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Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
EGFR/HER-targeted therapeutics in ovarian cancer
Jason A Wilken1, Tayf Badri, Sarah Cross
1Yale University, Department of Obstetrics, Gynecology & Reproductive Sciences, New Haven, CT 06520, USA.
Abstract:
Despite decades of research and evolving treatment modalities, survival among patients with epithelial ovarian cancer has improved only incrementally. During this same period, the development of biologically targeted therapeutics has improved survival for patients with diverse malignancies. Many of these new drugs target the human epidermal growth factor receptor (EGFR/HER/ErbB) family of tyrosine kinases, which play a major role in the etiology and progression of many carcinomas, including epithelial ovarian cancer. While several HER-targeted therapeutics are US FDA approved for the treatment of various malignancies, none have gained approval for the treatment of ovarian cancer. Here, we review the published literature on HER-targeted therapeutics for the treatment of ovarian cancer, including novel HER-targeted therapeutics in various stages of clinical development, as well as the challenges that have limited the use of these inhibitors in clinical settings.
Insights
Human epidermal growth factor receptor (HER) targeted therapies show promise for epithelial ovarian cancer, but challenges remain. Further research is needed to improve survival rates for these patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Epithelial ovarian cancer survival has seen minimal improvement despite advances in treatment.
- Targeted therapies, particularly those inhibiting the human epidermal growth factor receptor (EGFR/HER/ErbB) family, have significantly improved outcomes in other cancers.
- The EGFR/HER/ErbB family is implicated in the development and progression of epithelial ovarian cancer.
Purpose of the Study:
- To review the current literature on HER-targeted therapeutics for epithelial ovarian cancer.
- To discuss novel HER-targeted agents in clinical development for ovarian cancer.
- To identify challenges hindering the clinical application of these inhibitors.
Main Methods:
- Systematic review of published studies on HER-targeted therapies in ovarian cancer.
- Analysis of clinical trial data for novel HER-targeted therapeutics.
- Evaluation of factors limiting the efficacy and use of HER inhibitors.
Main Results:
- Several HER-targeted therapeutics are approved for other cancers, but none for ovarian cancer.
- Ongoing research is exploring novel HER-targeted agents for ovarian cancer treatment.
- Challenges such as resistance mechanisms and toxicity have limited their widespread use.
Conclusions:
- HER-targeted therapies represent a promising avenue for improving epithelial ovarian cancer treatment.
- Overcoming current challenges is crucial for the successful clinical implementation of these targeted agents.
- Further investigation into novel HER inhibitors and combination strategies is warranted.
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