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Dasatinib in solid tumors
Lori C Kim1, Uwe Rix, Eric B Haura
1University of South Florida College of Medicine, 12902 Magnolia Drive, MCC-GME, Tampa, Florida 33612, USA.
Importance Of The Field:
Dasatinib is an oral, potent adenosine triphosphate-competitive inhibitor of multiple tyrosine kinases including BCR-ABL, c-KIT, platelet-derived growth factor receptor, and Src family kinases (SFKs). It has gained much attention for its use in chronic myeloid leukemia and for the treatment of adults with Philadelphia chromosome-positive acute lymphoblastic leukemia. However, dasatinib is also being explored in solid tumors in ongoing Phase I and II clinical trials.
Areas Covered In This Review:
The clinical efficacy of dasatinib in a wide variety of solid tumors and important Phase I/II studies utilizing dasatinib and the optimal dosage used in solid tumors. A literature search was conducted using PubMed/MEDLINE, www.clinicaltrials.gov , and the American Society of Clinical Oncology websites to find relevant Phase I/II clinical trials during 1987-2009.
What The Reader Will Gain:
The understanding that the biology and mechanism of Src activation in tumors are not well understood and finding the optimal use of SFK inhibitors in the clinical setting requires further investigation.
Take Home Message:
In reviewing the clinical safety data of dasatinib in its current use as a Src inhibitor in a wide variety of solid malignancies, dasatinib appears to be safe and is a promising agent for the treatment of metastatic solid tumors refractory to standard therapies.
Insights
Dasatinib, a tyrosine kinase inhibitor, shows promise for treating solid tumors. Clinical trials indicate it is safe and effective for metastatic cancers resistant to standard treatments.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Dasatinib is a potent tyrosine kinase inhibitor targeting BCR-ABL, c-KIT, PDGF, and Src family kinases (SFKs).
- Currently used for chronic myeloid leukemia and Philadelphia chromosome-positive acute lymphoblastic leukemia.
- Investigated for efficacy in solid tumors through Phase I and II clinical trials.
Purpose of the Study:
- To review the clinical efficacy and safety of dasatinib in solid tumors.
- To identify optimal dosages and applications of dasatinib in solid tumor treatment.
- To explore the role of Src family kinase (SFK) inhibition in solid malignancies.
Main Methods:
- Literature search of Phase I/II clinical trials from 1987-2009 using PubMed/MEDLINE, clinicaltrials.gov, and ASCO websites.
- Focused on dasatinib's efficacy, dosage, and safety in solid tumors.
- Included analysis of clinical safety data for dasatinib as a Src inhibitor.
Main Results:
- Dasatinib is being explored in ongoing Phase I and II clinical trials for solid tumors.
- Understanding of Src activation in tumors and optimal SFK inhibitor use requires further investigation.
- Clinical safety data indicates dasatinib is generally safe in various solid malignancies.
Conclusions:
- Dasatinib is a safe and promising agent for metastatic solid tumors refractory to standard therapies.
- Further research is needed to fully understand the role of SFK inhibitors in solid tumors.
- Dasatinib's potential in treating solid malignancies warrants continued clinical investigation.
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