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Updated: Jun 4, 2026

Validated Immunochemical Assay for Comprehensive Determination of the Human Epidermal Growth Factor Receptor 2 Released from and Bound to Cells
Published on: May 9, 2025
Treatments for human epidermal growth factor receptor 2 (HER2)-altered cancers evaluated using a tumor‑agnostic
Guilherme Harada1, Jamie E Chaft2, Alison M Schram2
1Hospital Sírio-Libanês, Rua Dona Adma Jafet 91, São Paulo, SP 01308-050, Brazil.
Abstract:
Human epidermal growth factor receptor 2 (HER2) is a critical driver of tumorigenesis across a wide range of cancers, positioning it as a key target for tumor-agnostic therapies. Advances in HER2 therapies have shifted the treatment paradigm from histology-driven toward biomarker-driven, pan-tumor approaches. This review discusses the outcomes of approved and emerging HER2 therapies, highlighting the variability in efficacy across tumor types due to a combination of factors, such as HER2 heterogeneity, co-alterations, and tumor-specific resistance mechanisms. Although tumor-agnostic basket trials offer opportunities to evaluate HER2 therapies efficiently across multiple cancer types, challenges such as small patient populations, non-randomized designs, and heterogeneous tumor types can limit the reliability of their findings. Here, we review the available data on HER2 therapies in tumor-agnostic studies, with the goal of informing future clinical research and promoting greater appreciation of the nuances of HER2-altered cancers.
Insights
Human epidermal growth factor receptor 2 (HER2) targeted therapies show promise in pan-tumor approaches. However, efficacy varies due to tumor-specific factors, necessitating careful consideration in clinical research.
Area of Science:
- Oncology
- Molecular Biology
- Clinical Research
Background:
- Human epidermal growth factor receptor 2 (HER2) is a key driver in various cancers.
- HER2 therapies represent a shift towards biomarker-driven, pan-tumor treatment strategies.
- Understanding HER2's role is crucial for developing effective cancer therapies.
Purpose of the Study:
- To review the efficacy of approved and emerging HER2 therapies in tumor-agnostic studies.
- To highlight factors influencing HER2 therapy variability across different cancer types.
- To inform future clinical research on HER2-altered cancers.
Main Methods:
- Review of existing data on HER2 therapies in tumor-agnostic settings.
- Analysis of factors contributing to differential treatment outcomes.
- Evaluation of the strengths and limitations of tumor-agnostic basket trials.
Main Results:
- HER2 therapies demonstrate potential in broad cancer applications.
- Efficacy of HER2 therapies is influenced by tumor heterogeneity, co-alterations, and resistance mechanisms.
- Tumor-agnostic trials provide efficient evaluation but face challenges in reliability due to design and patient population.
Conclusions:
- HER2-targeted treatments offer a promising avenue for pan-tumor oncology.
- Variability in response necessitates a deeper understanding of tumor-specific biology.
- Future research should address the limitations of current trial designs to optimize HER2 therapy utilization.
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