» Articles » PMID: 30455742

New Drug Developments in Metastatic Gastric Cancer

Overview
Publisher Sage Publications
Specialty Gastroenterology
Date 2018 Nov 21
PMID 30455742
Citations 12
Authors
Affiliations
Soon will be listed here.
Abstract

Metastatic gastric cancer is associated with a poor prognosis and novel treatment options are desperately needed. The development of targeted therapies heralded a new era for the management of metastatic gastric cancer, however results from clinical trials of numerous targeted agents have been mixed. The advent of immune checkpoint inhibitors has yielded similar promise and results from early trials are encouraging. This review provides an overview of the systemic treatment options evaluated in metastatic gastric cancer, with a focus on recent evidence from clinical trials for targeted therapies and immune checkpoint inhibitors. The failure to identify appropriate predictive biomarkers has hampered the success of many targeted therapies in gastric cancer, and a deeper understanding of specific molecular subtypes and genomic alterations may allow for more precision in the application of novel therapies. Identifying appropriate biomarkers for patient selection is essential for future clinical trials, for the most effective use of novel agents and in combination approaches to account for growing complexity of treatment options.

Citing Articles

Overexpression of ELF1 combined with MMP9 is associated with prognosis and tumor microenvironment in gastric cancer.

Zhang X, Ren X, Zhang S, Wang Y Exp Ther Med. 2024; 28(6):441.

PMID: 39583246 PMC: 11582528. DOI: 10.3892/etm.2024.12730.


Chromosomal Instability in Gastric Cancer: Role in Tumor Development, Progression, and Therapy.

Nemtsova M, Kuznetsova E, Bure I Int J Mol Sci. 2023; 24(23).

PMID: 38069284 PMC: 10707305. DOI: 10.3390/ijms242316961.


Modulation of Spheroid Forming Capacity and TRAIL Sensitivity by KLF4 and Nanog in Gastric Cancer Cells.

To H, Le Q, Bui H, Park J, Kang D Curr Issues Mol Biol. 2023; 45(1):233-248.

PMID: 36661504 PMC: 9857986. DOI: 10.3390/cimb45010018.


NOL6 Regulates the Proliferation and Apoptosis of Gastric Cancer Cells Regulating TP53I3, CDK4 and MCM7 Expression.

He L, Qian X, Ge P, Fan D, Ma X, Wu Q Front Oncol. 2022; 12:708081.

PMID: 35494047 PMC: 9039204. DOI: 10.3389/fonc.2022.708081.


Collagen family genes and related genes might be associated with prognosis of patients with gastric cancer: an integrated bioinformatics analysis and experimental validation.

Weng K, Huang Y, Deng H, Wang R, Luo S, Wu H Transl Cancer Res. 2022; 9(10):6246-6262.

PMID: 35117235 PMC: 8797647. DOI: 10.21037/tcr-20-1726.


References
1.
Ciardiello F, Tortora G . EGFR antagonists in cancer treatment. N Engl J Med. 2008; 358(11):1160-74. DOI: 10.1056/NEJMra0707704. View

2.
Troiani T, Napolitano S, Della Corte C, Martini G, Martinelli E, Morgillo F . Therapeutic value of EGFR inhibition in CRC and NSCLC: 15 years of clinical evidence. ESMO Open. 2016; 1(5):e000088. PMC: 5070253. DOI: 10.1136/esmoopen-2016-000088. View

3.
Appleman L . MET signaling pathway: a rational target for cancer therapy. J Clin Oncol. 2011; 29(36):4837-8. DOI: 10.1200/JCO.2011.37.7929. View

4.
Al-Batran S, Hartmann J, Probst S, Schmalenberg H, Hollerbach S, Hofheinz R . Phase III trial in metastatic gastroesophageal adenocarcinoma with fluorouracil, leucovorin plus either oxaliplatin or cisplatin: a study of the Arbeitsgemeinschaft Internistische Onkologie. J Clin Oncol. 2008; 26(9):1435-42. DOI: 10.1200/JCO.2007.13.9378. View

5.
Satoh T, Xu R, Chung H, Sun G, Doi T, Xu J . Lapatinib plus paclitaxel versus paclitaxel alone in the second-line treatment of HER2-amplified advanced gastric cancer in Asian populations: TyTAN--a randomized, phase III study. J Clin Oncol. 2014; 32(19):2039-49. DOI: 10.1200/JCO.2013.53.6136. View