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Updated: Dec 13, 2025

Genetic Encoding of a Non-Canonical Amino Acid for the Generation of Antibody-Drug Conjugates Through a Fast Bioorthogonal Reaction
Published on: September 14, 2018
Antibody-drug conjugates to treat gastric cancer
Shigehiro Koganemaru1, Kohei Shitara1,2
1Department of Experimental Therapeutics, National Cancer Center Hospital East, Kashiwa, Japan.
Introduction:
Despite new treatment options, the long-term prognosis of recurrent or inoperable gastric cancer remains poor. Antibody-drug conjugates (ADCs) are a new class of drugs and have shown promising results in clinical trials.
Areas Covered:
This review focuses on recent clinical findings and development of ADCs for gastric cancer, and summarizes the relevant resistance mechanisms or future directions of ADCs.
Expert Opinion:
Novel HER2-ADCs have led to breakthrough results for HER2+ gastric cancer; however, several questions remain, especially in clinical settings. Translational research to elucidate ADCs' mechanisms of action or resistance will lead to more sophisticated use of ADCs and combination strategies.
Insights
New antibody-drug conjugates (ADCs) show promise for gastric cancer treatment. Further research into resistance mechanisms and combination strategies is crucial for improving patient outcomes.
Area of Science:
- Oncology
- Pharmacology
Background:
- Gastric cancer prognosis remains poor despite new treatments.
- Antibody-drug conjugates (ADCs) represent a novel therapeutic class with promising clinical trial results.
Purpose of the Study:
- To review recent clinical findings and developments of ADCs in gastric cancer.
- To summarize resistance mechanisms and future directions for ADCs in gastric cancer treatment.
Main Methods:
- Review of recent clinical findings and development of ADCs for gastric cancer.
- Analysis of relevant resistance mechanisms and future therapeutic strategies.
Main Results:
- Novel HER2-ADCs demonstrate breakthrough efficacy in HER2-positive gastric cancer.
- Significant questions persist regarding the clinical application and optimization of ADCs.
Conclusions:
- Translational research is essential to understand ADC mechanisms and resistance.
- Developing sophisticated ADC utilization and combination strategies is key for advancing gastric cancer therapy.
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