Epidermal growth factor receptor inhibitors in cancer treatment
1Cattedra di Oncologia Medica, Dipartimento Medico-Chirurgico di Internistica Clinica e Sperimentale F Magrassi e A. Lanzara, Seconda Università degli Studi di Napoli, Via S. Pansini 5, 80131 Napoli, Italy. fortunato.ciardiello@unina2.it
Abstract:
The epidermal growth factor receptor (EGFR) is a cellular transmembrane receptor with tyrosine kinase enzymatic activity which plays a key role in human cancer. EGFR-dependent signaling is involved in cancer cell proliferation, apoptosis, angiogenesis, invasion and metastasis. Targeting the EGFR is a valuable molecular approach in cancer therapy. Several anti-EGFR drugs are in Phase III clinical development as single agent or in combination with other anticancer modalities. Cetuximab (Erbitux), a chimeric human-mouse monoclonal immunoglobin (Ig)G1 antibody, which blocks ligand binding and functional activation of the EGFR, is currently registered in the USA, Switzerland and the European Union for the treatment of advanced, irinotecan-refractory colorectal cancer. Gefitinib, (Iressa), a small molecule EGFR-selective inhibitor of tyrosine kinase activity which blocks EGF autophosphorylation and activation, has been the first EGFR-targeting drug to be registered in 28 countries worldwide, including the USA, for the third-line treatment of chemoresistant non-small cell lung cancer patients. This review will focus on the preclinical background and on the clinical data with the anti-EGFR drugs in most advanced clinical development. Furthermore, a series of open clinical issues for the development of optimal strategies of using EGFR-targeting agents will be discussed.
Insights
Targeting the epidermal growth factor receptor (EGFR) offers a promising approach in cancer therapy. This review details the clinical development of anti-EGFR drugs like Cetuximab and Gefitinib for various cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The epidermal growth factor receptor (EGFR) is a key regulator of cell proliferation, apoptosis, and angiogenesis, frequently implicated in human cancer.
- Dysregulation of EGFR signaling pathways contributes to cancer development and progression, making it a significant therapeutic target.
- Targeting EGFR represents a crucial molecular strategy in modern cancer treatment.
Purpose of the Study:
- To review the preclinical and clinical data of anti-EGFR drugs in advanced stages of development.
- To discuss the current landscape and future directions for EGFR-targeted cancer therapies.
- To highlight open clinical issues and strategies for optimizing the use of EGFR-targeting agents.
Main Methods:
- Review of preclinical studies on EGFR function and targeted agents.
- Analysis of clinical trial data for approved and investigational anti-EGFR drugs.
- Discussion of therapeutic strategies involving EGFR inhibitors in various cancer types.
Main Results:
- Cetuximab (Erbitux), an EGFR monoclonal antibody, is approved for refractory colorectal cancer.
- Gefitinib (Iressa), a small molecule EGFR inhibitor, is approved for chemoresistant non-small cell lung cancer.
- Several anti-EGFR drugs are in Phase III clinical trials, used alone or in combination therapies.
Conclusions:
- Targeting the EGFR is a validated and evolving strategy in cancer therapy.
- The clinical development of anti-EGFR drugs like Cetuximab and Gefitinib has shown significant promise.
- Further research is needed to optimize treatment strategies and address clinical challenges for EGFR-targeted agents.
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