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Lung Cancer - Standard Therapy and the Use of a Novel, Highly Effective, Well Tolerated, Treatment With Progesterone
Jerome H Check1,2, Trina Poretta3, Diane Check2
1Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Cooper Medical School of Rowan University, Camden, NJ, U.S.A.; laurie@ccivf.com.
Abstract:
The most recent successful advances in lung cancer therapy have directly and increasingly focused on personalized tumor genetic/epigenetic/immunologic profiling, and the identification and development of novel pharmacologic agents aimed at those mutations [e.g., epidermal growth factor receptor (EGFR), Kristen rat sarcoma viral oncogene homolog (KRAS), anaplastic lymphoma kinase (ALK) and immunotherapy against programmed cell death protein 1 (PD-1) and its ligands] which have extended life and provided palliation for lung cancer-patients positive for these mutations. The objective of this study is to provide a review of the large number of drugs and their efficacy as of 2022, for lung cancer, but also introduce a novel treatment that has the potential, based on one controlled murine lung cancer study and 5 anecdotal human cases, that showed marked palliative and longevity benefits in very advanced lung cancer with no other treatment options, i.e., progesterone receptor (PR) antagonists targeting the immunosuppressive protein, the progesterone induced blocking factor (PIBF). Credibility, however, will only be provided when the efficacy can be demonstrated in a large series of lung cancer cases ideally with certain controls. Thus, the ultimate objective of the review is to interest oncologists with a large population of lung cancer patients to perform a well powered study to corroborate or refute the limited experience to date with PR antagonist therapy.
Insights
Recent lung cancer therapies target tumor mutations for better outcomes. A novel approach using progesterone receptor antagonists shows potential for advanced lung cancer, warranting further clinical studies.
Area of Science:
- Oncology
- Pharmacology
Background:
- Lung cancer treatment advances focus on personalized profiling (genetic, epigenetic, immunologic).
- Targeted therapies and immunotherapies (e.g., EGFR, KRAS, ALK inhibitors, PD-1/ligand blockade) have improved survival and palliation for specific patient groups.
Purpose of the Study:
- To review lung cancer drug efficacy up to 2022.
- To introduce progesterone receptor (PR) antagonists targeting progesterone induced blocking factor (PIBF) as a novel therapeutic strategy.
- To encourage large-scale clinical trials to validate PR antagonist efficacy in advanced lung cancer.
Main Methods:
- Review of existing literature on lung cancer therapies and drug efficacy.
- Analysis of preliminary data from one murine study and five human cases on PR antagonists.
- Proposal for future well-powered clinical studies.
Main Results:
- Established targeted therapies and immunotherapies have demonstrated significant benefits for specific lung cancer mutations.
- Preliminary data suggest PR antagonists may offer palliative and longevity benefits in advanced lung cancer patients with limited options.
- Further research is needed to confirm these findings in larger patient cohorts.
Conclusions:
- Personalized medicine has revolutionized lung cancer treatment.
- PR antagonists represent a potential new avenue for treating advanced lung cancer, but require robust clinical validation.
- Oncologists are encouraged to investigate PR antagonist therapy through well-designed clinical trials.
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