Adaptive therapy to circumvent drug resistance to tyrosine kinase inhibitors in cancer: is it clinically relevant?

Introduction: Cancer is highly adaptable and is constantly evolving against current targeted therapies such as tyrosine kinase inhibitors. Despite advances in recent decades, the emergence of drug resistance to tyrosine kinase inhibitors constantly hampers therapeutic efficacy of cancer treatment. C...

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Main Authors: Hamdi, Amir Imran Faisal, Soon, Hin How, Islam, Mohammad Kaisarul, Chee, Jonathan Woei Lim, Stanslas, Johnson
Format: Article
Published: Taylor and Francis 2022
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author Hamdi, Amir Imran Faisal
Soon, Hin How
Islam, Mohammad Kaisarul
Chee, Jonathan Woei Lim
Stanslas, Johnson
author_facet Hamdi, Amir Imran Faisal
Soon, Hin How
Islam, Mohammad Kaisarul
Chee, Jonathan Woei Lim
Stanslas, Johnson
author_sort Hamdi, Amir Imran Faisal
collection UPM
description Introduction: Cancer is highly adaptable and is constantly evolving against current targeted therapies such as tyrosine kinase inhibitors. Despite advances in recent decades, the emergence of drug resistance to tyrosine kinase inhibitors constantly hampers therapeutic efficacy of cancer treatment. Continuous therapy versus intermittent clinical regimen has been a debate in drug administration of cancer patients. An ecologically-inspired shift in cancer treatment known as ‘adaptive therapy’ intends to improve the drug administration of drugs to cancer patients that can delay emergence of drug resistance. Areas covered: We discuss improved understanding of the concept of drug resistance, the basis of continuous therapy, intermittent clinical regimens, and adaptive therapy will be reviewed. In addition, we discuss how adaptive therapy provides guidance for future cancer treatment. Expert opinion: The current understanding of drug resistance in cancer leads to poor prognosis and limited treatment options in patients. Fighting drug resistance mutants is constantly followed by new forms of resistance. In most reported cases, continuous therapy leads to drug resistance and an intermittent clinical regimen vaguely delays it. However, adaptive therapy, conceptually, exploits multiple parameters that can suppress the growth of drug resistance and provides safe treatment for cancer patients in the future.
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spelling upm.eprints-1001262024-08-01T04:41:07Z http://psasir.upm.edu.my/id/eprint/100126/ Adaptive therapy to circumvent drug resistance to tyrosine kinase inhibitors in cancer: is it clinically relevant? Hamdi, Amir Imran Faisal Soon, Hin How Islam, Mohammad Kaisarul Chee, Jonathan Woei Lim Stanslas, Johnson Introduction: Cancer is highly adaptable and is constantly evolving against current targeted therapies such as tyrosine kinase inhibitors. Despite advances in recent decades, the emergence of drug resistance to tyrosine kinase inhibitors constantly hampers therapeutic efficacy of cancer treatment. Continuous therapy versus intermittent clinical regimen has been a debate in drug administration of cancer patients. An ecologically-inspired shift in cancer treatment known as ‘adaptive therapy’ intends to improve the drug administration of drugs to cancer patients that can delay emergence of drug resistance. Areas covered: We discuss improved understanding of the concept of drug resistance, the basis of continuous therapy, intermittent clinical regimens, and adaptive therapy will be reviewed. In addition, we discuss how adaptive therapy provides guidance for future cancer treatment. Expert opinion: The current understanding of drug resistance in cancer leads to poor prognosis and limited treatment options in patients. Fighting drug resistance mutants is constantly followed by new forms of resistance. In most reported cases, continuous therapy leads to drug resistance and an intermittent clinical regimen vaguely delays it. However, adaptive therapy, conceptually, exploits multiple parameters that can suppress the growth of drug resistance and provides safe treatment for cancer patients in the future. Taylor and Francis 2022-11-24 Article PeerReviewed Hamdi, Amir Imran Faisal and Soon, Hin How and Islam, Mohammad Kaisarul and Chee, Jonathan Woei Lim and Stanslas, Johnson (2022) Adaptive therapy to circumvent drug resistance to tyrosine kinase inhibitors in cancer: is it clinically relevant? Expert Review of Anticancer Therapy, 22 (12). pp. 1309-1323. ISSN 1473-7140; ESSN: 1744-8328 https://www.tandfonline.com/doi/full/10.1080/14737140.2022.2147671 10.1080/14737140.2022.2147671
spellingShingle Hamdi, Amir Imran Faisal
Soon, Hin How
Islam, Mohammad Kaisarul
Chee, Jonathan Woei Lim
Stanslas, Johnson
Adaptive therapy to circumvent drug resistance to tyrosine kinase inhibitors in cancer: is it clinically relevant?
title Adaptive therapy to circumvent drug resistance to tyrosine kinase inhibitors in cancer: is it clinically relevant?
title_full Adaptive therapy to circumvent drug resistance to tyrosine kinase inhibitors in cancer: is it clinically relevant?
title_fullStr Adaptive therapy to circumvent drug resistance to tyrosine kinase inhibitors in cancer: is it clinically relevant?
title_full_unstemmed Adaptive therapy to circumvent drug resistance to tyrosine kinase inhibitors in cancer: is it clinically relevant?
title_short Adaptive therapy to circumvent drug resistance to tyrosine kinase inhibitors in cancer: is it clinically relevant?
title_sort adaptive therapy to circumvent drug resistance to tyrosine kinase inhibitors in cancer is it clinically relevant
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