The role of targeted therapy for gastrointestinal tumors

Expert Rev Gastroenterol Hepatol. 2014 Nov;8(8):875-85. doi: 10.1586/17474124.2014.922870. Epub 2014 Jun 24.

Abstract

Many targeted drugs have been studied to target the molecular pathways involved in the development of gastrointestinal cancers. Anti-VEGF, anti-EGFR agents, and recently also multi-kinase inhibitor regorafenib, have already been available for the treatment of metastatic colorectal cancer patients. To date, Her-2 positive, gastric cancer patients, are also treated with trastuzumab, while the multi-targeted inhibitor, sorafenib, represents the standard treatment for hepatocellular carcinoma patients. Finally, sunitinib and everolimus, have been approved for the treatment of the neuroendocrine gastroenteropancreatic tumors. Actually a great number of further drugs are under preclinical and clinical development. The aim of this review is to provide a comprehensive overview of the state of art, focusing on the new emerging strategies in the personalized treatment of gastrointestinal tumors.

Keywords: colorectal cancer; gastric cancer; gastrointestinal tumors; hepatocellular carcinoma; neuroendocrine tumors; targeted therapy.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use*
  • ErbB Receptors / physiology
  • Gastrointestinal Neoplasms / drug therapy*
  • Gastrointestinal Neoplasms / etiology*
  • Gastrointestinal Neoplasms / pathology
  • Humans
  • Molecular Targeted Therapy*
  • Protein Kinase Inhibitors / therapeutic use*
  • Receptor, ErbB-2 / physiology
  • Receptors, Vascular Endothelial Growth Factor / physiology
  • Vascular Endothelial Growth Factor A / physiology

Substances

  • Antineoplastic Agents
  • Protein Kinase Inhibitors
  • Vascular Endothelial Growth Factor A
  • ErbB Receptors
  • Receptor, ErbB-2
  • Receptors, Vascular Endothelial Growth Factor