Targeting Fibroblast Growth Factor Receptor Pathway: Precision Medicine for Biliary Cancer and Beyond

被引:2
作者
Uson Jr, Pedro Luiz Serrano [1 ,2 ]
Borad, Mitesh J. [1 ,3 ,4 ,5 ,6 ]
机构
[1] Mayo Clin, Dept Med, Div Hematol & Oncol, Scottsdale, AZ USA
[2] Hosp Israelita Albert Einstein, Ctr Personalized Med, Sao Paulo, Brazil
[3] Mayo Clin, Ctr Individualized Med, Rochester, MN USA
[4] Mayo Clin, Dept Mol Med, Rochester, MN USA
[5] Mayo Clin, Canc Ctr, Phoenix, AZ USA
[6] Mayo Clin, 5777 Mayo Blvd, Phoenix, AZ 85054 USA
关键词
cholangiocarcinoma; FGFR2; biliary cancers; pemigatinib; infigratinib; futibatinib; FGFR INHIBITOR; PHASE-I; CHOLANGIOCARCINOMA; EFFICACY; RESISTANCE; MUTATIONS; DERAZANTINIB; FUTIBATINIB; RLY-4008; BGJ398;
D O I
10.1055/a-2049-3149
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Fibroblast growth factor receptor 2 (FGFR2) inhibitors are now being included in the treatment guidelines of multiple countries for patients with advanced cholangiocarcinoma (CCA). Activation of the FGF-FGFR pathway is related to proliferation and tumor progression. Targeting the FGF-FGFR pathway is effective and can yield durable responses in patients with CCA harboring FGFR2 fusions or rearrangements. In this review article, we address molecules and clinical trials evaluating FGFR inhibitors in advanced CCA. We will further discuss identified mechanisms of resistance and the strategies to overcome it. The incorporation of next-generation sequencing in advanced CCA and circulating tumor DNA on disease progression will unveil mechanisms of resistance and improve the development of future clinical trials and more selective drugs and combinations.
引用
收藏
页码:218 / 225
页数:8
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