PMID- 19466878 OWN - NLM STAT- MEDLINE DCOM- 20100304 LR - 20090624 IS - 1744-7658 (Electronic) IS - 1354-3784 (Linking) VI - 18 IP - 7 DP - 2009 Jul TI - Novel investigational drugs for gastric cancer. PG - 945-55 LID - 10.1517/13543780902969455 [doi] AB - BACKGROUND: Gastric cancer still represents a leading cause of death worldwide. Several cytotoxic agents have demonstrated activity and combination regimens improve progression-free survival, overall survival and quality of life. Nevertheless, now there is no standard therapy for advanced gastric cancer patients. OBJECTIVE: To evaluate the role of new investigational agents. METHODS: We analysed Phase I, II and III studies that evaluated tailored drugs directed against the epidermal growth factor receptor (EGFR), the c-erbB2, the vascular endothelial growth factor (VEGF), the vascular endothelial growth factor receptor (VEGFR), the matrix metalloproteinases (MMP) and the mammalian target of rapamycin (mTOR). CONCLUSION: Data from Phase II trials indicate the potential of improved efficacy of chemotherapy when administered in combination with bevacizumab and cetuximab. Trastuzumab results are ongoing, while marimastat has not obtained clinical developments even if it has demonstrated to be an active drug in this setting of patients. FAU - Vecchione, Loredana AU - Vecchione L AD - Second University of Naples, School of Medicine, Division of Medical Oncology 'F. Magrassi & A. Lanzara', Department of Clinical and Experimental Medicine and Surgery, c/o II Policlinico Via S. Pansini 5, 80131 Naples, Italy. FAU - Orditura, Michele AU - Orditura M FAU - Ciardiello, Fortunato AU - Ciardiello F FAU - De Vita, Ferdinando AU - De Vita F LA - eng PT - Journal Article PT - Review PL - England TA - Expert Opin Investig Drugs JT - Expert opinion on investigational drugs JID - 9434197 RN - 0 (Antineoplastic Agents) RN - 0 (Drugs, Investigational) SB - IM MH - Animals MH - Antineoplastic Agents/chemistry/metabolism/*therapeutic use MH - Clinical Trials, Phase II as Topic/methods/mortality MH - Drugs, Investigational/chemistry/metabolism/*therapeutic use MH - Humans MH - Stomach Neoplasms/*drug therapy/metabolism/mortality RF - 82 EDAT- 2009/05/27 09:00 MHDA- 2010/03/05 06:00 CRDT- 2009/05/27 09:00 PHST- 2009/05/27 09:00 [entrez] PHST- 2009/05/27 09:00 [pubmed] PHST- 2010/03/05 06:00 [medline] AID - 10.1517/13543780902969455 [doi] PST - ppublish SO - Expert Opin Investig Drugs. 2009 Jul;18(7):945-55. doi: 10.1517/13543780902969455.