Precision treatment for human epidermal growth factor receptor 2-amplified advanced rectal cancer: A case report
Xia Xiao1, Qing-Wen Wang2, Zheng-Yang Zhou2
1Department of Oncology, Wuxi No. 2 People's Hospital, Jiangnan University Medical Center, Wuxi 214002, Jiangsu Province, China.
Background:
Although targeted therapy provides survival benefits for patients with metastatic colorectal cancer, some patients develop resistance to these treatments. Human epidermal growth factor receptor 2 (HER2) is overexpressed in a subset of patients with colorectal cancer and has been established as a therapeutic target.
Case Summary:
This case report describes a Chinese patient with HER2-amplified advanced rectal cancer who showed no response to chemotherapy and targeted therapies against epidermal growth factor receptor and vascular endothelial growth factor but achieved a remarkable response following treatment with immune checkpoint inhibitors (ICIs) in combination with pyrotinib. The combination of oxaliplatin and ICIs with pyrotinib demonstrates synergistic effects after late-stage disease progression.
Conclusion:
ICIs and pyrotinib may be effective in treating HER2-amplified advanced rectal cancer. Chemotherapy following disease progression could enhance efficacy synergistically.
Insights
Immune checkpoint inhibitors (ICIs) combined with pyrotinib showed significant efficacy in a patient with HER2-amplified advanced rectal cancer resistant to standard treatments. This combination therapy, including chemotherapy, offers a promising approach for refractory cases.
Area of Science:
- Oncology
- Gastrointestinal Cancer Research
- Molecular Targeted Therapy
Background:
- Metastatic colorectal cancer (CRC) poses challenges due to treatment resistance.
- Human epidermal growth factor receptor 2 (HER2) overexpression occurs in a subset of CRC patients, representing a therapeutic target.
- Standard therapies may fail in patients with advanced or metastatic disease.
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