[Targeted therapies in digestive oncology]
M-L Amram1, D A Benamran, A D Roth
1Service d'oncologie, Département de chirurgie HUG, 1211 Genève 14. Marie-Laure.Amram@hcuge.ch
Abstract:
Targeted therapies are relatively new molecules available for the oncologist. These drugs target a specific step of the cellular development and interfere with the intracellular signalization pathways. Amongst all others, EGF- and VEGF-pathways are currently targeted by these selective therapies. Modulating EGF and VEGF significantly improves overall survival and progression-free survival for many advanced or metastatic tumors as colorectal cancer, gastric cancer, gastrointestinal stromal tumors or hepatocellular carcinoma. Targeted therapies have a specific action site, a simple administration mode and are relatively well tolerated. In the future these molecules will probably be used "à la carte" for tumors that appear to be refractory to other drugs.
Insights
Targeted therapies, including those modulating EGF and VEGF pathways, offer new treatment options for advanced cancers. These targeted drugs improve survival rates and are well-tolerated, with future potential for refractory tumors.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Targeted therapies represent a novel class of anti-cancer drugs.
- These therapies interfere with specific intracellular signaling pathways crucial for cancer cell development.
- Epidermal Growth Factor (EGF) and Vascular Endothelial Growth Factor (VEGF) pathways are key targets of current selective therapies.
Purpose of the Study:
- To review the role and impact of targeted therapies in oncology.
- To highlight the efficacy of targeting EGF and VEGF pathways in advanced cancers.
- To discuss the future potential of targeted therapies in personalized cancer treatment.
Main Methods:
- Review of current literature on targeted therapies.
- Analysis of clinical outcomes associated with EGF and VEGF pathway modulation.
- Discussion of drug administration, tolerability, and future applications.
Main Results:
- Targeting EGF and VEGF pathways significantly improves overall survival and progression-free survival.
- Effective in treating advanced or metastatic colorectal cancer, gastric cancer, gastrointestinal stromal tumors, and hepatocellular carcinoma.
- Targeted therapies offer specific action sites, simple administration, and good tolerability.
Conclusions:
- Targeted therapies, particularly those modulating EGF and VEGF, are effective in improving outcomes for various advanced cancers.
- These therapies are well-tolerated and easy to administer.
- Future applications may include personalized 'à la carte' treatments for refractory tumors.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Combination Therapies and Personalized Medicine
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...
Tumor Immunotherapy


