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Reprogramming Pancreatic Ductal Adenocarcinoma to Pluripotency
Published on: February 2, 2024
Emerging therapies in pancreas cancer
1Roswell Park Cancer Institute, Buffalo, NY.
Abstract:
Pancreas cancer has a grave prognosis and treatment options remain limited despite advancement in anti-cancer chemotherapeutics. This review provides an overview of the emerging therapies for pancreas cancer, focusing on novel signal transduction inhibitors (insulin-like growth factor receptor, hedgehog/Smo, PI3k/Akt/mTOR) and cytotoxics (nab-paclitaxel) that are currently in clinical development. Despite the impact molecularly targeted agents have on other tumor types, their application without cytotoxics in pancreas cancer remains limited. In addition, recent report of the superiority of an intensive cytotoxic regimen using fluorouracil, irinotecan and oxaliplatin (FOLFIRINOX) over gemcitabine reminded us of the importance of cytotoxics in this disease. As such, the future of pancreas cancer therapy may be combination regimens consisting of cytotoxics and molecularly targeted agents.
Insights
Pancreas cancer treatment is limited. Emerging therapies include targeted agents and cytotoxics, with combination regimens showing future promise for improved outcomes.
Area of Science:
- Oncology
- Pharmacology
Background:
- Pancreas cancer has a poor prognosis with limited treatment options.
- Advancements in anti-cancer chemotherapeutics have yet to significantly improve outcomes.
Purpose of the Study:
- To review emerging therapies for pancreas cancer.
- To focus on novel signal transduction inhibitors and cytotoxics in clinical development.
Main Methods:
- Review of clinical development data for novel signal transduction inhibitors (insulin-like growth factor receptor, hedgehog/Smo, PI3k/Akt/mTOR).
- Analysis of emerging cytotoxic agents, including nab-paclitaxel.
- Evaluation of combination regimens.
Main Results:
- Molecularly targeted agents show limited efficacy as monotherapy in pancreas cancer.
- The cytotoxic regimen FOLFIRINOX demonstrated superiority over gemcitabine.
- Emerging therapies are primarily in clinical development.
Conclusions:
- The future of pancreas cancer therapy likely involves combination regimens.
- Combining cytotoxics with molecularly targeted agents may offer improved treatment strategies.
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