Erlotinib in the treatment of advanced pancreatic cancer

Robin K Kelley, Andrew H KoUniversity of California, San Francisco, Comprehensive Cancer CenterAbstract: Single agent gemcitabine has been the mainstay of therapy for advanced pancreatic cancer over the past decade. Multiple trials of newer chemotherapeutic agents both alone and in combination have...

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Autores principales: Robin K Kelley, Andrew H Ko
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Lenguaje:EN
Publicado: Dove Medical Press 2008
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Acceso en línea:https://doaj.org/article/b03fe3d41223428eac15921ce749ba74
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spelling oai:doaj.org-article:b03fe3d41223428eac15921ce749ba742021-12-02T08:02:34ZErlotinib in the treatment of advanced pancreatic cancer1177-54751177-5491https://doaj.org/article/b03fe3d41223428eac15921ce749ba742008-03-01T00:00:00Zhttp://www.dovepress.com/erlotinib-in-the-treatment-of-advanced-pancreatic-cancer-a57https://doaj.org/toc/1177-5475https://doaj.org/toc/1177-5491Robin K Kelley, Andrew H KoUniversity of California, San Francisco, Comprehensive Cancer CenterAbstract: Single agent gemcitabine has been the mainstay of therapy for advanced pancreatic cancer over the past decade. Multiple trials of newer chemotherapeutic agents both alone and in combination have yielded disappointing results, spurring the ongoing search for new agents and combinations in this aggressive malignancy. Inhibitors of the epidermal growth factor receptor (EGFR) have shown promising activity in multiple solid tumors types, and preclinical data support a role for EGFR inhibition in pancreatic cancer. A recent phase III study by the National Cancer Institute of Canada Clinical Trials Group (NCIC-CTG) demonstrated a significant survival benefit with the addition of the EGFR tyrosine kinase inhibitor, erlotinib to gemcitabine chemotherapy for the first-line treatment of patients with advanced pancreatic cancer, becoming the first phase III study to demonstrate a survival benefit of combination therapy as well as targeted therapy in this disease. This article reviews the evidence supporting EGFR inhibition and the use of erlotinib in advanced pancreatic cancer as well as future implications of targeted therapy in this challenging malignancy.Keywords: erlotinib, EGFR, pancreas, pancreatic, Tarceva Robin K KelleyAndrew H KoDove Medical PressarticleMedicine (General)R5-920ENBiologics: Targets & Therapy, Vol 2008, Iss Issue 1, Pp 83-95 (2008)
institution DOAJ
collection DOAJ
language EN
topic Medicine (General)
R5-920
spellingShingle Medicine (General)
R5-920
Robin K Kelley
Andrew H Ko
Erlotinib in the treatment of advanced pancreatic cancer
description Robin K Kelley, Andrew H KoUniversity of California, San Francisco, Comprehensive Cancer CenterAbstract: Single agent gemcitabine has been the mainstay of therapy for advanced pancreatic cancer over the past decade. Multiple trials of newer chemotherapeutic agents both alone and in combination have yielded disappointing results, spurring the ongoing search for new agents and combinations in this aggressive malignancy. Inhibitors of the epidermal growth factor receptor (EGFR) have shown promising activity in multiple solid tumors types, and preclinical data support a role for EGFR inhibition in pancreatic cancer. A recent phase III study by the National Cancer Institute of Canada Clinical Trials Group (NCIC-CTG) demonstrated a significant survival benefit with the addition of the EGFR tyrosine kinase inhibitor, erlotinib to gemcitabine chemotherapy for the first-line treatment of patients with advanced pancreatic cancer, becoming the first phase III study to demonstrate a survival benefit of combination therapy as well as targeted therapy in this disease. This article reviews the evidence supporting EGFR inhibition and the use of erlotinib in advanced pancreatic cancer as well as future implications of targeted therapy in this challenging malignancy.Keywords: erlotinib, EGFR, pancreas, pancreatic, Tarceva
format article
author Robin K Kelley
Andrew H Ko
author_facet Robin K Kelley
Andrew H Ko
author_sort Robin K Kelley
title Erlotinib in the treatment of advanced pancreatic cancer
title_short Erlotinib in the treatment of advanced pancreatic cancer
title_full Erlotinib in the treatment of advanced pancreatic cancer
title_fullStr Erlotinib in the treatment of advanced pancreatic cancer
title_full_unstemmed Erlotinib in the treatment of advanced pancreatic cancer
title_sort erlotinib in the treatment of advanced pancreatic cancer
publisher Dove Medical Press
publishDate 2008
url https://doaj.org/article/b03fe3d41223428eac15921ce749ba74
work_keys_str_mv AT robinkkelley erlotinibinthetreatmentofadvancedpancreaticcancer
AT andrewhko erlotinibinthetreatmentofadvancedpancreaticcancer
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