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Study on the clinical effects of targeted therapy on elderly patients with gastric cancer
Lifei Gao1, Wei Li1, Yagang Liu1
1Department of General Surgery, Cangzhou Central Hospital, Cangzhou, China.
Abstract:
To explore the clinical effects of targeted drug therapy on elderly patients with gastric cancer. Totally 200 metastatic gastric cancer patients who came to our hospital from January 2017 to January 2020 were selected and randomized into four groups, with 50 patients in each group. Bevacizumab (Group I), apatinib (Group II), and recombinant human endostatin (Group III) adopted respectively. While the control group received no targeted drug. Clinical data and clinical effect was collected and compared. After the therapy, the vascular endothelial growth factor (VEGF), soluble vascular endothelial growth factor receptor-2 (sVEGFR2) and human epithelial growth factor receptor-2 (HER2) positive detection of Group I, Group II, and Group III were better than the control group (P<0.05). In addition, the therapeutic effects of Group I, Group II, and Group III were higher and the incidence of adverse reactions was lower than the control group (P<0.05). Targeted drugs have obvious clinical effects in gastric cancer. It can effectively inhibit tumor growth and reduce the occurrence of complications, which is worthy of extensive clinical application and promotion.
Insights
Targeted drug therapies, including bevacizumab and apatinib, show significant clinical benefits for elderly gastric cancer patients. These treatments effectively inhibit tumor growth and reduce complications, demonstrating their value in clinical practice.
Area of Science:
- Oncology
- Pharmacology
Background:
- Gastric cancer poses a significant health challenge, particularly in elderly populations.
- Metastatic gastric cancer requires effective therapeutic strategies to improve patient outcomes.
Purpose of the Study:
- To evaluate the clinical efficacy of targeted drug therapies in elderly patients with metastatic gastric cancer.
- To compare the effects of bevacizumab, apatinib, and recombinant human endostatin against standard care.
Main Methods:
- A randomized controlled trial involving 200 elderly metastatic gastric cancer patients.
- Patients were divided into four groups: bevacizumab, apatinib, recombinant human endostatin, and a control group.
- Clinical data, therapeutic effects, and biomarker levels (VEGF, sVEGFR2, HER2) were analyzed.
Main Results:
- Targeted drug groups showed significantly better positive detection rates for VEGF, sVEGFR2, and HER2 compared to the control group (P<0.05).
- Therapeutic effects were higher in groups receiving targeted drugs.
- The incidence of adverse reactions was lower in the targeted drug groups (P<0.05).
Conclusions:
- Targeted drug therapies demonstrate significant clinical effectiveness in treating elderly patients with gastric cancer.
- These agents can effectively inhibit tumor progression and decrease complication rates.
- Bevacizumab, apatinib, and recombinant human endostatin are recommended for broader clinical application in gastric cancer treatment.
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