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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2019, Vol. 24 ›› Issue (10): 1194-1200.doi: 10.12092/j.issn.1009-2501.2019.10.017

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Progress of apatinib in the treatment of advanced gastric cancer

JING Qindong 1, LIU Haipeng 2, WANG Binru 1, CHEN Kang 2, CHEN Xiao 2,3   

  1. 1 The Second Clinical Medical College of Lanzhou University, Lanzhou 730030, Gausu, China; 2 Department Three of General Surgery, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China; 3 Key Laboratory of Digestive System Tumors of Gansu Province, Lanzhou 730030, Gansu, China
  • Received:2019-05-14 Revised:2019-10-04 Online:2019-10-26 Published:2019-10-28

Abstract:

Gastric cancer is one of the most common malignant tumors in the world. Early diagnosis is difficult and most patients have missed the best timing of surgery when diagnosed. Therefore, systemic comprehensive therapy should be the best treatment option for advanced gastric cancer. Recent years, the standard chemotherapy regimen, such as platinum and fluorouracil-based regimen has been proven poor efficacy. However, with continuous research and development, the role of targeted drugs has become increasingly important in the treatment of advanced gastric cancer. Apatinib is a small molecule inhibitor of vascular endothelial growth factor (VEGF) receptor developed and applied in China, which highly selectively competes with the binding site of adenosine triphosphate (ATP) of VEGF-2 in cells, inhibits the formation of new blood vessels in tumor tissues, and then inhibits the occurrence and development of tumor tissues. This article systematically reviewed the current research status and progress of apatinib in the treatment of advanced gastric cancer in order to provide a reference for further clinical application.

Key words: gastric cancer, apatinib, vascular endothelial growth factor, targeted therapy

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