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Published on: May 16, 2020
Anti-epidermal growth factor receptor drugs in cancer therapy
Fortunato Ciardiello1, Giampaolo Tortora
1Cattedra di Oncologia Medica, Dipartimento di Endocrinologia e Oncologia Molecolare e Clinica, Università di Napoli Federico II, Via S. Pansini 5, 80131 Naples, Italy. fortunatociardiello@yahoo.com
Abstract:
The epidermal growth factor receptor is a cell membrane growth factor receptor that plays a key role in cancer development and progression. Epidermal growth factor receptor-activated signalling pathways control cell proliferation, apoptosis, angiogenesis and metastatic spread in the majority of human epithelial cancers. Targeting the epidermal growth factor receptor represents a valuable molecular approach to cancer therapy. Promising strategies in clinical development include monoclonal antibodies which block ligand binding and small molecule inhibitors of the tyrosine kinase enzymatic activity which prevent epidermal growth factor receptor autophosphorylation and propagation of downstream intracellular signals. Several anti-epidermal growth factor receptor agents are in clinical development for cancer therapy. Among these, IMC-225 (cetuximab), a chimeric human-mouse monoclonal IgG1 antibody, OSI-774 (Tarceva) and ZD1839 (Iressa), two small molecule epidermal growth factor receptor-selective tyrosine kinase inhibitors, are currently in Phase II and III development as single agents or in combination with conventional therapies, such as radiotherapy or chemotherapy. Results from Phase I - II trials in advanced cancer demonstrate that these drugs have an acceptable tolerability and an interesting clinical activity in patients with a variety of tumour types.
Insights
Targeting the epidermal growth factor receptor (EGFR) with new therapies shows promise for cancer treatment. Monoclonal antibodies and tyrosine kinase inhibitors are demonstrating acceptable tolerability and clinical activity in advanced cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The epidermal growth factor receptor (EGFR) is a key cell membrane receptor implicated in cancer development and progression.
- EGFR signaling pathways regulate critical processes including cell proliferation, apoptosis, angiogenesis, and metastasis in epithelial cancers.
Purpose of the Study:
- To review promising therapeutic strategies targeting the epidermal growth factor receptor for cancer therapy.
- To highlight the clinical development and early trial results of novel anti-EGFR agents.
Main Methods:
- Review of ongoing clinical trials for anti-EGFR agents.
- Analysis of Phase I-II trial data for efficacy and tolerability.
Main Results:
- Several anti-EGFR agents, including monoclonal antibodies (e.g., cetuximab) and small molecule tyrosine kinase inhibitors (e.g., Tarceva, Iressa), are in Phase II and III development.
- Early trials indicate acceptable tolerability and notable clinical activity for these agents in various advanced cancer types, both as monotherapy and in combination treatments.
Conclusions:
- Targeting the epidermal growth factor receptor is a valuable molecular approach in cancer therapy.
- Emerging anti-EGFR drugs show potential for treating advanced cancers with acceptable safety and efficacy profiles.
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