Survival Outcomes in ERBB2- Low vs ERBB2- Null Advanced Gastric Cancer - Report - MDSpire

Comparative Survival Rates in Advanced Gastric Cancer with Low ERBB2 Expression versus ERBB2 Null Status

  • By

  • Beliz Bahar Karaoğlan

  • Eduardo Terán

  • Pau Mascaró Baselga

  • Adriana Zuchiatti

  • Mirmehdi Mehdiyev

  • Seher Kaya

  • Cevat İlteriş Kıkılı

  • Mahmut Kara

  • Fahriye Tuğba Köş

  • Dılşa Mızrak Kaya

  • Fatih Selçukbiricik

  • Muslih Ürün

  • Pınar Kubilay Tolunay

  • July 21, 2026

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Comparative Survival Rates in Advanced Gastric Cancer with Low ERBB2 Expression

Overview

This study investigates the clinicopathologic features and survival outcomes of advanced gastric cancer (GC) patients with ERBB2-low expression compared to those with ERBB2-null status.

Background

Gastric cancer is a significant global health concern, ranking as the fifth most common cancer and a leading cause of cancer-related mortality. Accurate assessment of ERBB2 status is crucial for treatment decisions, particularly as targeted therapies like trastuzumab have shown efficacy in ERBB2-positive cases.

Data Highlights

No numerical data or trial results were provided in the source material.

Key Findings

  • ERBB2-low cases exhibit clinicopathologic characteristics intermediate between ERBB2-positive and ERBB2-null subtypes.
  • Trastuzumab has not shown clinical benefit in patients with ERBB2-low expression.
  • ERBB2-low gastric cancer has historically been managed similarly to ERBB2-null disease.
  • The prognostic impact of ERBB2-low expression in advanced gastric cancer remains uncertain.
  • Further investigation into the genetic and immunologic landscape of ERBB2-low gastric cancer is warranted.

Clinical Implications

Clinicians should recognize the distinct characteristics of ERBB2-low and ERBB2-null gastric cancer when considering treatment options.

Conclusion

The study highlights the need to differentiate between ERBB2-low and ERBB2-null gastric cancer.

Related Resources & Content

  1. Gastric Cancer, Springer, 2013 -- Evaluating the Prognostic Significance of Epidermal Growth Factor Receptors in Gastric Cancer: A Survival Analysis Utilizing a Weibull Model for Long-Term Survivors
  2. The ASCO Post, 2019 -- Treatment of Advanced Esophagogastric Cancer According to ERCC1 Expression
  3. Gastric Cancer, Springer, 2017 -- Assessment of FGFR2 mRNA Localization and Correlation with FGFR2 Gene Copy Number Using Dual-Color In Situ Hybridization in a Large Cohort of Patients with Gastric Cancer
  4. Survival Outcomes in ERBB2-Low vs ERBB2-Null Advanced Gastric Cancer | Oncology | JAMA Network, 2023
  5. Surgical Endoscopy — Factors Influencing Metastasis and Survival Outcomes in T1 Gastric Neuroendocrine Carcinoma Patients Undergoing Endoscopic Treatment Compared to Surgical Resection
  6. HER2 Testing And Clinical Decision Making In Gastroesophageal Adenocarcinoma - CAP
  7. Survival Outcomes in ERBB2-Low vs ERBB2-Null Advanced Gastric Cancer | Oncology | JAMA Network Open | JAMA Network
  8. Adding Pembrolizumab to Trastuzumab and Chemotherapy in HER2-Positive Gastric/Gastroesophageal Junction Adenocarcinoma KEYNOTE-811 - The ASCO Post
  9. 1L immuno combo improves OS in metastatic G/GEJ adenocarcinoma
  10. ESMO Webinar:
  11. Trastuzumab deruxtecan (T-DXd) vs ramucirumab (RAM) + paclitaxel (PTX) in second-line treatment of patients (pts) with human epidermal growth factor receptor 2-positive (HER2+) unresectable/metastatic gastric cancer (GC) or gastroesophageal junction adenocarcinoma (GEJA): Primary analysis of the randomized, phase 3 DESTINY-Gastric04 study. | Journal of Clinical Oncology
  12. Trastuzumab Deruxtecan or Ramucirumab plus Paclitaxel in Gastric Cancer | New England Journal of Medicine
  13. Trastuzumab deruxtecan in HER2-positive advanced gastric cancer: exploratory biomarker analysis of the randomized, phase 2 DESTINY-Gastric01 trial | Nature Medicine
  14. Phase 1b/2, open-label dose-escalation and -expansion study evaluating trastuzumab deruxtecan (T-DXd) monotherapy and combinations in patients (pts) with HER2+ and HER2-low gastric cancer (GC): DESTINY-Gastric03 (DG-03). | Journal of Clinical Oncology

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