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Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Recent progress in target therapy in colorectal cancer
Lara Maria Pasetto1, Alberto Bortolami, Cristina Falci
1Istituto Oncologico Veneto, Medical Oncology, 35128 Padova. laramary@libero.it
Abstract:
Monoclonal antibodies are a new class of agents targeting at specific receptors on cancer cells. In addition to having direct cellular effects, antibodies can cany substances, such as radioactive isotopes, toxins and antineoplastic agents, to the targeted cells. Two of them, cetuximab (Erbitux) and bevacizumab (Avastin), seem to have acquired a significant role in the management of patients with radically resected and advanced colorectal carcinoma. Cetuximab plus irinotecan has been approved as second-line therapy in irinotecan-resistant colorectal cancer patients; bevacizumab plus 5FU/LV has resulted in higher response and longer survival than 5FU/LV alone in first line metastatic colorectal cancer; its combination with oxaliplatin has recently doubled results. The superior therapeutic efficacy of these molecular targeting agents over traditional chemotherapy has been shown by the survival benefit achieved by patients with advanced or recurrent cancers. Although the precise molecular mechanism by which these agents produce or enhance an antitumour effect, alone or in combination with anticancer drugs, is unknown, the specific inhibition of target genes critically involved in tumour progression and metastasis is clear. Further studies to determine which patient groups and anticancer drugs are more appropriate for combination therapy with these agents are needed. All the most important data obtained through recent studies are discussed, emphasizing their mechanisms of action, safety profiles and clinical applications.
Insights
Monoclonal antibodies like cetuximab and bevacizumab offer improved survival for colorectal cancer patients. These targeted therapies show superior efficacy compared to traditional chemotherapy, with ongoing research into optimal combinations.
Area of Science:
- Oncology
- Immunotherapy
- Molecular Biology
Background:
- Monoclonal antibodies represent a novel therapeutic class targeting specific cancer cell receptors.
- These antibodies can deliver payloads such as toxins or radioactive isotopes directly to tumor cells.
- Cetuximab and bevacizumab have emerged as significant agents in colorectal cancer management.
Purpose of the Study:
- To review the clinical applications, mechanisms of action, and safety profiles of monoclonal antibodies in colorectal cancer.
- To discuss the efficacy of cetuximab and bevacizumab in various treatment settings for colorectal carcinoma.
- To highlight the potential of these targeted agents in combination therapies.
Main Methods:
- Review of recent clinical studies and data on monoclonal antibody therapies.
- Analysis of mechanisms of action, including direct cellular effects and targeted delivery.
- Evaluation of safety profiles and clinical outcomes in patients with colorectal cancer.
Main Results:
- Cetuximab plus irinotecan is approved for second-line therapy in irinotecan-resistant colorectal cancer.
- Bevacizumab plus 5FU/LV demonstrated improved response and survival in first-line metastatic colorectal cancer.
- Combinations with oxaliplatin have shown promising results, doubling therapeutic outcomes.
Conclusions:
- Monoclonal antibodies provide superior therapeutic efficacy over traditional chemotherapy, evidenced by survival benefits in advanced or recurrent cancers.
- The precise mechanisms are still under investigation, but specific inhibition of tumor progression and metastasis genes is evident.
- Further research is required to identify optimal patient groups and drug combinations for enhanced therapeutic strategies.
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