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In a small human trial co-authored by Gastric Cancer Foundation grantee Eunyoung Choi of Vanderbilt University, the targeted cancer drug trametinib showed promise in reprogramming early-stage stomach lesions in a way that may prevent them from becoming cancerous. Trametinib is a MEK inhibitor used to treat some patients with melanoma. The trial was funded by the U.S. Department of Defense, which is also supporting Vanderbilt’s study of another MEK inhibitor, pyrvinium, in gastric cancer.
In a phase 2 trial, Jazz Pharmaceuticals' bispecific antibody Ziihera (zanidatamab) was effective in patients with HER2-positive gastric cancer. Patients who received the drug as a first-line treatment in combination with chemotherapy showed median overall survival of 36.5 months.
Second-line treatment with Enhertu (trastuzumab deruxtecan) from Daiichi Sankyo led to a significant and meaningful improvement in overall survival when compared to chemotherapy in a phase 3 trial in patients with HER2-positive gastric cancer. The drug significantly reduced the risk of disease progression and death over standard treatment, with an objective response rate of 44.3%.
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