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Translational Medicine / 转化医学ToGA Trial & Trastuzumab in Gastric Cancer

Yung-Jue Bang

庞荣在

MD, PhD

🏢Seoul National University College of Medicine / Seoul National University Hospital(首尔国立大学医学院/首尔国立大学医院)🌐South Korea

Professor Emeritus of Internal Medicine; Former Director, Cancer Research Institute, Seoul National University内科荣誉教授,前首尔国立大学癌症研究所所长

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h-index
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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Yung-Jue Bang, MD, PhD is Professor Emeritus of Internal Medicine and former Director of the Cancer Research Institute at Seoul National University College of Medicine. He is among the most distinguished oncology researchers in Asia and a towering figure in the history of gastric cancer drug development. Dr. Bang is best known globally as the principal investigator of the ToGA (Trastuzumab for Gastric Cancer) trial—the pivotal phase III study that established trastuzumab plus cisplatin/fluorouracil as the first approved targeted therapy for HER2-positive advanced gastric and GEJ adenocarcinoma, with an overall survival benefit of 13.8 versus 11.1 months. ToGA transformed gastric cancer care worldwide and introduced the paradigm of biomarker-directed therapy to the field. Dr. Bang has subsequently led over 60 phase I–III trials in gastric and other GI cancers, including evaluations of lapatinib, checkpoint inhibitors, novel ADCs, and PI3K pathway inhibitors. He is a pioneer in first-in-human clinical trial conduct for GI malignancies in Asia and has contributed to the development of numerous approved agents. He has published over 800 papers and mentored generations of Korean and international oncologists.

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🧪Research Fields 研究领域

ToGA Trial — Trastuzumab in HER2-Positive Gastric CancerToGA试验——HER2阳性胃癌中的曲妥珠单抗
HER2 Biology and Testing in Gastric Adenocarcinoma胃腺癌HER2生物学与检测
Lapatinib and HER2-Targeted Combinations in Gastric Cancer胃癌拉帕替尼及HER2靶向联合方案
Checkpoint Immunotherapy Trials in Gastric Cancer (Asia)亚洲胃癌检查点免疫治疗试验
First-in-Human Drug Development in GI Cancers消化道肿瘤首次人体药物开发

🎓Key Contributions 主要贡献

ToGA — Establishing Trastuzumab as First Targeted Therapy in HER2+ Gastric Cancer

Led the ToGA phase III trial demonstrating that the addition of trastuzumab to cisplatin plus fluorouracil/capecitabine significantly improved overall survival (13.8 vs 11.1 months) in HER2-positive advanced gastric and GEJ adenocarcinoma, establishing trastuzumab as the first approved targeted therapy in gastric cancer and introducing biomarker-directed treatment to the field.

HER2 Testing and Scoring in Gastric Cancer

Led extensive studies defining HER2 testing methodology specific to gastric cancer, establishing that HER2 IHC/FISH scoring criteria developed for breast cancer required modification for the distinct pattern of HER2 overexpression in gastric tumors, developing the gastric-specific HER2 scoring system adopted by pathology guidelines worldwide.

Lapatinib and Second-Generation HER2 Inhibition in Gastric Cancer

Led the LOGiC trial evaluating lapatinib plus chemotherapy in first-line HER2-positive gastric cancer and contributed to understanding why lapatinib failed in this setting, providing mechanistic insights into differences between gastric and breast cancer HER2 dependence and informing subsequent ADC and bispecific antibody development.

Checkpoint Immunotherapy Development in Asian Gastric Cancer

Participated as a senior investigator in pivotal checkpoint inhibitor trials in Asian gastric cancer populations (KEYNOTE-059, KEYNOTE-061, CheckMate 649), characterizing how Asian gastric cancer molecular features influence immunotherapy response and shaping regional treatment guidelines.

Representative Works 代表性著作

[1]

Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced gastric or gastro-oesophageal junction cancer (ToGA)

The Lancet (2010)

Landmark ToGA phase III trial establishing trastuzumab as the first approved targeted therapy in HER2-positive advanced gastric/GEJ cancer, with significantly improved overall survival.

[2]

HER2 evaluation in HER2-positive gastric or gastro-oesophageal junction cancer: Implications for the design of the ToGA trial

Annals of Oncology (2010)

Comprehensive analysis of HER2 testing methodology, concordance of IHC and FISH, and gastric-specific HER2 scoring system used in ToGA and subsequently adopted internationally.

[3]

Pembrolizumab as second-line therapy for advanced gastric or gastro-oesophageal junction cancer (KEYNOTE-059)

The Lancet Oncology (2017)

Multicohort KEYNOTE-059 study demonstrating pembrolizumab activity in second-line and later gastric cancer, particularly in PD-L1-positive and MSI-H disease.

[4]

A randomised, multicentre, double-blind, placebo-controlled study of lapatinib as a component of trastuzumab/capecitabine/oxaliplatin-based combination therapy in patients with HER2-positive metastatic gastric/gastro-oesophageal junction cancer (TRIO-013/LOGiC)

Annals of Oncology (2015)

Negative LOGiC phase III trial of lapatinib in HER2-positive advanced gastric cancer, providing critical insights into HER2 dependence differences between gastric and breast cancer.

🏆Awards & Recognition 奖项与荣誉

🏆Korean Academy of Science and Technology (KAST) Member
🏆International Gastric Cancer Association Lifetime Achievement Award
🏆ASCO Distinguished Lectureship in GI Oncology
🏆Seoul National University Research Excellence Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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