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Targeted Therapy for Cancers: From Ongoing Clinical Trials to FDA-Approved Drugs
1College of Pharmacy, Dongduk Women's University, Seoul 02748, Republic of Korea.
Abstract:
The development of targeted therapies has revolutionized cancer treatment, offering improved efficacy with reduced side effects compared with traditional chemotherapy. This review highlights the current landscape of targeted therapy in lung cancer, colorectal cancer, and prostate cancer, focusing on key molecular targets. Moreover, it aligns with US Food and Drug Administration (FDA)-approved drugs and drug candidates. In lung cancer, mutations in the epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) gene rearrangements have emerged as significant targets. FDA-approved drugs like osimertinib and crizotinib specifically inhibit these aberrant pathways, providing remarkable benefits in patients with EGFR-mutated or ALK-positive lung cancer. Colorectal cancer treatment has been shaped by targeting the vascular endothelial growth factor (VEGF) and EGFR. Bevacizumab and cetuximab are prominent FDA-approved agents that hinder VEGF and EGFR signaling, significantly enhancing outcomes in metastatic colorectal cancer patients. In prostate cancer, androgen receptor (AR) targeting is pivotal. Drugs like enzalutamide, apalutamide, and darolutamide effectively inhibit AR signaling, demonstrating efficacy in castration-resistant prostate cancer. This review further highlights promising targets like mesenchymal-epithelial transition (MET), ROS1, BRAF, and poly(ADP-ribose) polymeras (PARP) in specific cancer subsets, along with ongoing clinical trials that continue to shape the future of targeted therapy.
Insights
Targeted therapies offer effective cancer treatment with fewer side effects. This review covers FDA-approved targeted drugs for lung, colorectal, and prostate cancers, focusing on key molecular targets like EGFR, ALK, and AR.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Targeted therapies represent a significant advancement over traditional chemotherapy, offering improved efficacy and reduced side effects.
- The review focuses on the current landscape of targeted therapy in three major cancer types: lung, colorectal, and prostate cancer.
Purpose of the Study:
- To review the current state of targeted therapy in lung, colorectal, and prostate cancers.
- To highlight key molecular targets and their corresponding US Food and Drug Administration (FDA)-approved drugs.
- To discuss emerging targets and ongoing clinical trials shaping the future of cancer treatment.
Main Methods:
- Literature review of targeted therapies and their molecular targets in specific cancers.
- Focus on FDA-approved drugs and drug candidates.
- Identification of key molecular pathways and genetic alterations targeted by these therapies.
Main Results:
- Lung Cancer: EGFR mutations and ALK rearrangements are targeted by FDA-approved drugs like osimertinib and crizotinib.
- Colorectal Cancer: VEGF and EGFR are key targets, with FDA-approved agents including bevacizumab and cetuximab.
- Prostate Cancer: Androgen Receptor (AR) signaling is targeted by enzalutamide, apalutamide, and darolutamide in castration-resistant cases.
Conclusions:
- Targeted therapies have revolutionized cancer treatment by precisely targeting molecular alterations.
- FDA-approved drugs demonstrate significant efficacy in lung, colorectal, and prostate cancers.
- Emerging targets and ongoing research promise further advancements in personalized cancer therapy.
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