Molecular Targets and Emerging Therapies for Advanced Gallbladder Cancer

Biliary tract cancers (BTCs), for their low incidence, have been often considered together. Gallbladder cancer (GBC) is the most common biliary tract malignancy, characterized by late diagnosis and poor prognosis, and although it is considered a rare tumor in western countries, other areas of the wo...

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Autores principales: Matteo Canale, Manlio Monti, Ilario Giovanni Rapposelli, Paola Ulivi, Francesco Giulio Sullo, Giulia Bartolini, Elisa Tiberi, Giovanni Luca Frassineti
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/16b026a0d3554b54ae9b39c9fb66b95d
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spelling oai:doaj.org-article:16b026a0d3554b54ae9b39c9fb66b95d2021-11-25T17:02:29ZMolecular Targets and Emerging Therapies for Advanced Gallbladder Cancer10.3390/cancers132256712072-6694https://doaj.org/article/16b026a0d3554b54ae9b39c9fb66b95d2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5671https://doaj.org/toc/2072-6694Biliary tract cancers (BTCs), for their low incidence, have been often considered together. Gallbladder cancer (GBC) is the most common biliary tract malignancy, characterized by late diagnosis and poor prognosis, and although it is considered a rare tumor in western countries, other areas of the world show considerable incidence rates. In 2010, results from the large phase III ABC-02 clinical trial on GBC identified the gemcitabine and cisplatin combination as the most effective first-line regimen for both GBC and other BTCs. Since then, various systemic therapies have proven active in BTCs in both first- and second-line settings. Molecular profiling has highlighted important genetic differences between GBC and other BTCs, opening new ways for targeted therapy in advanced disease where standard chemotherapies show marginal benefit. Genome-wide data analysis have shown that GBC molecular landscape offer possible strategies for precision medicine approaches, and a better molecular understanding of the GBC is needed to better stratify patients for treatment. In this review, we discuss the molecular targetable agents for GBC, including the results that emerged by clinical trials exploring new treatment strategies.Matteo CanaleManlio MontiIlario Giovanni RapposelliPaola UliviFrancesco Giulio SulloGiulia BartoliniElisa TiberiGiovanni Luca FrassinetiMDPI AGarticleadvanced gallbladder cancermolecular characterizationtargeted therapyimmunotherapyNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5671, p 5671 (2021)
institution DOAJ
collection DOAJ
language EN
topic advanced gallbladder cancer
molecular characterization
targeted therapy
immunotherapy
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle advanced gallbladder cancer
molecular characterization
targeted therapy
immunotherapy
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Matteo Canale
Manlio Monti
Ilario Giovanni Rapposelli
Paola Ulivi
Francesco Giulio Sullo
Giulia Bartolini
Elisa Tiberi
Giovanni Luca Frassineti
Molecular Targets and Emerging Therapies for Advanced Gallbladder Cancer
description Biliary tract cancers (BTCs), for their low incidence, have been often considered together. Gallbladder cancer (GBC) is the most common biliary tract malignancy, characterized by late diagnosis and poor prognosis, and although it is considered a rare tumor in western countries, other areas of the world show considerable incidence rates. In 2010, results from the large phase III ABC-02 clinical trial on GBC identified the gemcitabine and cisplatin combination as the most effective first-line regimen for both GBC and other BTCs. Since then, various systemic therapies have proven active in BTCs in both first- and second-line settings. Molecular profiling has highlighted important genetic differences between GBC and other BTCs, opening new ways for targeted therapy in advanced disease where standard chemotherapies show marginal benefit. Genome-wide data analysis have shown that GBC molecular landscape offer possible strategies for precision medicine approaches, and a better molecular understanding of the GBC is needed to better stratify patients for treatment. In this review, we discuss the molecular targetable agents for GBC, including the results that emerged by clinical trials exploring new treatment strategies.
format article
author Matteo Canale
Manlio Monti
Ilario Giovanni Rapposelli
Paola Ulivi
Francesco Giulio Sullo
Giulia Bartolini
Elisa Tiberi
Giovanni Luca Frassineti
author_facet Matteo Canale
Manlio Monti
Ilario Giovanni Rapposelli
Paola Ulivi
Francesco Giulio Sullo
Giulia Bartolini
Elisa Tiberi
Giovanni Luca Frassineti
author_sort Matteo Canale
title Molecular Targets and Emerging Therapies for Advanced Gallbladder Cancer
title_short Molecular Targets and Emerging Therapies for Advanced Gallbladder Cancer
title_full Molecular Targets and Emerging Therapies for Advanced Gallbladder Cancer
title_fullStr Molecular Targets and Emerging Therapies for Advanced Gallbladder Cancer
title_full_unstemmed Molecular Targets and Emerging Therapies for Advanced Gallbladder Cancer
title_sort molecular targets and emerging therapies for advanced gallbladder cancer
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/16b026a0d3554b54ae9b39c9fb66b95d
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AT manliomonti moleculartargetsandemergingtherapiesforadvancedgallbladdercancer
AT ilariogiovannirapposelli moleculartargetsandemergingtherapiesforadvancedgallbladdercancer
AT paolaulivi moleculartargetsandemergingtherapiesforadvancedgallbladdercancer
AT francescogiuliosullo moleculartargetsandemergingtherapiesforadvancedgallbladdercancer
AT giuliabartolini moleculartargetsandemergingtherapiesforadvancedgallbladdercancer
AT elisatiberi moleculartargetsandemergingtherapiesforadvancedgallbladdercancer
AT giovannilucafrassineti moleculartargetsandemergingtherapiesforadvancedgallbladdercancer
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