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Ex Vivo Treatment Response of Primary Tumors and/or Associated Metastases for Preclinical and Clinical Development of Therapeutics
Published on: October 2, 2014
TROP2-Targeted Therapeutics in Development to Treat Gastrointestinal Tumors
1U.T. M.D. Anderson Cancer Center Pharmacy Clinical Programs, Houston, TX, USA. jerogers@mdanderson.org.
Abstract:
Overexpression of trophoblast cell surface antigen 2 (TROP2) has been identified in various malignancies. Antibody-drug conjugates (ADCs) targeting TROP2 with topoisomerase 1 inhibitor chemotherapy payloads are currently marketed in breast and lung cancer. TROP2 ADCs currently in use carry unique toxicities and come with specifics in supportive care therapy. TROP2 investigation is highly prevalent in current oncology, with multiple TROP2-targeting agents in the investigative pipeline for a vast array of malignancies. Combination strategies are also being explored. Gastrointestinal (GI) malignancies represent a heterogeneous group of cancers-with some of the most common malignancies and some with a high incidence of cancer-related deaths-in dire need of newer therapies. Early phase 1/2 data show a spark of activity in reports on colorectal cancer and gastroesophageal cancer. Studies are underway for targeting TROP2 in colorectal cancer, pancreatic cancer, biliary tract cancers, and gastroesophageal cancers. Discovering more targeted therapy in GI malignancies is of utmost importance. This review will focus on the current progress of TROP2-targeting therapies in GI investigations, and what lies ahead for the future.
Insights
Trophoblast cell surface antigen 2 (TROP2) targeted therapies, including antibody-drug conjugates (ADCs), show promise in gastrointestinal (GI) cancers. Ongoing research explores TROP2
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Trophoblast cell surface antigen 2 (TROP2) is overexpressed in various cancers.
- Antibody-drug conjugates (ADCs) targeting TROP2 are approved for breast and lung cancers.
- TROP2 ADCs have unique toxicities and require specific supportive care.
Purpose of the Study:
- To review the current progress of TROP2-targeting therapies in gastrointestinal (GI) malignancies.
- To explore the future potential of TROP2-targeting agents in GI cancers.
- To highlight the importance of discovering novel targeted therapies for GI malignancies.
Main Methods:
- Literature review of preclinical and clinical studies on TROP2-targeting agents in GI cancers.
- Analysis of early phase data for TROP2-targeted therapies in colorectal and gastroesophageal cancers.
- Examination of ongoing and planned investigations for TROP2-targeting agents in various GI malignancies.
Main Results:
- Early phase data indicate TROP2-targeted therapies show activity in colorectal and gastroesophageal cancers.
- Multiple TROP2-targeting agents are in development for a wide range of malignancies, including GI cancers.
- Combination strategies involving TROP2-targeting agents are under investigation.
Conclusions:
- TROP2-targeting therapies represent a promising avenue for treating GI malignancies.
- Further research and clinical trials are crucial to establish the efficacy and safety of TROP2-targeted agents in GI cancers.
- The development of novel targeted therapies for GI cancers, including TROP2-targeting agents, is of critical importance due to high mortality rates.
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