New Treatment Options in Metastatic Pancreatic Cancer

被引:12
作者
Fudalej, Marta [1 ,2 ]
Kwasniewska, Daria [2 ]
Nurzynski, Pawel [2 ]
Badowska-Kozakiewicz, Anna [1 ]
Mekal, Dominika [1 ]
Czerw, Aleksandra [3 ,4 ]
Sygit, Katarzyna [5 ]
Deptala, Andrzej [1 ,2 ]
机构
[1] Med Univ Warsaw, Dept Oncol Propaedeut, PL-01445 Warsaw, Poland
[2] Minist Interior & Adm, Cent Clin Hosp, Dept Oncol, PL-02507 Warsaw, Poland
[3] Med Univ Warsaw, Dept Hlth Econ & Med Law, PL-01445 Warsaw, Poland
[4] Natl Inst Publ Hlth, Natl Res Inst, Dept Econ & Syst Anal, NIH, PL-00791 Warsaw, Poland
[5] Calisia Univ, Fac Hlth Sci, PL-62800 Kalisz, Poland
关键词
pancreatic cancer; KRAS; oncology; targeted therapy; immunotherapy; TRIPLE ANGIOKINASE INHIBITOR; RANDOMIZED PHASE-II; DUCTAL ADENOCARCINOMA; POLYPLEX MICELLES; NAB-PACLITAXEL; TARGETING KRAS; GENE-THERAPY; GEMCITABINE; NANOPARTICLES; IMMUNOTHERAPY;
D O I
10.3390/cancers15082327
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Simple Summary The poor prognosis of pancreatic cancer (PC) is associated with several factors, such as diagnosis at an advanced stage, early distant metastases, and remarkable resistance to most conventional treatment options. The pathogenesis of PC seems to be significantly more complicated than originally assumed. To develop effective treatment schemes prolonging patient survival, a multidirectional approach encompassing different aspects of the cancer is needed. Particular directions have been established; however, further studies bringing them all together and connecting the strengths of each therapy are needed. This review aims to provide an overview of new or emerging therapeutic strategies for the more effective management of metastatic PC. Pancreatic cancer (PC) is the seventh leading cause of cancer death across the world. Poor prognosis of PC is associated with several factors, such as diagnosis at an advanced stage, early distant metastases, and remarkable resistance to most conventional treatment options. The pathogenesis of PC seems to be significantly more complicated than originally assumed, and findings in other solid tumours cannot be extrapolated to this malignancy. To develop effective treatment schemes prolonging patient survival, a multidirectional approach encompassing different aspects of the cancer is needed. Particular directions have been established; however, further studies bringing them all together and connecting the strengths of each therapy are needed. This review summarises the current literature and provides an overview of new or emerging therapeutic strategies for the more effective management of metastatic PC.
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页数:18
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共 141 条
[1]  
Abdelgalil AA, 2020, PROF DRUG SUB EXCIP, V45, P93, DOI 10.1016/bs.podrm.2019.10.004
[2]   Gut microbiome and CAR-T therapy [J].
Abid, Muhammad Bilal ;
Shah, Nirav N. ;
Maatman, Theresa C. ;
Hari, Parameswaran N. .
EXPERIMENTAL HEMATOLOGY & ONCOLOGY, 2019, 8 (01)
[3]   A phase I dose escalation trial of tremelimumab (CP-675,206) in combination with gemcitabine in chemotherapy-naive patients with metastatic pancreatic cancer [J].
Aglietta, M. ;
Barone, C. ;
Sawyer, M. B. ;
Moore, M. J. ;
Miller, W. H., Jr. ;
Bagala, C. ;
Colombi, F. ;
Cagnazzo, C. ;
Gioeni, L. ;
Wang, E. ;
Huang, B. ;
Fly, K. D. ;
Leone, F. .
ANNALS OF ONCOLOGY, 2014, 25 (09) :1750-1755
[4]   The Potential of CAR T Cell Therapy in Pancreatic Cancer [J].
Akce, Mehmet ;
Zaidi, Mohammad Y. ;
Waller, Edmund K. ;
El-Rayes, Bassel F. ;
Lesinski, Gregory B. .
FRONTIERS IN IMMUNOLOGY, 2018, 9
[5]   BRCA mutations in pancreatic cancer and progress in their targeting [J].
Alkassis, Samer ;
Yazdanpanah, Omid ;
Philip, Philip Agop .
EXPERT OPINION ON THERAPEUTIC TARGETS, 2021, 25 (07) :547-557
[6]   Multi-institutional Validation Study of the American Joint Commission on Cancer (8th Edition) Changes for Tand N Staging in Patients With Pancreatic Adenocarcinoma [J].
Allen, Peter J. ;
Kuk, Deborah ;
Fernandez-del Castillo, Carlos ;
Basturk, Olca ;
Wolfgang, Christopher L. ;
Cameron, John L. ;
Lillemoe, Keith D. ;
Ferrone, Cristina R. ;
Morales-Oyarvide, Vicente ;
He, Jin ;
Weiss, Matthew J. ;
Hruban, Ralph H. ;
Gonen, Mithat ;
Klimstra, David S. ;
Mino-Kenudson, Mari .
ANNALS OF SURGERY, 2017, 265 (01) :185-191
[7]   Angiogenesis in Pancreatic Cancer: Pre-Clinical and Clinical Studies [J].
Annese, Tiziana ;
Tamma, Roberto ;
Ruggieri, Simona ;
Ribatti, Domenico .
CANCERS, 2019, 11 (03)
[8]   Cobimetinib Plus Gemcitabine: An Active Combination in KRAS G12R-Mutated Pancreatic Ductal Adenocarcinoma Patients in Previously Treated and Failed Multiple Chemotherapies [J].
Ardalan, Bach ;
Azqueta, Jose ;
Sleeman, Danny .
JOURNAL OF PANCREATIC CANCER, 2021, 7 (01) :65-70
[9]   FDAApproval Summary: Olaparib Monotherapy or in Combination with Bevacizumab for the Maintenance Treatment of Patients with Advanced Ovarian Cancer [J].
Arora, Shaily ;
Balasubramaniam, Sanjeeve ;
Zhang, Hui ;
Berman, Tara ;
Narayan, Preeti ;
Suzman, Daniel ;
Bloomquist, Erik ;
Tang, Shenghui ;
Gong, Yutao ;
Sridhara, Rajeshwari ;
Turcu, Francisca Reyes ;
Chatterjee, Deb ;
Saritas-Yildirim, Banu ;
Ghosh, Soma ;
Philip, Reena ;
Pathak, Anand ;
Gao, Jennifer J. ;
Amiri-Kordestani, Laleh ;
Pazdur, Richard ;
Beaver, Julia A. .
ONCOLOGIST, 2021, 26 (01) :E164-E172
[10]   Nintedanib, a triple angiokinase inhibitor, enhances cytotoxic therapy response in pancreatic cancer [J].
Awasthi, Niranjan ;
Hinz, Stefan ;
Brekken, Rolf A. ;
Schwarz, Margaret A. ;
Schwarz, Roderich E. .
CANCER LETTERS, 2015, 358 (01) :59-66