Emerging Therapies for Advanced Cholangiocarcinoma: An Updated Literature Review

Cholangiocarcinoma is a group of malignancies with poor prognosis. Treatments for the management of advanced-stage cholangiocarcinoma are limited, and the 5-year survival rate is estimated to be approximately 5–15%, considering all tumor stages. There is a significant unmet need for effective new tr...

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Autores principales: Anthony Vignone, Francesca Biancaniello, Marco Casadio, Ludovica Pesci, Vincenzo Cardinale, Lorenzo Ridola, Domenico Alvaro
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/82767877420544568ea0e262ab6c2d4e
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spelling oai:doaj.org-article:82767877420544568ea0e262ab6c2d4e2021-11-11T17:32:59ZEmerging Therapies for Advanced Cholangiocarcinoma: An Updated Literature Review10.3390/jcm102149012077-0383https://doaj.org/article/82767877420544568ea0e262ab6c2d4e2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4901https://doaj.org/toc/2077-0383Cholangiocarcinoma is a group of malignancies with poor prognosis. Treatments for the management of advanced-stage cholangiocarcinoma are limited, and the 5-year survival rate is estimated to be approximately 5–15%, considering all tumor stages. There is a significant unmet need for effective new treatment approaches. The present review is provided with the aim of summarizing the current evidence and future perspectives concerning new therapeutic strategies for cholangiocarcinoma. The role of targeted therapies and immunotherapies is currently investigational in cholangiocarcinoma. These therapeutic options might improve survival outcomes, as shown by the promising results of several clinical trials illustrated in the present review. The co-presence of driver mutations and markers of susceptibility to immunotherapy may lead to rational combination strategies and clinical trial development. A better understanding of immunologically based therapeutic weapons is needed, which will lead to a form of a precision medicine strategy capable of alleviating the clinical aggressiveness and to improve the prognosis of cholangiocarcinoma.Anthony VignoneFrancesca BiancanielloMarco CasadioLudovica PesciVincenzo CardinaleLorenzo RidolaDomenico AlvaroMDPI AGarticlecholangiocarcinomatargeted therapyimmunotherapyMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4901, p 4901 (2021)
institution DOAJ
collection DOAJ
language EN
topic cholangiocarcinoma
targeted therapy
immunotherapy
Medicine
R
spellingShingle cholangiocarcinoma
targeted therapy
immunotherapy
Medicine
R
Anthony Vignone
Francesca Biancaniello
Marco Casadio
Ludovica Pesci
Vincenzo Cardinale
Lorenzo Ridola
Domenico Alvaro
Emerging Therapies for Advanced Cholangiocarcinoma: An Updated Literature Review
description Cholangiocarcinoma is a group of malignancies with poor prognosis. Treatments for the management of advanced-stage cholangiocarcinoma are limited, and the 5-year survival rate is estimated to be approximately 5–15%, considering all tumor stages. There is a significant unmet need for effective new treatment approaches. The present review is provided with the aim of summarizing the current evidence and future perspectives concerning new therapeutic strategies for cholangiocarcinoma. The role of targeted therapies and immunotherapies is currently investigational in cholangiocarcinoma. These therapeutic options might improve survival outcomes, as shown by the promising results of several clinical trials illustrated in the present review. The co-presence of driver mutations and markers of susceptibility to immunotherapy may lead to rational combination strategies and clinical trial development. A better understanding of immunologically based therapeutic weapons is needed, which will lead to a form of a precision medicine strategy capable of alleviating the clinical aggressiveness and to improve the prognosis of cholangiocarcinoma.
format article
author Anthony Vignone
Francesca Biancaniello
Marco Casadio
Ludovica Pesci
Vincenzo Cardinale
Lorenzo Ridola
Domenico Alvaro
author_facet Anthony Vignone
Francesca Biancaniello
Marco Casadio
Ludovica Pesci
Vincenzo Cardinale
Lorenzo Ridola
Domenico Alvaro
author_sort Anthony Vignone
title Emerging Therapies for Advanced Cholangiocarcinoma: An Updated Literature Review
title_short Emerging Therapies for Advanced Cholangiocarcinoma: An Updated Literature Review
title_full Emerging Therapies for Advanced Cholangiocarcinoma: An Updated Literature Review
title_fullStr Emerging Therapies for Advanced Cholangiocarcinoma: An Updated Literature Review
title_full_unstemmed Emerging Therapies for Advanced Cholangiocarcinoma: An Updated Literature Review
title_sort emerging therapies for advanced cholangiocarcinoma: an updated literature review
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/82767877420544568ea0e262ab6c2d4e
work_keys_str_mv AT anthonyvignone emergingtherapiesforadvancedcholangiocarcinomaanupdatedliteraturereview
AT francescabiancaniello emergingtherapiesforadvancedcholangiocarcinomaanupdatedliteraturereview
AT marcocasadio emergingtherapiesforadvancedcholangiocarcinomaanupdatedliteraturereview
AT ludovicapesci emergingtherapiesforadvancedcholangiocarcinomaanupdatedliteraturereview
AT vincenzocardinale emergingtherapiesforadvancedcholangiocarcinomaanupdatedliteraturereview
AT lorenzoridola emergingtherapiesforadvancedcholangiocarcinomaanupdatedliteraturereview
AT domenicoalvaro emergingtherapiesforadvancedcholangiocarcinomaanupdatedliteraturereview
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