Promising therapeutics of gastrointestinal cancers in clinical trials

Lingling Du1, Zheng Che2, Andrea Wang-Gillam1

  • 1Division of Medical Oncology, Department of Medicine, Washington University School of Medicine, Saint Louis, MO, USA.

Insights

Novel therapeutics targeting gastrointestinal (GI) cancers are emerging, focusing on pathways, metabolism, and the tumor microenvironment. This review highlights promising agents and strategies for GI cancer treatment.

Area of Science:

  • Oncology
  • Gastroenterology
  • Pharmacology

Background:

  • Gastrointestinal (GI) cancers represent a significant global health burden.
  • Numerous novel therapeutic agents are under development for various GI malignancies.
  • These agents target diverse biological mechanisms, including tumor growth, metabolism, and the tumor microenvironment.

Purpose of the Study:

  • To systematically review recent promising therapeutic agents for GI cancers.
  • To discuss emerging therapeutic strategies targeting novel pathways and targets in GI oncology.
  • To provide an overview of the current landscape of innovative treatments for GI malignancies.

Main Methods:

  • Literature review of recent preclinical and clinical studies on GI cancer therapeutics.
  • Classification of emerging agents based on their biological targets (e.g., growth pathways, metabolism, microenvironment).
  • Discussion of specific examples like regorafenib for hepatocellular carcinoma (HCC) and agents targeting FGFR fusions, tumor microenvironment, cancer stemness, and claudin 18.2.

Main Results:

  • Several novel therapeutic strategies are showing promise in GI cancers.
  • Targeting specific pathways (e.g., FGFR fusions) and the tumor microenvironment are key areas of investigation.
  • Agents targeting cancer stem-cell properties and claudin 18.2 are generating significant interest.

Conclusions:

  • A diverse range of novel therapeutics are advancing for GI cancers.
  • Targeting the tumor microenvironment and specific molecular alterations offers promising avenues.
  • Continued research and clinical investigation are crucial for optimizing GI cancer treatment.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

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.
There are several types of targeted therapies against...
9.0K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

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...
3.8K
Cancer Vaccines01:30

Cancer Vaccines

Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
1.2K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
10.3K