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Published on: April 20, 2018
Systemic approach to improving treatment outcome in nasopharyngeal carcinoma: current and future directions
Brigette B Y Ma1, Edwin P Hui, Anthony T C Chan
1Department of Clinical Oncology at the Sir Y. K. Pao Center for Cancer, Prince of Wales Hospital, Ngan Shing Street, Shatin, New Territories, Hong Kong SAR, China.
Abstract:
Systemic therapy is an integral part of the management of non-keratinizing nasopharyngeal carcinoma (NPC). The purposes of this review are to provide the latest results and future directions of clinical and translational research for this disease, and to illustrate how some of these new therapies have improved the treatment outcome for patients with NPC. Particular attention will be paid to the clinical application of chemotherapy in the adjunctive treatment of locoregionally advanced NPC, novel targeted drugs, Epstein-Barr virus-targeted vaccine therapies, and the use of plasma Epstein-Barr virus DNA as a biomarker for selecting patients for adjunctive therapies.
Insights
Systemic therapy advances non-keratinizing nasopharyngeal carcinoma (NPC) treatment. New research explores chemotherapy, targeted drugs, and Epstein-Barr virus (EBV) therapies, improving patient outcomes.
Area of Science:
- Oncology
- Virology
- Immunotherapy
Background:
- Non-keratinizing nasopharyngeal carcinoma (NPC) management relies heavily on systemic therapy.
- Advances in understanding NPC pathogenesis and treatment resistance are crucial.
Purpose of the Study:
- To review current clinical and translational research in NPC systemic therapy.
- To highlight recent therapeutic advancements and their impact on patient outcomes.
- To discuss future research directions in NPC treatment.
Main Methods:
- Literature review of clinical trials and translational studies.
- Analysis of chemotherapy, targeted therapy, and vaccine therapy data.
- Evaluation of Epstein-Barr virus (EBV) DNA as a biomarker.
Main Results:
- Chemotherapy shows efficacy in adjunctive treatment for locoregionally advanced NPC.
- Novel targeted drugs and EBV-targeted vaccines represent promising therapeutic avenues.
- Plasma EBV DNA serves as a valuable biomarker for patient selection and monitoring.
Conclusions:
- Systemic therapy, including novel agents and biomarker-guided approaches, is transforming NPC management.
- Continued research in targeted therapies and immunotherapy holds potential for further improving NPC patient survival.
- Personalized treatment strategies based on biomarkers like EBV DNA are key to optimizing NPC care.
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