Tyrosine kinase inhibitors in osteosarcoma: Adapting treatment strategiesa

Ahmad Assi1, Mohamad Farhat1, Maria Catherine Rita Hachem1

  • 1Hematology-Oncology Department, Hotel Dieu de France, Beirut, Lebanon.

Journal of Bone Oncology
|December 7, 2023
PubMed

Insights

Tyrosine kinase inhibitors (TKIs) show promise for treating osteosarcoma (OS), a rare bone cancer. Further research is needed to identify biomarkers and validate TKI efficacy in larger trials.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Osteosarcoma (OS) is an aggressive bone cancer with limited treatment advancements.
  • Current survival rates for OS have plateaued over the last four decades.
  • Novel therapeutic strategies are urgently needed for OS patients.

Purpose of the Study:

  • To explore the potential of tyrosine kinase inhibitors (TKIs) as a treatment for osteosarcoma.
  • To investigate the role of receptor tyrosine kinase genetic alterations and expression in OS.
  • To evaluate TKIs as monotherapies and combination therapies for OS.

Main Methods:

  • A comprehensive literature search was performed to gather data on receptor tyrosine kinases in OS.
  • Genetic alterations and protein expression of these receptors were analyzed.
  • The efficacy of TKIs, including apatinib, regorafenib, and cabozantinib, was evaluated.

Main Results:

  • Genetic alterations and protein expression of receptor tyrosine kinases correlate with OS prognosis and tumor behavior.
  • Certain TKIs, such as apatinib, regorafenib, and cabozantinib, show therapeutic potential.
  • Combination therapy with TKIs and chemotherapy may improve outcomes for OS patients.

Conclusions:

  • TKIs represent a promising therapeutic avenue for osteosarcoma.
  • Identifying predictive biomarkers for TKI response is crucial for optimizing treatment.
  • Larger-scale clinical trials are necessary to validate the efficacy and safety of TKIs in OS.

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