Phase I study of epirubicin, cisplatin and capecitabine plus matuzumab in previously untreated patients with advanced oesophagogastric cancer
2008

Study of Matuzumab with Chemotherapy for Oesophagogastric Cancer

Sample size: 21 publication Evidence: moderate

Author Information

Author(s): Rao S, Starling N, Cunningham D, Benson M, Wotherspoon A, Lüpfert C, Kurek R, Oates J, Baselga J, Hill A

Primary Institution: Royal Marsden Hospital, Surrey, UK

Hypothesis

To evaluate the safety, tolerability, efficacy, pharmacokinetics and pharmacodynamics of matuzumab combined with ECX in patients with advanced oesophagogastric cancer expressing EGFR.

Conclusion

The study found that matuzumab combined with ECX was well-tolerated and showed promising antitumor activity in patients with advanced oesophagogastric cancer.

Supporting Evidence

  • The maximum tolerated dose of matuzumab was determined to be 800 mg weekly.
  • The overall objective response rate was 65%, with 25% of patients achieving disease stabilization.
  • Common toxicities included rash, nausea, stomatitis, and diarrhea.

Takeaway

This study tested a new treatment for stomach cancer and found it to be safe and effective for many patients.

Methodology

This was a phase I dose escalation study where patients received matuzumab combined with ECX until disease progression or unacceptable toxicity.

Limitations

The study had a small sample size and was not primarily designed to evaluate efficacy.

Participant Demographics

{"gender":{"male":16,"female":5},"age":{"median":59},"karnofsky_performance_status":{"60":1,"70":2,"80":5,"90":13},"primary_tumor_location":{"lower_one_third_of_oesophagus":5,"OGJ":7,"gastric":9},"stage":{"IIIb":1,"IV":20}}

Statistical Information

Confidence Interval

{"objective_response_rate":"65% (95% CI: 43–82)","disease_stabilization":"25% (95% CI: 11–47)"}

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604622

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