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Cancer Therapies02:49

Cancer Therapies

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Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
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Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
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Establishment and Characterization of OS-MET-R-092: A Novel Patient-Derived Cell Culture from an Osteosarcoma Bone Metastasis.

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Cytotoxic Efficacy of Photodynamic Therapy in Osteosarcoma Cells In Vitro
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An update on chemotherapy for osteosarcoma.

Stefano Ferrari1, Massimo Serra2

  • 1a Musculoskeletal Oncology Department , Rizzoli Orthopaedic Institute , Via Pupilli 1, Bologna 40136 , Italy.

Expert Opinion on Pharmacotherapy
|October 30, 2015
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Summary
This summary is machine-generated.

Chemotherapy has improved osteosarcoma survival, but innovations are slow. Personalized chemotherapy, based on pharmacogenetics, is the future for this rare bone cancer.

Keywords:
cisplatindoxorubicinifosfamidemethotrexatemifamurtideneoadjuvant chemotherapyosteosarcomapharmacogeneticsprognostic factorssalvage chemotherapytyrosine kinase inhibitors

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Area of Science:

  • Oncology
  • Pharmacology
  • Genetics

Background:

  • Chemotherapy significantly improved osteosarcoma survival since the 1970s.
  • Recent years have yielded clinically and scientifically relevant insights into osteosarcoma treatment.

Purpose of the Study:

  • To review recent phase 2 and 3 study results in osteosarcoma.
  • To discuss insights supporting a personalized chemotherapy approach for osteosarcoma.

Main Methods:

  • Review of published data and international meeting presentations.
  • Focus on recent phase 2 and 3 clinical studies.
  • Specific analysis of studies on personalized chemotherapy.

Main Results:

  • The MAP (methotrexate, doxorubicin, cisplatin) regimen is the current standard of care.
  • Poor pathological response to primary chemotherapy predicts survival.
  • Genomic complexity hinders near-term molecularly targeted therapies.

Conclusions:

  • International collaboration is crucial for rare tumors like osteosarcoma.
  • Current evidence does not support altering post-operative treatment based on pathological response.
  • Personalizing chemotherapy using pharmacogenetics is the future research direction for osteosarcoma.