Evolving landscape of targeted treatment options for HER2-positive gastric/gastroesophageal adenocarcinomas
Raisa Epistola1, Joseph Chao2, Jennifer Lee1
1Harbor-UCLA Medical Center, Division of Hematology and Medical Oncology, Torrance, California.
Abstract:
Gastric and gastroesophageal adenocarcinomas are aggressive malignancies despite current standard-of-care treatments. For patients whose tumors express human epidermal growth factor receptor 2 (HER2), HER2-targeted treatments have been shown to improve outcomes. This review summarizes key trials that have guided contemporary use of these agents in both the localized and advanced settings. It also discusses limitations to current approaches in testing HER2 status and methods to better identify good candidates for these treatments. Finally, the review highlights notable ongoing studies investigating novel combinations and HER2-directed agents.
Insights
Human epidermal growth factor receptor 2 (HER2)-targeted therapies improve outcomes for patients with HER2-positive gastric and gastroesophageal cancers. This review covers HER2 testing, treatment strategies, and future directions.
Area of Science:
- Oncology
- Gastroenterology
Background:
- Gastric and gastroesophageal adenocarcinomas are aggressive cancers with limited treatment options.
- Human epidermal growth factor receptor 2 (HER2) expression is a key biomarker in a subset of these tumors.
Purpose of the Study:
- To review the clinical trials and contemporary use of HER2-targeted therapies in gastric and gastroesophageal cancers.
- To discuss challenges in HER2 testing and patient selection.
- To highlight ongoing research in novel HER2-directed treatments.
Main Methods:
- Literature review of key clinical trials and studies.
- Analysis of current guidelines and testing methodologies for HER2 status.
- Summary of ongoing clinical investigations.
Main Results:
- HER2-targeted treatments have demonstrated improved outcomes in both localized and advanced settings for HER2-positive patients.
- Current HER2 testing methods have limitations, impacting optimal patient identification.
- Novel combinations and agents are under investigation to further enhance efficacy.
Conclusions:
- HER2-targeted therapy is a crucial component of treatment for HER2-positive gastric and gastroesophageal adenocarcinomas.
- Improving HER2 testing accuracy and exploring new therapeutic strategies are essential for advancing patient care.
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