Yelena Janjigian, MD, Memorial Sloan Kettering Cancer Center, New York, NY, explores the evolving understanding of tumor complexity and its impact on patient outcomes, with a focus on HER2-positive gastric or gastroesophageal junction cancer in the KEYNOTE-811 study (NCT03615326). Chromosomal instability, and alterations in HER2+ tumors, are linked to survival, which could help predict patient prognosis. Potential strategies like escalating therapies or utilizing trastuzumab deruxtecan (TDXd) for its targeted and bystander effects are also examined. This interview took place at the European Society for Medical Oncology (ESMO) 2024 Congress in Barcelona, Spain.
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