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Updated: Jun 3, 2026

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
New targeted therapies for gastric cancer
Yoshinari Asaoka1, Tsuneo Ikenoue, Kazuhiko Koike
1The University of Tokyo, Graduate School of Medicine, Department of Gastroenterology, Japan. yasa-tky@umin.ac.jp
Introduction:
Inhibitors targeting oncogenic kinases, especially receptor tyrosine kinases (RTKs), are being vigorously developed, and some have been demonstrated to be effective in clinical settings. The amplification of certain RTKs (ErbB2, c-Met and FGFR2) is associated with gastric cancer progression, but the only recently approved inhibitor is trastuzumab, ErbB2-targeting antibody. Other well-known oncogenic kinases (PI3K and RAF) are also activated in a small portion of gastric cancers. Drugs targeting these kinases are promising and should be approved in an appropriate and expeditious way.
Areas Covered:
This article reviews novel inhibitors emerging in the field of advanced gastric cancer, based on basic research concerning altered oncogenes and the clinical trials of drugs targeting these oncogenes.
Expert Opinion:
Promising inhibitors of gastric cancer may be found in not only new investigative agents but also agents currently being used against other malignancies. The appropriate design for clinical trials of molecularly targeted therapeutic agents is also important. Targeted therapies tailored to individual genomic profiles would provide a more personalized treatment for advanced gastric cancer.
Insights
Novel inhibitors targeting oncogenic kinases show promise for advanced gastric cancer treatment. Personalized therapies, based on genomic profiles, are crucial for effective treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Targeting oncogenic kinases, particularly receptor tyrosine kinases (RTKs), is a key strategy in cancer therapy.
- Amplification of specific RTKs (ErbB2, c-Met, FGFR2) drives gastric cancer progression.
- Other oncogenic kinases like PI3K and RAF are also implicated in a subset of gastric cancers.
Purpose of the Study:
- To review emerging novel inhibitors for advanced gastric cancer.
- To discuss the role of basic research and clinical trials in developing these inhibitors.
Main Methods:
- Literature review of basic research on altered oncogenes in gastric cancer.
- Analysis of clinical trial data for drugs targeting these oncogenes.
Main Results:
- Several novel inhibitors are under investigation for advanced gastric cancer.
- Existing drugs targeting other malignancies may offer potential therapeutic options.
- Trastuzumab is an approved ErbB2-targeting antibody for gastric cancer.
Conclusions:
- Future gastric cancer therapies may involve new investigative agents and repurposed drugs.
- Optimized clinical trial design is essential for molecularly targeted agents.
- Genomic profiling enables personalized treatment for advanced gastric cancer.
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