The effective combination therapies with irinotecan for colorectal cancer

Colorectal cancer is the third most common type of cancer worldwide and has become one of the major human disease burdens. In clinical practice, the treatment of colorectal cancer has been closely related to the use of irinotecan. Irinotecan combines with many other anticancer drugs and has a broade...

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Main Authors: Yun Chai, Jing-Li Liu, Shuo Zhang, Na Li, Ding-Qiao Xu, Wen-Juan Liu, Rui-Jia Fu, Yu-Ping Tang
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2024.1356708/full
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author Yun Chai
Jing-Li Liu
Shuo Zhang
Shuo Zhang
Na Li
Ding-Qiao Xu
Wen-Juan Liu
Rui-Jia Fu
Yu-Ping Tang
author_facet Yun Chai
Jing-Li Liu
Shuo Zhang
Shuo Zhang
Na Li
Ding-Qiao Xu
Wen-Juan Liu
Rui-Jia Fu
Yu-Ping Tang
author_sort Yun Chai
collection DOAJ
description Colorectal cancer is the third most common type of cancer worldwide and has become one of the major human disease burdens. In clinical practice, the treatment of colorectal cancer has been closely related to the use of irinotecan. Irinotecan combines with many other anticancer drugs and has a broader range of drug combinations. Combination therapy is one of the most important means of improving anti-tumor efficacy and overcoming drug resistance. Reasonable combination therapy can lead to better patient treatment options, and inappropriate combination therapy will increase patient risk. For the colorectal therapeutic field, the significance of combination therapy is to improve the efficacy, reduce the adverse effects, and improve the ease of treatment. Therefore, we explored the clinical advantages of its combination therapy based on mechanism or metabolism and reviewed the rationale basis and its limitations in conducting exploratory clinical trials on irinotecan combination therapy, including the results of clinical trials on the combination potentiation of cytotoxic drugs, targeted agents, and herbal medicine. We hope that these can evoke more efforts to conduct irinotecan in the laboratory for further studies and evaluations, as well as the possibility of more in-depth development in future clinical trials.
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spelling doaj.art-5d1c8383fc5848d288543f24733b0f222024-02-05T04:59:07ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122024-02-011510.3389/fphar.2024.13567081356708The effective combination therapies with irinotecan for colorectal cancerYun Chai0Jing-Li Liu1Shuo Zhang2Shuo Zhang3Na Li4Ding-Qiao Xu5Wen-Juan Liu6Rui-Jia Fu7Yu-Ping Tang8Key Laboratory of Shaanxi Administration of Traditional Chinese Medicine for TCM Compatibility, and Shaanxi Key Laboratory of Chinese Medicine Fundamentals and New Drugs Research, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, ChinaKey Laboratory of Shaanxi Administration of Traditional Chinese Medicine for TCM Compatibility, and Shaanxi Key Laboratory of Chinese Medicine Fundamentals and New Drugs Research, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, ChinaKey Laboratory of Shaanxi Administration of Traditional Chinese Medicine for TCM Compatibility, and Shaanxi Key Laboratory of Chinese Medicine Fundamentals and New Drugs Research, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, ChinaState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Taipa, Macao SAR, ChinaState Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Taipa, Macao SAR, ChinaKey Laboratory of Shaanxi Administration of Traditional Chinese Medicine for TCM Compatibility, and Shaanxi Key Laboratory of Chinese Medicine Fundamentals and New Drugs Research, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, ChinaKey Laboratory of Shaanxi Administration of Traditional Chinese Medicine for TCM Compatibility, and Shaanxi Key Laboratory of Chinese Medicine Fundamentals and New Drugs Research, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, ChinaKey Laboratory of Shaanxi Administration of Traditional Chinese Medicine for TCM Compatibility, and Shaanxi Key Laboratory of Chinese Medicine Fundamentals and New Drugs Research, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, ChinaKey Laboratory of Shaanxi Administration of Traditional Chinese Medicine for TCM Compatibility, and Shaanxi Key Laboratory of Chinese Medicine Fundamentals and New Drugs Research, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, ChinaColorectal cancer is the third most common type of cancer worldwide and has become one of the major human disease burdens. In clinical practice, the treatment of colorectal cancer has been closely related to the use of irinotecan. Irinotecan combines with many other anticancer drugs and has a broader range of drug combinations. Combination therapy is one of the most important means of improving anti-tumor efficacy and overcoming drug resistance. Reasonable combination therapy can lead to better patient treatment options, and inappropriate combination therapy will increase patient risk. For the colorectal therapeutic field, the significance of combination therapy is to improve the efficacy, reduce the adverse effects, and improve the ease of treatment. Therefore, we explored the clinical advantages of its combination therapy based on mechanism or metabolism and reviewed the rationale basis and its limitations in conducting exploratory clinical trials on irinotecan combination therapy, including the results of clinical trials on the combination potentiation of cytotoxic drugs, targeted agents, and herbal medicine. We hope that these can evoke more efforts to conduct irinotecan in the laboratory for further studies and evaluations, as well as the possibility of more in-depth development in future clinical trials.https://www.frontiersin.org/articles/10.3389/fphar.2024.1356708/fullcolorectal canceririnotecancancer therapydrug combinationstargeted drugherbal medicine
spellingShingle Yun Chai
Jing-Li Liu
Shuo Zhang
Shuo Zhang
Na Li
Ding-Qiao Xu
Wen-Juan Liu
Rui-Jia Fu
Yu-Ping Tang
The effective combination therapies with irinotecan for colorectal cancer
Frontiers in Pharmacology
colorectal cancer
irinotecan
cancer therapy
drug combinations
targeted drug
herbal medicine
title The effective combination therapies with irinotecan for colorectal cancer
title_full The effective combination therapies with irinotecan for colorectal cancer
title_fullStr The effective combination therapies with irinotecan for colorectal cancer
title_full_unstemmed The effective combination therapies with irinotecan for colorectal cancer
title_short The effective combination therapies with irinotecan for colorectal cancer
title_sort effective combination therapies with irinotecan for colorectal cancer
topic colorectal cancer
irinotecan
cancer therapy
drug combinations
targeted drug
herbal medicine
url https://www.frontiersin.org/articles/10.3389/fphar.2024.1356708/full
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