Table 3.
Combination treatments of chemotherapy and targeted therapy in clinical trials for cervical cancer.
Targeted therapy | Chemotherapy | Cervical cancer Stage/Type | Phase of trial | Preclinical/Clinical Trial Outcome |
---|---|---|---|---|
Bevacizumab | cisplatin + paclitaxel or topotecan + paclitaxel |
Recurrent/persistent/metastatic | Randomized Phase III | Bevacizumab significantly improved overall survival compared with chemotherapy alone (16.8 months vs 13.3 months). No significant deterioration of health and quality of life reported [140,163,164]. |
Cetuximab | cisplatin | Recurrent/persistent | Phase II | Adequately tolerated but cetuximab did not provide increased benefit beyond cisplatin therapy [165,166]. |
cisplatin + topotecan | Advanced | Phase II | Induced a high rate of serious adverse and/or fatal events at standard dose and schedule. Cetuximab plus platinum-based combination chemotherapy should therefore be considered with caution [167]. | |
Veliparib | topotecan | Recurrent/persistent | Phase I-II | Resulted in only 7% partial responses, which did not meet the 15% response benchmark for Phase II trial. Produced significant myelosuppression, anemia, neutropenia, and thrombocytopenia [168]. |
cisplatin + paclitaxel | Recurrent/persistent | Phase 1 | Overall survival was 14.5 months, median progression-free survival was 6.2 months (compared to 2.8 months with cisplatin alone), 60% of patients with measurable disease response, and the treatment was considered safe and feasible [135]. |