PMID- 24665840 OWN - NLM STAT- MEDLINE DCOM- 20150209 LR - 20151119 IS - 1747-4132 (Electronic) IS - 1747-4124 (Linking) VI - 8 IP - 5 DP - 2014 Jul TI - Recent advances and future trends in the targeted therapy of metastatic gastric cancer. PG - 555-69 LID - 10.1586/17474124.2014.902304 [doi] AB - The better understanding of the molecular mechanisms behind gastric cancer has led to the development of new therapeutic strategies that are likely to improve patient outcomes in the near future. Recently, targeting the HER2 and the VEGF pathways with trastuzumab and ramucirumab, respectively, have been found to improve survival, while directed therapies against a number of other pathways are under clinical evaluation. These include the hepatocyte growth factor and its receptor c-MET, the insulin-like growth factor 1, the fibroblast growth factor, the mammalian target of rapamycin (mTOR), the epidermal growth factor receptor, and other pathways, as well as relevant immunotherapeutic strategies. This article reviews recent advances and future trends of these concepts for gastric cancer and adenocarcinoma of the gastroesophageal junction. FAU - Al-Batran, Salah-Eddin AU - Al-Batran SE AD - Krankenhaus Nordwest, UCT-University Cancer Center Frankfurt, Frankfurt am Main, Germany. FAU - Werner, Dominique AU - Werner D LA - eng PT - Journal Article PT - Review DEP - 20140325 PL - England TA - Expert Rev Gastroenterol Hepatol JT - Expert review of gastroenterology & hepatology JID - 101278199 RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) SB - IM MH - Animals MH - Antineoplastic Agents/*therapeutic use MH - Biomarkers, Tumor/*antagonists & inhibitors/metabolism MH - *Drug Design MH - Humans MH - Molecular Targeted Therapy/*trends MH - Signal Transduction/*drug effects MH - Stomach Neoplasms/*drug therapy/enzymology/secondary MH - Treatment Outcome OTO - NOTNLM OT - biological OT - esophageal OT - esophagogastric OT - gastric OT - gastroesophageal OT - molecular OT - oesophageal OT - personalized OT - targeted OT - treatment EDAT- 2014/03/29 06:00 MHDA- 2015/02/11 06:00 CRDT- 2014/03/27 06:00 PHST- 2014/03/27 06:00 [entrez] PHST- 2014/03/29 06:00 [pubmed] PHST- 2015/02/11 06:00 [medline] AID - 10.1586/17474124.2014.902304 [doi] PST - ppublish SO - Expert Rev Gastroenterol Hepatol. 2014 Jul;8(5):555-69. doi: 10.1586/17474124.2014.902304. Epub 2014 Mar 25.