PMID- 28736629 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240326 IS - 2078-6891 (Print) IS - 2219-679X (Electronic) IS - 2078-6891 (Linking) VI - 8 IP - 3 DP - 2017 Jun TI - Biologic therapy in esophageal and gastric malignancies: current therapies and future directions. PG - 418-429 LID - 10.21037/jgo.2016.11.13 [doi] AB - Biologic agents, including targeted antibodies as well as immunomodulators, are demonstrating unparalleled development and study across the entire spectrum of human malignancy. This review summarizes the current state of biologic therapies for esophageal, esophagogastric, and gastric malignancies, including those that target human epidermal growth factor receptor 2 (HER2), epidermal growth factor receptor (EGFR), vascular endothelial growth factor (VEGF), c-Met, mechanistic target of rapamycin (mTOR) and immunomodulators. We focus primarily on agents that have been included in phase II and III clinical trials in locally advanced, progressive, or metastatic esophageal and gastric malignancies. At this time, only two biologic therapies are recommended by the National Comprehensive Cancer Network (NCCN): trastuzumab for patients with esophageal/esophagogastric or gastric adenocarcinomas with HER2 overexpression and ramucirumab, a VEGFR-2 inhibitor, as a second-line therapy for metastatic disease. However, recent reports of increases in overall and progression-free survival for agents including pertuzumab, apatinib, and pembrolizumab will likely increase the use of targeted biologic therapy in clinical practice for esophageal and gastric malignancies. FAU - Samson, Pamela AU - Samson P AD - Division of Cardiothoracic Surgery, Washington University in St. Louis, St. Louis, MO, USA. FAU - Lockhart, A Craig AU - Lockhart AC AD - Division of Oncology, Washington University in St. Louis, St. Louis, MO, USA. LA - eng GR - T32 HL007776/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Review PL - China TA - J Gastrointest Oncol JT - Journal of gastrointestinal oncology JID - 101557751 PMC - PMC5506284 OTO - NOTNLM OT - Esophageal cancer OT - biologic therapy OT - gastric cancer OT - immunomodulator therapy COIS- Conflicts of Interest: The authors have no conflicts of interest to declare. EDAT- 2017/07/25 06:00 MHDA- 2017/07/25 06:01 PMCR- 2017/06/01 CRDT- 2017/07/25 06:00 PHST- 2017/07/25 06:00 [entrez] PHST- 2017/07/25 06:00 [pubmed] PHST- 2017/07/25 06:01 [medline] PHST- 2017/06/01 00:00 [pmc-release] AID - jgo-08-03-418 [pii] AID - 10.21037/jgo.2016.11.13 [doi] PST - ppublish SO - J Gastrointest Oncol. 2017 Jun;8(3):418-429. doi: 10.21037/jgo.2016.11.13.