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Published on: June 26, 2019
Epidermal growth factor receptor targeted therapies for solid tumours.
M Van den Eynde1, J F Baurain, F Mazzeo
1Department of Medical Oncology, Centre du Cancer, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels, Belgium.
This review covers anti-epidermal growth factor receptor (EGFR) therapies, including monoclonal antibodies and small-molecule inhibitors, used for various epithelial cancers. It discusses their clinical efficacy, optimal use controversies, and resistance mechanisms.
Area of Science:
- Oncology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) pathways are often activated in human epithelial cancers.
- Current treatments include anti-EGFR monoclonal antibodies (e.g., cetuximab) and small-molecule tyrosine kinase inhibitors (e.g., erlotinib).
Purpose of the Study:
- To summarize clinical evidence for anti-EGFR treatment efficacy in various cancers.
- To discuss current clinical controversies regarding the optimal use of anti-EGFR therapies.
- To briefly review mechanisms of resistance to anti-EGFR treatments.
Main Methods:
- Review of clinical evidence for anti-EGFR therapies.
- Discussion of clinical controversies and resistance mechanisms.
Main Results:
- Anti-EGFR therapies are approved for metastatic non-small-cell lung cancer, colorectal cancer, head and neck squamous-cell carcinoma, and pancreatic cancer.
- Clinical evidence supports the anticancer activity of these treatments.
Conclusions:
- Anti-EGFR therapies represent a significant advancement in treating various epithelial cancers.
- Optimal clinical use and resistance mechanisms remain important areas for ongoing research and discussion.
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