© The Author 2009. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org
editorial |
Optimising treatment regimens for the management of advanced gastric cancer
Royal Marsden Hospital, Sutton, Surrey, UK
* (E-mail: david.cunningham@rmh.nhs.uk)
| The first 150 words of the full text of this article appear below. |
Systemic chemotherapy for advanced gastric cancer (AGC) has been demonstrated to improve survival and quality of life compared with best supportive care and is routinely offered to patients of adequate performance status (PS) [1, 2]. Combination chemotherapy results in superior outcomes compared with monotherapy [2] and several large randomised controlled trials have been conducted over the past few decades in an attempt to define the optimal first-line regimen. Despite this, to date no chemotherapy regimen has been universally accepted as standard first-line therapy for AGC. Unresolved issues include which drug combinations are best to use upfront, triplet versus doublet therapy, and whether results can be translated between Eastern and Western populations. Additionally, results of recent trials have reinforced the importance of careful patient selection in order to minimise treatment-related toxicity, precipitating the evaluation of treatment options with more favourable toxicity profiles and with more convenient
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