Targeted treatments in colorectal cancer: state of the art and future perspectives

被引:55
作者
Arnold, Dirk
Seufferlein, Thomas [1 ]
机构
[1] Martin Luther Univ Halle Wittenberg, Dept Internal Med 1, D-06120 Halle, Saale, Germany
关键词
GROWTH-FACTOR RECEPTOR; PHASE-II TRIAL; CETUXIMAB PLUS IRINOTECAN; MONOCLONAL-ANTIBODY CP-751,871; OXALIPLATIN-BASED CHEMOTHERAPY; TYROSINE KINASE INHIBITOR; FACTOR TYPE-1 RECEPTOR; GENE COPY NUMBER; K-RAS; ANTIANGIOGENIC THERAPY;
D O I
10.1136/gut.2009.196006
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Targeted treatments have generated a lot of hope and hype in the treatment of gastrointestinal tumours. Indeed, the introduction of targeted treatments particularly for colorectal cancer has resulted in substantial improvements in tumour response and progression-free survival of patients. However, it is not fully understood how these agents act in patients, and the preclinical models are not appropriate to predict clinical efficacy. Here the current state of targeted treatments in colorectal cancer is reviewed, focusing on antiepidermal growth factor receptor (EGFR) and antiangiogenic strategies, describing how these agents fit into the therapeutic algorithm of this disease and discussing current understanding of the mechanism of action, biomarkers as well as future therapeutic strategies targeting multiple signalling pathways in colorectal cancer.
引用
收藏
页码:838 / 858
页数:21
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