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Updated: Jul 27, 2025

The Colon-26 Carcinoma Tumor-bearing Mouse as a Model for the Study of Cancer Cachexia
Published on: November 30, 2016
Current Therapeutic Targets in Cancer Cachexia: A Pathophysiologic Approach
Kunal C Kadakia1,2, Jill M Hamilton-Reeves3,4, Vickie E Baracos5
1Department of Solid Tumor Oncology, Levine Cancer Institute, Atrium Health, Charlotte, NC.
Abstract:
Significant progress in our understanding of cancer cachexia has occurred in recent years. Despite these advances, no pharmacologic agent has achieved US Food and Drug Administration approval for this common and highly morbid syndrome. Fortunately, improved understanding of the molecular basis of cancer cachexia has led to novel targeted approaches that are in varying stages of drug development. This article reviews two major thematic areas that are driving these pharmacologic strategies, including those targeting signal mediators at the level of the CNS and skeletal muscle. Additionally, pharmacologic strategies are being tested in combination with targeted nutrients, nutrition therapy, and exercise to treat cancer cachexia. To this end, we highlight recently published and ongoing trials evaluating cancer cachexia therapies in these specific areas.
Insights
Despite recent advances, no FDA-approved drugs exist for cancer cachexia. Novel pharmacologic strategies targeting the CNS and skeletal muscle, alongside nutrition and exercise, are in development to combat this syndrome.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Cancer cachexia is a complex syndrome with significant morbidity.
- Current therapeutic options are limited, with no FDA-approved pharmacologic agents.
- Recent progress in understanding the molecular mechanisms driving cachexia offers new therapeutic avenues.
Approach:
- Reviewing novel pharmacologic strategies targeting the central nervous system (CNS) and skeletal muscle.
- Evaluating therapies in combination with nutrition therapy, targeted nutrients, and exercise.
- Highlighting recently published and ongoing clinical trials for cancer cachexia.
Key Points:
- Pharmacologic strategies focus on modulating signal mediators in the CNS and skeletal muscle.
- Combination therapies integrating nutrition and exercise show promise.
- Several novel agents are in various stages of drug development.
Conclusions:
- Targeted pharmacologic interventions represent a promising frontier for cancer cachexia treatment.
- Multimodal approaches combining drugs, nutrition, and exercise are crucial for managing cachexia.
- Ongoing clinical trials are vital for advancing the treatment of this debilitating condition.
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