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Updated: May 21, 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
Targeted therapy for gastric cancer--current status
Jan Kulig1, Piotr Kołodziejczyk, Piotr Kulig
1Department of General and Gastroenterological Surgery, Jagiellonian University Medical College, Krakow, Poland.
Abstract:
In patients with metastatic gastric cancer, median overall survival remains under 1 year and standard chemotherapy regimens are not able to substantially improve the prognosis of the patients. Amplification and over-expression of HER2 is reported in approximately 20% of gastric tumours, challenging the use of targeted therapies. There are several targeted therapies in different stages of clinical development with trastuzumab being the first overcoming the regulatory hurdle and getting European Medicines Agency approval. In patients with advanced gastric or gastro-oesophageal junction cancer, addition of trastuzumab to chemotherapy significantly improved overall survival compared with chemotherapy alone. Addition of trastuzumab to chemotherapy did not increase the incidence of adverse events. Other agents targeting the HER2 pathway (lapatinib) or other domains of epidermal growth factor receptor family (cetuximab) are currently being investigated for the treatment of an advanced gastric cancer.
Insights
Trastuzumab improves survival for HER2-positive metastatic gastric cancer patients when added to chemotherapy. This targeted therapy offers a significant survival benefit without increasing adverse events, challenging previous treatment limitations.
Area of Science:
- Oncology
- Gastroenterology
- Pharmacology
Background:
- Metastatic gastric cancer has a poor prognosis with standard chemotherapy.
- HER2 amplification/over-expression occurs in ~20% of gastric tumors, presenting a target for therapy.
- Trastuzumab is the first HER2-targeted therapy approved for gastric cancer.
Purpose of the Study:
- To evaluate the efficacy and safety of adding trastuzumab to chemotherapy in advanced gastric cancer.
- To assess the impact of HER2-targeted therapy on overall survival in gastric cancer patients.
Main Methods:
- Clinical trial evaluating trastuzumab plus chemotherapy versus chemotherapy alone.
- Assessment of overall survival and adverse events.
Main Results:
- Addition of trastuzumab to chemotherapy significantly improved overall survival.
- Trastuzumab did not increase the incidence of adverse events compared to chemotherapy alone.
Conclusions:
- Trastuzumab is an effective and safe addition to chemotherapy for HER2-positive advanced gastric cancer.
- Targeted therapy targeting HER2 offers a new treatment avenue for gastric cancer.
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