvant treatment for the disease is likely to be perioperative FLOT[122].Targeted therapy,a new therapeutic strategy,may improve the survival of patients with advanced GC.Clinical trials with targeted therapies have been performed in patients with GC.Table 1 shows some clinical trials,completed or ongoing,classified by specific molecular target.