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Published on: June 26, 2019
Epidermal growth factor receptor pathway targeted therapy in patients with aerodigestive malignancies
1Division of Hematology/Oncology, Feinberg School of Medicine, Northwestern University, Robert H. Lurie Comprehensive Cancer Center, Chicago, Illinois 60611, USA. jd-patel@northwestern.edu
Purpose Of Review:
The present review will describe progress in the utilization of epidermal growth factor receptor (EGFR) inhibitors in the treatment of nonsmall-cell lung cancer and the treatment of squamous cell carcinoma of the head and neck. Recent findings regarding clinical activity as well as markers associated with sensitivity to these agents will be reviewed.
Recent Findings:
The EGFR pathway plays a crucial role in human carcinogenesis by contributing to relevant processes in tumor development and progression, including cell proliferation, differentiation, regulation of apoptotic cell death, metastatic potential, and blood vessel formation. Anti-EGFR agents include monoclonal antibodies that target the EGFR extracellular receptor domain, and small molecule tyrosine kinase inhibitors that target the EGFR intracellular domain. Both strategies have demonstrated encouraging results as monotherapies and in combination with chemotherapy and radiotherapy in areodigestive malignancies.
Summary:
These dramatic successes have led to further clinical studies of EGFR targeted therapy in aerodigestive malignancies, making a significant impact on the clinical care of patients with nonsmall-cell lung cancer and squamous cell carcinoma of the head and neck.
Insights
Epidermal growth factor receptor (EGFR) inhibitors show promise in treating nonsmall-cell lung cancer and head and neck cancers. These targeted therapies are advancing patient care and driving further clinical research.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The epidermal growth factor receptor (EGFR) pathway is integral to carcinogenesis, influencing cell proliferation, differentiation, apoptosis, metastasis, and angiogenesis.
- Dysregulation of the EGFR pathway is implicated in the development and progression of various cancers.
Purpose of the Study:
- To review the progress in utilizing epidermal growth factor receptor (EGFR) inhibitors for nonsmall-cell lung cancer (NSCLC) and squamous cell carcinoma of the head and neck (HNSCC).
- To discuss recent findings on the clinical activity of EGFR inhibitors and associated sensitivity markers.
Main Methods:
- Review of current literature on EGFR inhibitors in NSCLC and HNSCC.
- Analysis of clinical trial data and research on predictive biomarkers for EGFR-targeted therapy.
Main Results:
- Anti-EGFR agents, including monoclonal antibodies and small molecule tyrosine kinase inhibitors, target key domains of the EGFR pathway.
- Both therapeutic strategies have yielded encouraging results as monotherapies and in combination with standard treatments like chemotherapy and radiotherapy in aerodigestive malignancies.
- Significant clinical activity has been observed in patients with NSCLC and HNSCC.
Conclusions:
- The success of EGFR inhibitors has spurred further clinical investigations in aerodigestive malignancies.
- EGFR-targeted therapy is making a substantial impact on the clinical management of patients diagnosed with NSCLC and HNSCC.
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