Perspectives on the development of a molecularly targeted agent

被引:212
作者
Druker, BJ [1 ]
机构
[1] Oregon Hlth & Sci Univ, Ctr Leukaemia, Inst Canc, Portland, OR 97201 USA
关键词
D O I
10.1016/S1535-6108(02)00025-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
STI571 (Gleevec, imatinib mesylate) exemplifies the successful development of a rationally designed, molecularly targeted therapy for the treatment of a specific cancer. This article reviews the identification of Bcr-Abl as a therapeutic target in chronic myelogenous leukemia and the steps in the development of an agent to specifically inactivate this abnormality. Issues related to clinical trials of molecularly targeted agents are discussed, including dose and patient selection, as are possible mechanisms of resistance to STI571. Lastly, the potential use of STI571 in other malignancies and the translation of this paradigm to other malignancies is explored.
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收藏
页码:31 / 36
页数:6
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