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Updated: Aug 4, 2025

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Recent advances in immunotherapy and molecular targeted therapy for gastric cancer
Yuri Yoshinami1, Hirokazu Shoji1
1Department of Gastrointestinal Medical Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.
Abstract:
Our increasing understanding of the molecular biological characteristics of cancer and of cancer genomics is facilitating the development of immunotherapy and molecular targeted drugs for gastric cancer. After the approval of immune checkpoint inhibitors (ICIs) for melanoma in 2010, many different cancers have been shown to respond to such treatments. Thus, the anti-PD-1 antibody nivolumab was reported to prolong survival in 2017, and ICIs have become the mainstay of treatment development. Many clinical trials of combination therapies with cytotoxic agents and molecular-targeted agents, as well as combinations of immunotherapeutic agents acting via different mechanisms, are currently underway for each treatment line. As a result, further improvements in therapeutic outcomes for gastric cancer are anticipated in the near future.
Insights
Advancements in cancer genomics are driving new immunotherapies and targeted drugs for gastric cancer. Future treatments combining immune checkpoint inhibitors with other therapies promise improved patient outcomes.
Area of Science:
- Oncology
- Genomics
- Immunotherapy
Background:
- Increasing understanding of molecular cancer biology and genomics.
- Success of immune checkpoint inhibitors (ICIs) in various cancers since 2010.
- Nivolumab (anti-PD-1 antibody) demonstrated survival benefits in 2017, establishing ICIs in treatment development.
Purpose of the Study:
- To highlight the development of novel immunotherapies and molecular targeted drugs for gastric cancer.
- To discuss the impact of immune checkpoint inhibitors (ICIs) on cancer treatment.
- To explore ongoing clinical trials and future therapeutic prospects.
Main Methods:
- Review of molecular biological characteristics and cancer genomics in gastric cancer.
- Analysis of clinical trial data for immunotherapy and combination therapies.
- Evaluation of the efficacy of immune checkpoint inhibitors, including anti-PD-1 antibodies.
Main Results:
- Immunotherapy and molecular targeted drugs are being developed for gastric cancer.
- Immune checkpoint inhibitors (ICIs) have shown significant promise in various cancers.
- Ongoing trials are investigating combination therapies for enhanced efficacy.
Conclusions:
- Further improvements in therapeutic outcomes for gastric cancer are anticipated.
- The combination of immunotherapy with other agents is a key area of ongoing research.
- Personalized medicine approaches based on molecular characteristics are crucial for gastric cancer treatment.
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