2015
DOI: 10.1016/j.ejca.2015.01.059
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Lapatinib versus lapatinib plus capecitabine as second-line treatment in human epidermal growth factor receptor 2-amplified metastatic gastro-oesophageal cancer: A randomised phase II trial of the Arbeitsgemeinschaft Internistische Onkologie

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Cited by 55 publications
(45 citation statements)
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“…SD). With lapatinib monotherapy, when administered to the previously treated HER2-positive GC patients, there were no cases of PR; the disease control rate was only 10 %, the median PFS was 1.3 months (95 % CI, 1.2-1.7 months), and the median OS was 4.7 months (95 % CI, 1.8 months-NA), which led to the conclusion Phase II trial of dacomitinib in patients with HER2-positive gastric cancer that lapatinib failed to show sufficient activity as a monotherapy in HER2-positive GC [18]. Taken together, the findings regarding the activity of dacomitinib monotherapy are encouraging in HER2-positive GC patients.…”
Section: Discussionmentioning
confidence: 99%
“…SD). With lapatinib monotherapy, when administered to the previously treated HER2-positive GC patients, there were no cases of PR; the disease control rate was only 10 %, the median PFS was 1.3 months (95 % CI, 1.2-1.7 months), and the median OS was 4.7 months (95 % CI, 1.8 months-NA), which led to the conclusion Phase II trial of dacomitinib in patients with HER2-positive gastric cancer that lapatinib failed to show sufficient activity as a monotherapy in HER2-positive GC [18]. Taken together, the findings regarding the activity of dacomitinib monotherapy are encouraging in HER2-positive GC patients.…”
Section: Discussionmentioning
confidence: 99%
“…The concentrations required for those effects are well in the range of lapatinib concentrations determined in patients [61]. Thus, the observed effect of lapatinib on eryptosis may well contribute to or even account for its effect on anemia, a major side effect of the drug [9,11,25,26,61,62]. The sensitivity to lapatinib may be enhanced by clinical conditions known to enhance the susceptibility to triggers of eryptosis, such as dehydration [68], hyperphosphatemia [69], chronic kidney disease (CKD) [70][71][72][73], hemolytic-uremic syndrome [74], diabetes [75], hepatic failure [76], malignancy [63], sepsis [77], sickle-cell disease [63], beta-thalassemia [63], Hb-C and G6PD-deficiency [63], as well as Wilsons disease [78].…”
Section: Discussionmentioning
confidence: 90%
“…On the other hand, lapatinib could counteract apoptosis induced by excessive glucose concentrations [58]. Side effects of lapatinib include skin rash, hand foot skin reaction and pruritus [8,9,11,16,23,25,26,30,59], alopecia [9,23], leukopenia [9,16,25,30], diarrhea, nausea and vomiting [9,11,16,23,25,26,30,38,59,60], fatigue [11,23,30], peripheral neuropathy [9,30], and anemia [9,11,25,26,61,62].…”
Section: Introductionmentioning
confidence: 99%
“…In contrast, the EGFR/HER2 small-molecule inhibitor lapatinib showed only limited efficacy in treating advanced gastric cancer (Hecht et al 2016; Lorenzen et al 2015; Satoh et al 2014). EGFR-targeted therapeutics have been ineffective so far: the addition of the EGFR-targeted antibody cetuximab to chemotherapy failed to show any significant benefit in the phase III EXPAND trial (Lordick et al 2013), the addition of the anti-EGFR antibody panitumumab to chemotherapy did not improve overall survival of patients in the phase III REAL3 trial (Waddell et al 2013), and in the SWOG 0127 trial, the small-molecule inhibitor erlotinib did not improve the outcome of patients with metastatic or unresectable gastric cancer (Dragovich et al 2006).…”
Section: Introductionmentioning
confidence: 99%