Molecularly targeted drugs for metastatic colorectal cancer
Ying-dong Cheng1, Hua Yang, Guo-qing Chen
1Department of General Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing, People's Republic of China.
Abstract:
The survival rate of patients with metastatic colorectal cancer (mCRC) has significantly improved with applications of molecularly targeted drugs, such as bevacizumab, and led to a substantial improvement in the overall survival rate. These drugs are capable of specifically targeting the inherent abnormal pathways in cancer cells, which are potentially less toxic than traditional nonselective chemotherapeutics. In this review, the recent clinical information about molecularly targeted therapy for mCRC is summarized, with specific focus on several of the US Food and Drug Administration-approved molecularly targeted drugs for the treatment of mCRC in the clinic. Progression-free and overall survival in patients with mCRC was improved greatly by the addition of bevacizumab and/or cetuximab to standard chemotherapy, in either first- or second-line treatment. Aflibercept has been used in combination with folinic acid (leucovorin)-fluorouracil-irinotecan (FOLFIRI) chemotherapy in mCRC patients and among patients with mCRC with wild-type KRAS, the outcomes were significantly improved by panitumumab in combination with folinic acid (leucovorin)-fluorouracil-oxaliplatin (FOLFOX) or FOLFIRI. Because of the new preliminary studies, it has been recommended that regorafenib be used with FOLFOX or FOLFIRI as first- or second-line treatment of mCRC chemotherapy. In summary, an era of new opportunities has been opened for treatment of mCRC and/or other malignancies, resulting from the discovery of new selective targeting drugs.
Insights
Molecularly targeted drugs significantly improve survival rates for metastatic colorectal cancer (mCRC) patients. These targeted therapies offer improved outcomes and potentially lower toxicity compared to traditional chemotherapy.
Area of Science:
- Oncology
- Pharmacology
- Gastroenterology
Background:
- Metastatic colorectal cancer (mCRC) presents significant treatment challenges.
- Traditional chemotherapy has limitations in efficacy and toxicity.
- Molecularly targeted therapies offer a more precise approach to cancer treatment.
Purpose of the Study:
- To review recent clinical information on molecularly targeted therapy for mCRC.
- To focus on US Food and Drug Administration-approved targeted drugs for mCRC.
- To summarize advancements in mCRC treatment strategies.
Main Methods:
- Review of recent clinical data and studies on targeted therapies for mCRC.
- Focus on FDA-approved molecularly targeted drugs.
- Analysis of treatment outcomes including progression-free and overall survival.
Main Results:
- Bevacizumab and cetuximab addition to chemotherapy improved progression-free and overall survival in mCRC.
- Aflibercept combined with FOLFIRI showed improved outcomes.
- Panitumumab demonstrated significant benefits in wild-type KRAS mCRC patients with FOLFOX or FOLFIRI.
- Regorafenib is recommended for first- or second-line mCRC treatment with FOLFOX or FOLFIRI.
Conclusions:
- Molecularly targeted drugs have revolutionized mCRC treatment, improving survival rates.
- These targeted therapies offer a new era of treatment opportunities for mCRC and other malignancies.
- The development of selective targeting drugs represents a significant advancement in cancer therapy.
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