Systemic Treatment for Metastatic Biliary Tract Cancer: State of the Art and a Glimpse to the Future

Recent years have seen some breakthroughs in the therapeutic landscape of advanced biliary tract cancer (BTC). Firstly, a better understanding of the molecular background of BTC has led to important improvements in the management of these hepatobiliary malignancies, with the advent of targeted agent...

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Main Authors: Alessandro Rizzo, Angela Dalia Ricci, Antonio Cusmai, Silvana Acquafredda, Giuseppe De Palma, Giovanni Brandi, Gennaro Palmiotti
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/29/2/50
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author Alessandro Rizzo
Angela Dalia Ricci
Antonio Cusmai
Silvana Acquafredda
Giuseppe De Palma
Giovanni Brandi
Gennaro Palmiotti
author_facet Alessandro Rizzo
Angela Dalia Ricci
Antonio Cusmai
Silvana Acquafredda
Giuseppe De Palma
Giovanni Brandi
Gennaro Palmiotti
author_sort Alessandro Rizzo
collection DOAJ
description Recent years have seen some breakthroughs in the therapeutic landscape of advanced biliary tract cancer (BTC). Firstly, a better understanding of the molecular background of BTC has led to important improvements in the management of these hepatobiliary malignancies, with the advent of targeted agents representing an unprecedented paradigm shift, as witnessed by the FDA approval of pemigatinib and infigratinib for FGFR2-rearranged and ivosidenib in IDH1-mutant cholangiocarcinoma. In addition, several novel treatments are under assessment, including immune checkpoint inhibitors and combination chemotherapies. In the current review, we provide an overview of systemic treatment for metastatic BTC, summarizing recent clinical data on chemotherapy as well as the main results of targeted therapies and immunotherapy.
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spelling doaj.art-4a27d1ea4b4a4df0a1bf3d8ba5993a702023-11-23T19:26:36ZengMDPI AGCurrent Oncology1198-00521718-77292022-01-0129255156410.3390/curroncol29020050Systemic Treatment for Metastatic Biliary Tract Cancer: State of the Art and a Glimpse to the FutureAlessandro Rizzo0Angela Dalia Ricci1Antonio Cusmai2Silvana Acquafredda3Giuseppe De Palma4Giovanni Brandi5Gennaro Palmiotti6Struttura Semplice Dipartimentale di Oncologia Medica per la Presa in Carico Globale del Paziente Oncologico “Don Tonino Bello”, I.R.C.C.S. Istituto Tumori “Giovanni Paolo II”, Viale Orazio Flacco 65, 70124 Bari, ItalyDepartment of Experimental, Diagnostic and Specialty Medicine, S. Orsola-Malpighi University Hospital, 40138 Bologna, ItalyStruttura Semplice Dipartimentale di Oncologia Medica per la Presa in Carico Globale del Paziente Oncologico “Don Tonino Bello”, I.R.C.C.S. Istituto Tumori “Giovanni Paolo II”, Viale Orazio Flacco 65, 70124 Bari, ItalyStruttura Semplice Dipartimentale di Oncologia Medica per la Presa in Carico Globale del Paziente Oncologico “Don Tonino Bello”, I.R.C.C.S. Istituto Tumori “Giovanni Paolo II”, Viale Orazio Flacco 65, 70124 Bari, ItalyInstitutional BioBank, Experimental Oncology and Biobank Management Unit, IRCCS Istituto Tumori “Giovanni Paolo II”, Viale Orazio Flacco 65, 70124 Bari, ItalyDepartment of Experimental, Diagnostic and Specialty Medicine, S. Orsola-Malpighi University Hospital, 40138 Bologna, ItalyStruttura Semplice Dipartimentale di Oncologia Medica per la Presa in Carico Globale del Paziente Oncologico “Don Tonino Bello”, I.R.C.C.S. Istituto Tumori “Giovanni Paolo II”, Viale Orazio Flacco 65, 70124 Bari, ItalyRecent years have seen some breakthroughs in the therapeutic landscape of advanced biliary tract cancer (BTC). Firstly, a better understanding of the molecular background of BTC has led to important improvements in the management of these hepatobiliary malignancies, with the advent of targeted agents representing an unprecedented paradigm shift, as witnessed by the FDA approval of pemigatinib and infigratinib for FGFR2-rearranged and ivosidenib in IDH1-mutant cholangiocarcinoma. In addition, several novel treatments are under assessment, including immune checkpoint inhibitors and combination chemotherapies. In the current review, we provide an overview of systemic treatment for metastatic BTC, summarizing recent clinical data on chemotherapy as well as the main results of targeted therapies and immunotherapy.https://www.mdpi.com/1718-7729/29/2/50biliary tract cancercholangiocarcinomachemotherapyFGFR2IDH1immunotherapy
spellingShingle Alessandro Rizzo
Angela Dalia Ricci
Antonio Cusmai
Silvana Acquafredda
Giuseppe De Palma
Giovanni Brandi
Gennaro Palmiotti
Systemic Treatment for Metastatic Biliary Tract Cancer: State of the Art and a Glimpse to the Future
Current Oncology
biliary tract cancer
cholangiocarcinoma
chemotherapy
FGFR2
IDH1
immunotherapy
title Systemic Treatment for Metastatic Biliary Tract Cancer: State of the Art and a Glimpse to the Future
title_full Systemic Treatment for Metastatic Biliary Tract Cancer: State of the Art and a Glimpse to the Future
title_fullStr Systemic Treatment for Metastatic Biliary Tract Cancer: State of the Art and a Glimpse to the Future
title_full_unstemmed Systemic Treatment for Metastatic Biliary Tract Cancer: State of the Art and a Glimpse to the Future
title_short Systemic Treatment for Metastatic Biliary Tract Cancer: State of the Art and a Glimpse to the Future
title_sort systemic treatment for metastatic biliary tract cancer state of the art and a glimpse to the future
topic biliary tract cancer
cholangiocarcinoma
chemotherapy
FGFR2
IDH1
immunotherapy
url https://www.mdpi.com/1718-7729/29/2/50
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