Table 4. Metronomic chemotherapy plus targeted therapies.
Targeting Agent |
No. of. |
Results |
No. of toxicities |
Ref. |
Bevacizumab |
|
|
|
|
Ovarian Cancer |
|
|
|
|
CYC 50 mg od + BEV 10 mg/kg q2w |
9 |
6/9 non-PD |
hematuria 1/0 |
84 |
CYC 50 mg od + BEV 10 mg/kg q2w |
1 |
Non-PD |
no |
85 |
CYC 50 mg od + BEV 10 mg/kg q2w |
70 |
17/70 non-PD |
hypertension 11/0 |
86 |
Breast Cancer |
|
|
|
|
CYC 50 mg od + MTX 1 mg/kg iv q2w + BEV 10 mg/kg iv q2w +/- Trastuzumab in HER2-overexpressing tumors. |
24 |
15/24 non-PD |
thrombopenia 1/0 |
87
|
CAP 3x500 mg od + CYC 50 mg od + BEV 10 mg/kg q2w |
46 |
41/46 non-PD |
G 3+4 combined |
88 |
Glioblastoma |
|
|
|
|
BEV 10 mg/kg KG q2w + VP-16 50mg/m2d1-21, qd29 |
59 |
53/59 non-PD |
neutropenia 9/5 |
89 |
Imatinib |
|
|
|
|
Hepatocellular Cancer |
|
|
|
|
Trial 1 |
38 |
Decelerated increase of biomarkers linked to angiogenesis like PDGF with Imatinib-Ocreotide. 1/38 non-PD |
not published |
90
|
Lapatinib |
|
|
|
|
Breast Cancer |
|
|
|
|
CAP 3 x 500 mg + Lapatinib 1250 mg od |
1 |
non-PD |
no |
91 |
Rituximab |
|
|
|
|
Mantle Cell Lymphoma |
|
|
|
|
Induction (months 1–3) weekly Rituximab × 4, THAL 50 mg od, maintenance THAL 100 mg od + Pred 20 mg od + VP-16 50 |
22 |
20/22 non-PD
|
G 3+4 combined |
92
|
Sorafenib |
|
|
|
|
Renal Cell Carcinoma |
|
|
|
|
GEM 1000 mg/m2d1+8, CAP 2x500 mg d1-14, Sorafenib 400 mg bid d1-21for 6 cycles, followed by Sorafenib monotherapy |
44 |
37/44 non-PD |
fatigue 9/0 1 Grade 5 dyspnoe |
93 |
Hepatocellular Carcinoma |
|
|
|
|
Sorafenib 400mg bid, tegafur/uracil 125mg/m2based on tegafur bid
|
53 |
30/56 non-PD |
G 3+4 combined |
94
|
Trastuzumab |
|
|
|
|
Breast Cancer |
|
|
|
|
Trastuzumab 6 mg/kg q3w + MTX 2.5 mg bid d 1+ 4 q1w, CYC 50 mg od |
22 |
14/22 non-PD |
ASAT/ALAT ↑ 2/0
|
95
|
Abbreviations: CYC=Cyclophosphamide, BEV=Bevacizumab, MTX=Methothrexate, CAP=Capecitabine, VP-16=Etoposide, OXA=Oxaliplatin, THAL= Thalidomide, Pred= Prednisone, PCZ=Procarbazine, GEM=Gemcitabine