[Request for a compassionate use of biotherapies in oncology]

Dominique Hauteville1

  • 1Service des maladies sanguines et tumorales, Hôpital Paul-Brousse, 12 avenue Paul Vaillant Couturier, BP 200.

Bulletin Du Cancer
|December 6, 2006
PubMed

Insights

Targeted therapies like bevacizumab are expanding in oncology but have limitations. This review explores new uses for bevacizumab in advanced colorectal cancer and previously treated metastatic tumors, requiring further studies.

Area of Science:

  • Oncology
  • Pharmacology

Context:

  • Targeted therapies and biological agents are increasingly used in cancer treatment.
  • Current limitations exist for targeted therapies across all tumor types.
  • Bevacizumab, a monoclonal antibody, is primarily used in early-stage disease.

Purpose:

  • To review emerging indications for bevacizumab in oncology.
  • To highlight the potential of combining bevacizumab with cetuximab in refractory metastatic colorectal cancer.
  • To explore the addition of bevacizumab to chemotherapy for sensitive, previously treated metastatic tumors.

Summary:

  • Bevacizumab's application is expanding beyond early-stage disease.
  • Investigating bevacizumab and cetuximab combination for refractory metastatic colorectal cancer.
  • Evaluating bevacizumab plus chemotherapy for sensitive, pre-treated metastatic cancers.

Impact:

  • Further observational studies are needed to establish efficacy for new bevacizumab indications.
  • Evidence generation is crucial for the wider adoption of these potentially life-extending treatments.
  • Cost-effectiveness and patient access to advanced cancer therapies are key considerations.

Related Concept Videos

Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...