Table 1.
Agent(s) | Study | Mechanism of action | Type of study | N | Tumor location | Results | Comments |
---|---|---|---|---|---|---|---|
Cetuximab and gefitinib | Hof et al110 | EGFR inhibitor | Case report | 1 | Sacral | Partial response over 9 months | |
Cetuximab and gefitinib | Lindén et al93 | EGFR inhibitor | Case report | 1 | Cervical | Initial symptomatic improvement; partial response over 4 months | |
Erlotinib | Singhal et al66 | EGFR inhibitor | Case report | 1 | Sacral | Initial symptomatic improvement; 30% reduction in tumor bulk at 3 months | |
Erlotinib | Launay et al94 | EGFR inhibitor | Case report | 1 | Sacral | Initial symptomatic improvement; partial response or stable metastatic disease at 12 months | |
Lapatinib | Stacchiotti et al111 | EGFR inhibitor | Phase II study | 18 | Sacral (n=12), clivus (n=2), and mobile spine (n=4) | Six of 18 (33.3%) partial response Seven of 18 (38.9%) stable disease PFS 6 months | |
Imatinib | Casali et al97 | PDGFR inhibitor | Case series | 6 | Sacral (n=5) and clival (n=1) | Five of six (83.3%) symptomatic improvement; six of six (100%) had radiologic effect over weeks to months | |
Imatinib | Stacchiotti et al100 | PDGFR inhibitor | Phase II study | 56 | Sacral (n=33), mobile spine (n=14), and skull base (n=9) | One of 50 (2%) with partial response, and 35 of 50 (70%) with stable disease at 6 months | |
Rapamycin | Stacchiotti et al99 | mTOR inhibitor | Case series | 10 | Sacral (n=9) and skull base (n=1) | One of nine (33.3%) had partial response, seven of nine (77.8%) had stable disease, and one of nine (11.1%) had progressive disease at 3 months | Rapamycin used in combination with imatinib |
Rapamycin | Ricci-Vitiani et al106 | mTOR inhibitor | Case report | 1 | Skull base | Sixfold decrease in tumor-growth rate over 10 months compared to pretreatment | |
Bevacizumab | Asklund et al108 | VEGF inhibitor | Case series | 3 | Sacral (n=1) and skull base (n=2) | Stable disease over 4.5 years (n=1), 27 months (n=1), and 24 months (n=1) | Bevacizumab used in combination with erlotinib |
Abbreviation: PFS, progression-free survival.