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Opinion|Videos|July 12, 2024

ADCs Targeting GI Cancers

Author(s)Vijayakrishna Gadi, MD, University of Illinois College of Medicine, Susana Campos, MD, MPH, Matthew D. Galsky, MD

Dr Parikh discusses the history of ADCs for treating GI cancers with a focus on the data for T-DXd and its role in treating these cancers.

Episodes in this series

EP. 1 Assessing HER2 Status Across Tumor Types

EP. 1 Assessing HER2 Status Across Tumor Types

EP. 2 ADCs Targeting HER2+ Breast Cancer

EP. 2 ADCs Targeting HER2+ Breast Cancer

EP. 3 ADCs Targeting HER2+ Gynecologic Cancers

EP. 3 ADCs Targeting HER2+ Gynecologic Cancers

EP. 4 Emerging Data from ASCO 2024 in HER2-low: DESTINY-Breast06

EP. 4 Emerging Data from ASCO 2024 in HER2-low: DESTINY-Breast06

EP. 5 ADCs Targeting GI Cancers

EP. 5 ADCs Targeting GI Cancers

EP. 6 ADCs Targeting HER2+ Lung Cancer

EP. 6 ADCs Targeting HER2+ Lung Cancer

EP. 7 Impact of ADCs on Brain Metastases

EP. 7 Impact of ADCs on Brain Metastases

EP. 8 ADCs Targeting HER2+ GU Cancers

EP. 8 ADCs Targeting HER2+ GU Cancers

EP. 9 Overcoming Challenges of Testing for HER2-low Across Solid Tumor Types

EP. 9 Overcoming Challenges of Testing for HER2-low Across Solid Tumor Types

EP. 10 The Potential Role for HER2-Targeted ADCs in Earlier Treatment Lines

EP. 10 The Potential Role for HER2-Targeted ADCs in Earlier Treatment Lines

EP. 11 Managing ILD and Pneumonitis Risk From ADCs

EP. 11 Managing ILD and Pneumonitis Risk From ADCs

EP. 12 Managing Toxicities in Short- and Long-Term Treatment with ADCs

EP. 12 Managing Toxicities in Short- and Long-Term Treatment with ADCs

A panel of 5 experts on ADCs

EP. 13 Managing Hematologic AEs Associated with ADC Treatments

A panel of 5 experts on ADCs

EP. 14 Management of Emetogenicity of Antibody-Drug Conjugates

A panel of 5 experts on ADCs

EP. 15 ADC Sequencing

A panel of 5 experts on ADCs

EP. 16 Emerging ADCs in Development

EP. 17 Insights on T-DXd Approval as Tumor-Agnostic HER2-Directed Therapy

EP. 17 Insights on T-DXd Approval as Tumor-Agnostic HER2-Directed Therapy

EP. 18 The Future for HER2-Directed ADCs

EP. 18 The Future for HER2-Directed ADCs

A panel of 5 experts on ADCs

EP. 19 Key Takeaways and Closing Thoughts on ADCs

Video content above is prompted by the following:

Please review the data for T-DM1 for:
- HER2+ advanced or metastatic gastric or gastroesophageal junction (GEJ) adenocaricoma: GATSBY; Shah-Gastric Cancer_2019: Biomarker analysis of GATSBY
- T-DM1 + Pertuzumab for HER2-amplified colorectal cancer: HERACLES-B trial
Please review the data for T-DXd for:
- HER2+ gastric or GEJ: DESTINY-Gastric01; Shitara_Nature Med_2024: Biomarker Analysis of DESTINY-Gastric01 and DESTINY-Gastric02
- Unresectable or metastatic HER2+ CRC: DESTINY-CRC01 1. DESTINY-CRC02 – Raghav_ASCO 2023
- HER2+ and HER2-low GC: DESTINY-Gastric03 Janjigian ASCO 2024
- Retrospective Cohort Study EN-DEAVOR: Nakanishi ASCO 2024
What is the potential for HER2-targeting ADCs in other GI cancers?
- Biliary Tract Cancers, Pancreatic
  - PanTumor02: Meric-Bernstam_J Clin Oncol_2024; a. BTC and PC Cohort Outcomes: Oh ASCO 2024 #4090
  - HERB trial (BTC): Ohba_ASCO2022
Where do HER2-directed ADCs fit into the treatment armamentarium for GI cancers?
Is there an unmet need ADCs could help fill?

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