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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Main Authors: Robin K Kelley, Andrew H Ko
Format: Article
Language:English
Published: Dove Medical Press 2008-03-01
Series:Biologics: Targets & Therapy
Online Access:http://www.dovepress.com/erlotinib-in-the-treatment-of-advanced-pancreatic-cancer-a57
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author Robin K Kelley
Andrew H Ko
author_facet Robin K Kelley
Andrew H Ko
author_sort Robin K Kelley
collection DOAJ
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
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spelling doaj.art-b03fe3d41223428eac15921ce749ba742022-12-21T20:03:21ZengDove Medical PressBiologics: Targets & Therapy1177-54751177-54912008-03-012008Issue 18395Erlotinib in the treatment of advanced pancreatic cancerRobin K KelleyAndrew H KoRobin 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, Tarcevahttp://www.dovepress.com/erlotinib-in-the-treatment-of-advanced-pancreatic-cancer-a57
spellingShingle Robin K Kelley
Andrew H Ko
Erlotinib in the treatment of advanced pancreatic cancer
Biologics: Targets & Therapy
title 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_short Erlotinib in the treatment of advanced pancreatic cancer
title_sort erlotinib in the treatment of advanced pancreatic cancer
url http://www.dovepress.com/erlotinib-in-the-treatment-of-advanced-pancreatic-cancer-a57
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