Department of Hematology and Oncology, Saint Vincent's Hospital, Manhattan and New York Medical College, Valhalla, NY, USA.
J Hematol Oncol. 2009 Jan 21;2:2. doi: 10.1186/1756-8722-2-2.
Lung cancer is the leading cause of cancer deaths world-wide. Recent advances in cancer biology have led to the identification of new targets in neoplastic cells and the development of novel targeted therapies. At this time, two targeted agents are approved by the FDA in advanced non-small cell lung cancer (NSCLC): the epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) erlotinib, and the anitangiogenic bevacizumab. A third agent, cetuximab, which was recently shown to enhance survival when used with cisplatin and vinorelbine as first line therapy for advanced NSCLC, will likely be approved by regulatory agencies. With more than 500 molecularly targeted agents under development, the prospects of identifying novel therapies that benefit individual patients with lung cancer are bright.
肺癌是全球癌症死亡的主要原因。癌症生物学的最新进展导致了在肿瘤细胞中新的靶点的鉴定和新的靶向治疗方法的发展。目前,两种靶向药物已被 FDA 批准用于晚期非小细胞肺癌 (NSCLC):表皮生长因子受体 (EGFR) 酪氨酸激酶抑制剂 (TKI) 厄洛替尼和抗血管生成药物贝伐珠单抗。第三种药物西妥昔单抗,最近显示在与顺铂和长春瑞滨联合用于晚期 NSCLC 的一线治疗时可以提高生存率,可能会被监管机构批准。目前有超过 500 种针对特定分子的靶向药物正在开发中,为确定能使肺癌患者受益的新疗法提供了广阔的前景。