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Time to Deliver on Promises: The Role of ERBB2 Alterations as Treatment Options for Colorectal Cancer Patients in the Era of Precision Oncology

Title: Time to Deliver on Promises: The Role of ERBB2 Alterations as Treatment Options for Colorectal Cancer Patients in the Era of Precision Oncology
Authors: Buchholz, Soeren M.; Nause, Nelia; König, Ute; Reinecke, Johanna; Steuber, Benjamin; Ammer-Herrmenau, Christoph; Reuter-Jessen, Kirsten; Bohnenberger, Hanibal; Biggemann, Lorenz; Braulke, Friederike; König, Alexander
Contributors: Buchholz, Soeren M.; Nause, Nelia; König, Ute; Reinecke, Johanna; Steuber, Benjamin; Ammer-Herrmenau, Christoph; Reuter-Jessen, Kirsten; Bohnenberger, Hanibal; Biggemann, Lorenz; Braulke, Friederike; König, Alexander
Publication Year: 2023
Collection: Georg-August-Universität Göttingen: GoeScholar
Description: Receptor tyrosine kinase erythroblastic oncogene B2 (ERBB2), also known as human epidermal growth factor receptor 2 (HER2), represents an oncogenic driver and has been effectively targeted in breast and gastric cancer. Recently, next-generation sequencing (NGS) discovered ERBB2 as a promising therapeutic target in metastatic colorectal cancer (mCRC), where it is altered in 3–5% of patients, but no therapies are currently approved for this use. Herein, we present the experience of a single center in diagnosing actionable genetic ERBB2 alterations using NGS and utilizing the latest therapeutic options. Between October 2019 and December 2022, a total of 107 patients with advanced CRC underwent molecular analysis, revealing actionable ERBB2 mutations in two patients and ERBB2 amplifications in two other patients. These findings correlated with immunohistochemical (IHC) staining. Of these four patients, two were treated with trastuzumab-deruxtecan (T-DXd). We present two exemplary cases of patients with actionable ERBB2 alterations to demonstrate the effectiveness of T-DXd in heavily pretreated ERBB2-positive mCRC patients and the need for early molecular profiling. To fully exploit the potential of this promising treatment, earlier molecular profiling and the initiation of targeted therapies are essential. ; Open-Access-Publikationsfonds 2023
Document Type: article in journal/newspaper
Language: English
Relation: jpm13121701
DOI: 10.3390/jpm13121701
Availability: https://resolver.sub.uni-goettingen.de/purl?gro-2/139850; https://doi.org/10.3390/jpm13121701
Rights: info:eu-repo/semantics/openAccess ; CC BY 4.0
Accession Number: edsbas.1D1E4622
Database: BASE