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Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
Smart drugs: tyrosine kinase inhibitors in cancer therapy
Laura K Shawver1, Dennis Slamon, Axel Ullrich
1SUGEN, Inc., 230 East Grand Avenue, South San Francisco, CA 94080, USA.
Abstract:
Cancer therapy directed at specific, frequently occurring molecular alterations in signaling pathways of cancer cells has been validated through the clinical development and regulatory approval of agents such as Herceptin for the treatment of advanced breast cancer and Gleevec for chronic myelogenous leukemia and gastrointestinal stromal tumors. While most novel, target-directed cancer drugs have pregenomic origins, one can anticipate a postgenomic wave of sophisticated "smart drugs" to fundamentally change the treatment of all cancers. With these prospects, interest in this new class of therapeutics extends from basic research scientists to practicing oncologists and their patients. An extension of the initial successes in molecular oncology will occur more quickly and successfully through an appreciation of lessons learned with the first group of agents in their progress through clinical development.
Insights
Targeted cancer therapies, like Herceptin and Gleevec, show promise. Future "smart drugs" will revolutionize cancer treatment by building on lessons from early molecular oncology successes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Targeted cancer therapies have emerged as a significant advancement in oncology.
- Successes like Herceptin for breast cancer and Gleevec for leukemia demonstrate the efficacy of targeting specific molecular alterations.
- Most current targeted drugs originated before the genomic era.
Purpose of the Study:
- To discuss the evolution of targeted cancer therapies from pregenomic to postgenomic approaches.
- To highlight the potential of future
- smart drugs
- in fundamentally changing cancer treatment.
- To emphasize the importance of learning from the clinical development of early targeted agents.
Main Methods:
- Review of clinical development and regulatory approval of targeted cancer agents.
- Analysis of the transition from pregenomic to postgenomic drug discovery in oncology.
- Synthesis of lessons learned from the initial wave of targeted cancer therapeutics.
Main Results:
- Validation of targeted therapy through clinical success of agents like Herceptin and Gleevec.
- Anticipation of a new wave of sophisticated postgenomic "smart drugs" for diverse cancers.
- Growing interest in targeted therapeutics across basic research, clinical practice, and patient care.
Conclusions:
- Early successes in molecular oncology provide a foundation for future advancements.
- Appreciating lessons from the first generation of targeted agents will accelerate the development of next-generation therapies.
- Postgenomic
- smart drugs
- are poised to transform the landscape of cancer treatment.
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