[Treatment Strategies for HER2-Positive Metastatic Colorectal Cancer]
Ayumu Yoshikawa1, Yoshiaki Nakamura
1Dept. of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East.
Abstract:
HER2-positive metastatic colorectal cancer occurs in 2-4% of all colorectal cancers, about 5% in RAS wild-type colorectal cancer, and only 0.2-1.4% in RAS mutant colorectal cancer. The TRIUMPH trial was conducted in Japan for patients with HER2-positive colorectal cancer, and its results led to the approval of the combination therapy of pertuzumab and trastuzumab for the treatment of HER2-positive unresectable advanced or recurrent colorectal cancer that has progressed during chemotherapy in March 2022 in Japan. In the field of colorectal cancer, the development of new HER2-targeted drugs such as antibody-drug conjugates and bispecific antibodies is ongoing, and future developments are expected to be of interest.
Insights
HER2-positive metastatic colorectal cancer is rare but treatable. Combination therapy with pertuzumab and trastuzumab is now approved in Japan for advanced cases, with new HER2-targeted drugs in development.
Area of Science:
- Oncology
- Gastroenterology
Context:
- HER2-positive metastatic colorectal cancer (mCRC) represents a specific subtype of colorectal cancer, occurring in 2-4% of all cases.
- This subtype is more prevalent in RAS wild-type mCRC (approx. 5%) compared to RAS mutant mCRC (0.2-1.4%).
Purpose:
- To report on the TRIUMPH trial conducted in Japan evaluating HER2-targeted therapies for mCRC.
- To highlight the regulatory approval of a combination therapy for HER2-positive unresectable advanced or recurrent colorectal cancer.
Summary:
- The TRIUMPH trial in Japan investigated HER2-positive colorectal cancer.
- Results led to the March 2022 approval of pertuzumab and trastuzumab combination therapy for HER2-positive unresectable advanced or recurrent colorectal cancer post-chemotherapy.
Impact:
- This approval provides a new therapeutic option for a specific subset of colorectal cancer patients in Japan.
- Ongoing research into novel HER2-targeted drugs, including antibody-drug conjugates and bispecific antibodies, promises future advancements in HER2-positive mCRC treatment.
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