The emerging role of the insulin-like growth factor pathway as a therapeutic target in cancer
1Massachusetts General Hospital, LRH 308, 55 Fruit Street, Boston, Massachusetts 02114, USA. pdryan@partners.org
Abstract:
The insulin-like growth factor signaling pathway is important in many human cancers based on data from experimental models as well as epidemiological studies. Important therapies targeted at this pathway have been or are being developed, including monoclonal antibodies to the insulin-like growth factor-I receptor and small molecule inhibitors of the tyrosine kinase function of this receptor. These investigational therapies are now being studied in clinical trials. Emerging data from phase I trials are encouraging regarding the safety of the monoclonal antibodies. In this manuscript, the rationale for targeting the insulin-like growth factor system is reviewed in addition to a summary of the available clinical trial data.
Insights
Targeting the insulin-like growth factor pathway shows promise for cancer treatment. Early clinical trials suggest investigational therapies, including monoclonal antibodies, are safe and effective.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The insulin-like growth factor (IGF) signaling pathway is implicated in numerous human cancers.
- Experimental and epidemiological data support the role of IGF signaling in cancer development and progression.
Purpose of the Study:
- To review the rationale for targeting the IGF system in cancer therapy.
- To summarize current clinical trial data for IGF-targeted therapies.
Main Methods:
- Review of preclinical and epidemiological data supporting IGF pathway targeting.
- Summary and analysis of emerging clinical trial data (Phase I) for IGF-targeted agents.
Main Results:
- Investigational therapies targeting the IGF pathway are under development.
- Early Phase I clinical trial data indicate favorable safety profiles for monoclonal antibodies targeting the IGF-I receptor.
Conclusions:
- Targeting the IGF signaling pathway represents a promising strategy in oncology.
- Further clinical investigation of IGF-targeted therapies is warranted based on encouraging safety data.
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