[Treatment Strategies for HER2-Positive Metastatic Colorectal Cancer]

Ayumu Yoshikawa1, Yoshiaki Nakamura

  • 1Dept. of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East.

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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