Evidence map›Paper›PMID 41502549›Full record

ReviewDrug design, development and therapy2025

Targeting Esophageal Cancer: Promising Drugs for the Clinical Landscape and Key Knowledge Gaps.

Terzungwe Akumaga, Haeseong Park, A Craig Lockhart, Ramon U Jin

Abstract readReview
In one paragraph

Review in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Terzungwe AkumagaDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Haeseong ParkDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
A Craig LockhartDivision of Hematology/Oncology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Ramon U JinDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-7805-5800

Funding

Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Jeffrey Wade Brown · 2000 to 2026
$30.8M
Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI Hashem B El-Serag · 2001 to 2026
$28.3M
The Role of SOX2 and CDX2 in Barrett's Esophagus DevelopmentK08DK139376 · NIDDK · WASHINGTON UNIVERSITY · PI RAMON JIN · 2024 to 2026
$489k
NIDDK NIH HHS K08 DK139376NIDDK NIH HHS P30 DK052574NIDDK NIH HHS P30 DK056338
6 · The paper itself

Abstract

Esophageal cancer remains a major global health burden, ranking seventh in cancer-related mortality. The prognosis is poor with five-year survival rates below 5% for metastatic disease. Tumor heterogeneity and the development of treatment resistance have limited durable responses to conventional chemotherapy. The emergence of biomarker-driven therapies has begun to transform management and enable more personalized treatment approaches. This narrative review summarizes current clinical strategies for esophageal cancer, emphasizing clinically validated biomarkers -HER2, PD-L1, CLDN18.2, and MMR/MSI status-that inform therapeutic selection for advanced metastatic disease. Both esophageal squamous cell carcinoma (ESCC) and adenocarcinoma (EAC) are addressed; however, this review centers on biomarker-directed therapies for EAC, reflecting its predominance in Western populations and recent therapeutic progress. We highlight pivotal phase II and III clinical trials that have established the current landscape of esophageal cancer treatment. In addition, we review key early phase clinical data for promising new modalities such as antibody-drug conjugates, novel monoclonal antibodies, and cellular therapies-highlighting their biomarker associations and mechanisms of action. Finally, we discuss the ongoing challenges-including elucidating tumor heterogeneity, improving biomarkers, targeting novel tumor intrinsic vulnerabilities, overcoming treatment resistance, and preventing esophageal cancer development-and identify key research directions that present unique opportunities for the development of new biomarker-driven treatments for esophageal cancer.

Indexed as

AdenocarcinomaAntineoplastic AgentsEsophageal NeoplasmsBiomarkers, TumorHumansMolecular Targeted TherapyAntineoplastic AgentsBiomarkers, TumorGastroesophagealimmunotherapytargeted therapytumor microenvironment

Identifiers

PMID41502549
PMCPMC12769624

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.