Clin Cancer Res. 2018 Nov 15. pii: clincanres.2275.2018. doi: 10.1158/1078-0432.CCR-18-2275. [Epub ahead of print]
Advances in HER2-Targeted Therapy: Novel Agents and Opportunities Beyond Breast and Gastric Cancer.
Meric-Bernstam F1, Johnson A2, Ileana Dumbrava EE3, Raghav K4, Balaji K5, Bhatt M3, Murthy RK6, Rodon J7, Piha-Paul SA5.
The introduction of HER2-targeted therapy for breast and gastric patients with ERBB2(HER2) amplification/overexpression has led to dramatic improvements in oncologic outcomes. In the past 20 years, five HER2-targeted therapies have been FDA approved, four in the past 8 years. HER2-targeted therapy similarly was found to improve outcomes in HER2-positive gastric cancer. Over the past decade, with the introduction of next generation sequencing into clinical practice, our understanding of HER2 biology has dramatically improved. We have recognized that HER2 amplification is not limited to breast and gastric cancer, but is also found in a variety of tumor types such as colon cancer, bladder cancer, and biliary cancer. Further, HER2-targeted therapy has signal of activity in several tumor types. In addition to HER2 amplification and overexpression, there is also increased recognition of activating HER2 mutations and their potential therapeutic relevance. Further, there is a rapidly growing number of new therapeutics targeting HER2 including small molecule inhibitors, antibody-drug conjugates and bispecific antibodies. Taken together, an increasing number of patients are likely to benefit from approved and emerging HER2-targeted therapies.