Novel treatment approaches for HER2 positive ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Novel treatment approaches for HER2 positive solid tumors (excluding breast cancer).
Author(s) :
Gaye, Elisabeth [Auteur]
Service d'oncologie médicale (CHRU Lille)
Penel, Nicolas [Auteur]
Service d'oncologie médicale (CHRU Lille)
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Lebellec, Loic [Auteur]
Service d'oncologie médicale (CHRU Lille)
Service d'oncologie médicale (CHRU Lille)
Penel, Nicolas [Auteur]
Service d'oncologie médicale (CHRU Lille)
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Lebellec, Loic [Auteur]
Service d'oncologie médicale (CHRU Lille)
Journal title :
Current Opinion in Oncology
Abbreviated title :
Curr Opin Oncol
Publication date :
2022-08-10
ISSN :
1531-703X
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Purpose of review
Human epidermal growth factor 2 (HER2) alterations (protein overexpression, gene amplification and mutation) play a key role in oncogenesis and are more likely correlated to poorer outcome in solid ...
Show more >Purpose of review Human epidermal growth factor 2 (HER2) alterations (protein overexpression, gene amplification and mutation) play a key role in oncogenesis and are more likely correlated to poorer outcome in solid tumors. We reviewed recently published studies in the last 18 months on novel treatment approaches for HER2 positive solid tumors (excluding breast cancer). Recent findings Results of clinical studies assessing anti-HER2 therapies have been recently issued. One of the most promising drugs is transtuzumab deruxtecan, an antibody–drug conjugate which demonstrated clinically meaningful activity in gastric or gastroesophageal junction cancer and colorectal cancers. Small molecules such as poziotinib, pyrotinib, neratinib, which target both epidermal growth factor receptor (EGFR) and HER2 also showed promising activity, especially in heavily pretreated ERRB2-mutated non-small cell lung cancer (NSCLC) cancer patients. Yet, these findings need to be confirmed in confirmatory randomized trials with larger cohorts. Trastuzumab-based combinations with chemotherapy or immune checkpoint inhibitors are under development with promising results, but not in all HER2 tumors. Emerging adverse events with anti-HER2 are interstitial pneumopathy and diarrhea. Summary Tyrosine kinase inhibitors, antibody drug conjugate in monotherapy and combinations are emerging strategies in many HER2-positive cancers; HER2 therapies are now part of standard of care of HER2-amplified gastric or gastroesophageal junction cancer. Data are pending on several unmet medical needs.Show less >
Show more >Purpose of review Human epidermal growth factor 2 (HER2) alterations (protein overexpression, gene amplification and mutation) play a key role in oncogenesis and are more likely correlated to poorer outcome in solid tumors. We reviewed recently published studies in the last 18 months on novel treatment approaches for HER2 positive solid tumors (excluding breast cancer). Recent findings Results of clinical studies assessing anti-HER2 therapies have been recently issued. One of the most promising drugs is transtuzumab deruxtecan, an antibody–drug conjugate which demonstrated clinically meaningful activity in gastric or gastroesophageal junction cancer and colorectal cancers. Small molecules such as poziotinib, pyrotinib, neratinib, which target both epidermal growth factor receptor (EGFR) and HER2 also showed promising activity, especially in heavily pretreated ERRB2-mutated non-small cell lung cancer (NSCLC) cancer patients. Yet, these findings need to be confirmed in confirmatory randomized trials with larger cohorts. Trastuzumab-based combinations with chemotherapy or immune checkpoint inhibitors are under development with promising results, but not in all HER2 tumors. Emerging adverse events with anti-HER2 are interstitial pneumopathy and diarrhea. Summary Tyrosine kinase inhibitors, antibody drug conjugate in monotherapy and combinations are emerging strategies in many HER2-positive cancers; HER2 therapies are now part of standard of care of HER2-amplified gastric or gastroesophageal junction cancer. Data are pending on several unmet medical needs.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-11-15T03:33:37Z
2024-01-09T13:28:32Z
2024-01-09T13:28:32Z