Recent advances in the HER2 targeted therapy of gastric cancer.

World J Clin Cases

Tasuku Matsuoka, Masakazu Yashiro, Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka 545-8585, Japan.

Published: January 2015

AI Article Synopsis

  • Recent advances in molecular targeted therapies, specifically targeting HER2, have significantly improved treatment outcomes for gastric cancer patients, especially those with metastatic HER2-positive cancer.
  • The use of trastuzumab alongside chemotherapy has led to better response rates, longer progression-free survival, and improved overall survival.
  • Despite these successes, resistance to trastuzumab is common, prompting the development of new therapies aimed at enhancing effectiveness and overcoming resistance, with ongoing trials exploring combination strategies.

Article Abstract

Recent advances in molecular targeted therapies, including targeting human epidermal growth factor receptor 2 (HER2), had a major forward step in the therapy for gastric cancer patients. Application of HER2-targeted therapies, in particular trastuzumab in combination with chemotherapy in metastatic HER2-positive gastric cancers, resulted in improvements in response rates, time to progression and overall survival. Nevertheless, as with breast cancer, many patients with gastric cancer develop resistance to trastuzumab. Several promising therapies are currently being developed in combination with chemotherapy to increase the efficacy and overcome the cancer-resistance. Here we review the current overview of clinical application of agents targeting HER2 in gastric cancer. We also discuss the ongoing trials supporting the use of HER2-targeted agents combined with cytotoxic agents or other monoclonal antibodies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295218PMC
http://dx.doi.org/10.12998/wjcc.v3.i1.42DOI Listing

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