Combining emerging agents in advanced breast cancer

Thehang Luu1, Cathie Chung, George Somlo

  • 1Department of Medical Oncology and Therapeutics Research, City of Hope Cancer Center, Duarte, California, USA. tluu@coh.org

The Oncologist
|May 6, 2011
PubMed

Insights

Advances in cytotoxic and targeted therapies have significantly improved survival for metastatic breast cancer patients. Ongoing research promises even more therapeutic options and optimized combination treatments.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Metastatic breast cancer survival has improved due to newer treatments over the past two decades.
  • Cytotoxic and targeted therapies continue to enhance patient outcomes.

Purpose of the Study:

  • To review recent data and ongoing research in metastatic breast cancer treatment.
  • To highlight new and emerging cytotoxic and targeted therapies.
  • To discuss mechanisms of synergy and the rationale for developing novel agents.

Main Methods:

  • Literature review of recent clinical data and ongoing research.
  • Analysis of approved and investigational cytotoxic and targeted agents.
  • Discussion of mechanisms targeting angiogenesis, DNA repair, HDACs, HSPs, and signaling pathways.

Main Results:

  • Newer classes of cytotoxic and targeted agents are approved and under clinical evaluation.
  • Understanding of synergistic mechanisms between agents is growing.
  • Rationale for novel therapeutic targets is being elucidated.

Conclusions:

  • Continued research in anticancer agents and cancer biology will expand therapeutic options for metastatic breast cancer.
  • Understanding drug interplay is crucial for designing effective and tolerable combination regimens.
  • Rational combination therapy will improve efficacy in the absence of effective targeted monotherapy.

Related Concept Videos

Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...