Roviello GDepartment of Health Sciences, University of Florence, Viale Pieraccini, 6, 50139 Florence, Italy.
D'Angelo ADepartment of Biology & Biochemistry, University of Bath, Bath BA2 7AY, United Kingdom.
Generali DBreast Cancer Unit, ASST Cremona, Viale Concordia 1, 26100 Cremona, Italy.
Pittacolo MDepartment of Orthopedics & Orthopedic Oncology, University of Padova, Italy.
Ganzinelli MThoracic Unit, Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Iezzi GDepartment of Biomedicine, University of Basel, Basel, Switzerland.
Manzini NGeneral Surgery Unit, Department of Medical, Surgical and Health Sciences Cattinara University Hospital, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy.
Sobhani NBreast Cancer Unit, ASST Cremona, Viale Concordia 1, 26100 Cremona, Italy.
English
Gastric cancer (GC) is the fifth most common malignancy and the third cause of cancer-related deaths worldwide. Currently, surgery and chemotherapy remain the main therapeutic options and the prognosis of the disease is still poor in the metastatic setting. Avelumab is a human IgG1 antibody directed against PD-L1 approved for Merkel cell carcinoma and urothelial carcinoma that could be useful also for the treatment of GC. This review describes the chemical structure, the pharmacologic properties and the current knowledge of the efficacy of avelumab in the treatment of GC from the data available on the first and later phase clinical trials. The ongoing studies testing this drug either alone or in combination with other drugs are also described.