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Updated: May 18, 2026

Three-Dimensional Bone Extracellular Matrix Model for Osteosarcoma
Published on: April 12, 2019
New targets and approaches in osteosarcoma
Jonathan Gill1, Manpreet K Ahluwalia, David Geller
1Department of Pediatrics, Montefiore Medical Center and The Children's Hospital at Montefiore, Bronx, NY, United States.
Abstract:
Osteosarcoma is the most common primary tumor of bone. Approximately 2/3 of patients who present with localized osteosarcoma can be expected to be cured of their disease with surgery and routine chemotherapy. Only 1/3 of patients with metastases detectable at presentation will be cured. These survival trends have stagnated over the past 20 years using conventional chemotherapy. New agents need to be rationally investigated to strive for improvement in the survival of patients diagnosed with osteosarcoma. This manuscript will review the rationale for conventional chemotherapy used in the treatment of osteosarcoma, as well as agents in varying stages of development that may have promise for treatment in the future.
Insights
Osteosarcoma survival rates have stagnated despite conventional chemotherapy. New drug development is crucial for improving outcomes in bone cancer patients, particularly those with metastatic disease.
Area of Science:
- Oncology
- Orthopedic Oncology
- Cancer Therapeutics
Background:
- Osteosarcoma is the most prevalent primary bone malignancy.
- Current treatments involving surgery and chemotherapy offer a cure for localized disease in approximately two-thirds of patients.
- Survival rates for patients with detectable metastases at diagnosis remain poor, with only one-third achieving a cure.
Purpose of the Study:
- To review the established rationale behind conventional chemotherapy regimens for osteosarcoma.
- To explore novel therapeutic agents currently under investigation for osteosarcoma treatment.
- To identify promising future treatment strategies to improve patient survival.
Main Methods:
- Literature review of conventional osteosarcoma chemotherapy.
- Analysis of ongoing clinical trials and preclinical research for new osteosarcoma agents.
- Synthesis of current data and future therapeutic directions.
Main Results:
- Conventional chemotherapy has shown limited improvement in survival trends over the last two decades.
- Several novel agents are in various stages of development, showing potential in preclinical and early clinical studies.
- The need for innovative therapeutic approaches is evident.
Conclusions:
- There is a critical need for novel therapeutic strategies to overcome the stagnation in osteosarcoma survival rates.
- Investigating new agents is essential for improving outcomes, especially for patients with metastatic osteosarcoma.
- Future research should focus on rationally developing and testing new treatments.
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