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Updated: Jun 10, 2026

Three-Dimensional Bone Extracellular Matrix Model for Osteosarcoma
Published on: April 12, 2019
Emerging drugs for high-grade osteosarcoma
Claudia Maria Hattinger1, Michela Pasello, Stefano Ferrari
1Rizzoli Orthopaedic Institute, Pharmacogenomics and Pharmacogenetics Research Unit, Laboratory of Experimental Oncology, Via di Barbiano 1/10, 40136 Bologna, Italy.
Importance Of The Field:
Osteosarcoma (OS) is the most common primary malignant bone tumour in children and adolescents. This review focuses on the most promising therapeutic markers and drugs which may potentially be considered for innovative high-grade OS treatments.
Areas Covered In This Review:
The list of drugs and compounds reviewed has been generated by taking into account those which target markers of potential clinical interest for high-grade OS and have been included in Phase I, II or III clinical trials. The literature search covers the last 40 years, starting from the first OS chemotherapy reports of the early 1970s. Particular relevance was given to reports and reviews on new targeted therapies of possible clinical usefulness for high-grade OS.
What The Reader Will Gain:
This review gives an updated overview of novel therapeutic approaches which have been or are going to be evaluated in Phase I/II/III clinical studies for high-grade OS.
Take Home Message:
On the basis of the information that has emerged so far, it can be predicted that in the next 5 - 10 years, new agents to be included in innovative treatment strategies for selected subgroups of high-grade OS patients may become available.
Insights
Innovative treatments for high-grade osteosarcoma (OS) are emerging. This review highlights promising therapeutic markers and drugs in clinical trials for improved pediatric and adolescent OS care.
Area of Science:
- Oncology
- Pediatric Oncology
- Bone Cancers
Background:
- Osteosarcoma (OS) is the most common primary malignant bone tumor in children and adolescents.
- High-grade OS requires innovative treatment strategies.
Purpose of the Study:
- To review promising therapeutic markers and drugs for high-grade OS.
- To focus on agents evaluated in clinical trials for potential innovative treatments.
Main Methods:
- Literature search covering the last 40 years of OS chemotherapy and targeted therapies.
- Inclusion of drugs targeting clinically relevant markers in Phase I, II, or III trials.
- Emphasis on novel targeted therapies for high-grade OS.
Main Results:
- An updated overview of novel therapeutic approaches for high-grade OS.
- Identification of agents currently in or planned for clinical studies.
- Focus on treatments with potential clinical usefulness.
Conclusions:
- New agents for innovative treatment strategies are anticipated within 5-10 years.
- These agents may benefit selected subgroups of high-grade OS patients.
- Continued research into targeted therapies is crucial for advancing OS treatment.
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