Table 3. Summary of clinical studies on targeted agents for treatment of pancreatic cancer.
Authors and reference | Year of publication | Agent | Arm | Phase | No. of patients | Percentage of patients (%) |
Response rate (%) | Median overall survival (months) | |
Locally advanced pancreatic cancer | Metastatic pancreatic cancer | ||||||||
Small molecule | |||||||||
Moore et al.[65] | 2003 | MMP inhibitor | BAY 12-9566 vs. GEM | III | 138 | 38a | 62 | 1 | 3.7 |
139 | 35a | 65 | 5 | 6.6 | |||||
Van Cutsem et al.[66] | 2004 | Farnesyltransferase inhibitor | GEM + tipifarnib vs. GEM + placebo | III | 341 | NA | NA | 6 | 6.2 |
347 | NA | NA | 8 | 5.9 | |||||
Senderowicz et al.[67] | 2007 | EGFR | GEM + erlotinib vs. GEM + placebo | III | 261 | 23 | 77 | 8.6 | 6.5 |
260 | 24 | 76 | 7.9 | 6.0 | |||||
Moore et al.[34] | 2007 | EGFR | GEM + erlotinib vs. GEM + placebo | III | 285 | 23.5 | 76.5 | 8.6 | 6.2 |
284 | 25 | 75 | 8 | 5.9 | |||||
Kindler et al.[39] | 2011 | VEGFR | GEM + axitinib vs. GEM + placebo | III | 314 | 25b | 72 | 5 | 8.5 |
316 | 23b | 72 | 2 | 8.3 | |||||
Monoclonal antibody | |||||||||
Philip et al.[36] | 2010 | EGFR | GEM + Cetuximab vs. GEM | III | 372 | 21 | 79 | 12 | 6.3 |
371 | 22 | 78 | 14 | 5.9 | |||||
Kullmann et al.[37] | 2009 | EGFR | Cetuximab + GEM/oxaliplatin | II | 61 | 0 | 100 | 33 | 6.9 |
Kindler et al.[68] | 2010 | VEGF-A | GEM + bevacizumab vs. GEM + placebo | III | 302 | 16 | 84 | 13 | 5.8 |
300 | 15 | 85 | 10 | 5.9 | |||||
Combination of small molecule and monoclonal antibody | |||||||||
Van Cutsem et al.[40] | 2009 | VEGF-A | GEM + erlotinib + bevacizumab vs. GEM + erlotinib | III | 306 | 0 | 100 | 13.5 | 7.1 |
301 | 0 | 100 | 8.6 | 6.0 | |||||
Ko et al.[69] | 2010 | VEGF and EGFR | Bevacizumab + erlotinib | II | 36 | 0 | 100 | 2.8 | 3.4 |
aThe given number includes stage III and lower disease. bRemaining belongs to stage II. EGFR, epidermal growth factor receptor; GEM, gemcitabine; MMP, matrix metalloproteinase; NA, not available; VEGF(R), vascular endothelial growth factor (receptor).