ASCO 2025 High-Level Dialogue | Prof. Kohei Shitara: New Breakthroughs with T-DXd and CAR-T Cell Therapy Reshape Outcomes in Advanced Gastric Cancer
At the 2025 American Society of Clinical Oncology (ASCO) Annual Meeting, two studies in the field of targeted therapy for gastric cancer drew significant attention. The world’s first randomized controlled trial (RCT) of CAR-T cell therapy for solid tumors (Abstract 4003) reported positive results, demonstrating both superior efficacy and manageable safety for Claudin 18.2-targeted CAR-T therapy compared to standard treatment regimens. Meanwhile, the Phase III randomized DESTINY-Gastric04 trial (Abstract LBA 4002) compared trastuzumab deruxtecan (T-DXd) with the current standard second-line regimen of ramucirumab plus paclitaxel (RAM+PTX) for patients with HER2-positive unresectable/metastatic gastric cancer, showing promising efficacy and safety outcomes.