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ESMO 2026 | Updates in systemic therapies for HER2+ gastroesophageal adenocarcinoma

Filippo Pietrantonio, MD, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy, discusses updates in systemic therapy for patients with HER2-positive gastroesophageal adenocarcinoma, highlighting the emergence of novel monoclonal antibodies such as zanidatamab, which has replaced trastuzumab in combination with chemotherapy and a PD-1 inhibitor. Dr Pietrantonio notes that the combination of zanidatamab, a PD-1 inhibitor, and chemotherapy is the preferred option for patients with HER2-positive disease, offering a higher magnitude of benefit, and that sequential HER2-targeting is now standard of care, with options like trastuzumab deruxtecan available in the second line. This interview took place at the European Society for Medical Oncology (ESMO) 2026 Congress in Madrid, Spain.

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