Journal
CANCER TREATMENT REVIEWS
Volume 30, Issue 1, Pages 1-17Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.ctrv.2003.10.002
Keywords
EGFR; EGFR inhibitors; monoclonal antibody; tyrosine kinase inhibitors; lung cancer; solid tumours
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The epidermal growth factor receptor (EGFR) is expressed in a wide variety of solid tumours. It has been demonstrated that the EGFR-associated signaling pathway plays an important role in carcinogenesis and cancer progression. In the new therapeutic paradigm of molecular-targeted cancer therapy, interference with intracellular signaling cascades is an appealing treatment approach. Inhibitory strategies under study include monoclonal antibodies, tyrosine kinase inhibitors, EGFR-ligand conjugates, EGFR immunoconjugates, and antisense oligonucleotides. Many of these strategies have demonstrated efficacy against EGFR-expressing tumour cells in preclinical studies, prompting a large number of clinical trials. In particular, clinical studies using monoclonal antibody blockade and EGFR tyrosine kinase inhibitors have suggested that EGFR blockade is a well-tolerated and effective treatment strategy; however, more trials are needed to precisely define how these agents will fit into modern cancer care. (C) 2003 Elsevier Ltd. All rights reserved.
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