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Establishment and Characterization of Patient-Derived Xenograft Models of Anaplastic Thyroid Carcinoma and Head and Neck Squamous Cell Carcinoma
Published on: June 2, 2023
Axitinib in the Treatment of Head and Neck Malignancies
Paul L Swiecicki1, Matthew Spector, Francis P Worden
1Division of Hematology/ Oncology, Department of Internal Medicine, University of Michigan, 1500 E. Medical Center Dr, SPC 5912, Ann Arbor, MI, USA. pswiecic@med.umich.edu.
Abstract:
Head and neck cancers (thyroid and head and neck squamous cell carcinoma (HNSCC)) are relatively common malignancies and although often curable at initial diagnosis, treatment of advanced disease is palliative in intent. There is a scarcity of treatment options, many of which are traditionally associated with significant toxicities and poor survival. Translational studies have identified numerous dysregulated pathways amongst head and neck cancers, including VEGFR and EGFR, highlighting the potential role for targeted therapies. This review details the role of VEGFR in both head and neck cancers and discusses recent trials utilizing axitinib, a multi-tyrosine kinase inhibitor with targets including VEGFR-1, -2, and -3. The article discusses the toxicity data as well as ongoing clinical trials.
Insights
Targeted therapies like axitinib show promise for advanced head and neck cancers (thyroid and HNSCC) by inhibiting VEGFR. This review explores axitinib
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Head and neck cancers, including thyroid and HNSCC, present limited treatment options for advanced stages.
- Current treatments often involve significant toxicities and suboptimal survival rates.
- Dysregulated pathways like VEGFR and EGFR are implicated in head and neck cancers.
Purpose of the Study:
- To review the role of Vascular Endothelial Growth Factor Receptor (VEGFR) in head and neck cancers.
- To discuss recent clinical trials involving axitinib, a multi-tyrosine kinase inhibitor targeting VEGFR.
- To analyze toxicity data and ongoing clinical trials for VEGFR-targeted therapies.
Main Methods:
- Literature review of translational studies and clinical trials.
- Analysis of VEGFR's role in head and neck cancer pathogenesis.
- Evaluation of axitinib's efficacy and safety profile.
Main Results:
- VEGFR signaling is a key pathway in head and neck cancers.
- Axitinib demonstrates potential as a targeted therapy by inhibiting VEGFR-1, -2, and -3.
- Toxicity data from axitinib trials are being assessed.
Conclusions:
- Targeted inhibition of VEGFR pathways, such as with axitinib, represents a promising therapeutic strategy for advanced head and neck cancers.
- Further clinical trials are necessary to fully establish the role and optimize the use of axitinib and similar agents.
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