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Apatinib for the treatment of gastric cancer
Authors:Giandomenico Roviello  Andrea Ravelli  Anna Ida Fiaschi  Maria Rosa Cappelletti  Angela Gobbi  Chiara Senti
Affiliation:1. Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy;2. Unit of Molecular Therapy and Pharmacogenomic, ASST Cremona, Cremona, Italy;3. Section of Experimental Oncology, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy;4. Pharmacology Unit, University of Siena, Siena, Italy;5. Unit of Molecular Therapy and Pharmacogenomic, ASST Cremona, Cremona, Italy
Abstract:
Introduction: Apatinib, a small-molecule inhibitor of vascular endothelial growth factor receptor 2, has demonstrated encouraging anti-cancer activity in gastric cancer within both in vitro and in vivo models.

Areas covered: Apatinib's efficacy, tolerability and safety have been evaluated in one Phase II and one Phase III study in metastatic/advanced gastric cancer. In this review, we focus on the mechanism of action of apatinib, its pharmacokinetic profile and its clinical activity in the treatment of advanced/metastatic gastric cancer.

Expert commentary: Unfortunately, as yet, there is no definitive biomarker data for apatinib in gastric cancer.

Keywords:Gastric cancer  apatinib  VEGFR2  angiogenesis  chemotherapy
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