Oncology R&D Group, Pfizer Worldwide Research and Development, San Diego, California.
Division of Molecular Carcinogenesis and Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Cancer Discov. 2021 May;11(5):1016-1023. doi: 10.1158/2159-8290.CD-20-1187. Epub 2021 Mar 1.
Most experimental cancer drugs ultimately fail during the course of clinical development, contributing to the high cost of the few that are granted regulatory approval. Moreover, approved drugs often deliver only modest clinical benefit to patients with advanced disease due to the development of resistance. Here, we discuss opportunities we consider promising to overcome drug resistance associated with interactions between signaling pathways and the presence of multiple coexisting cell states within tumors with distinct vulnerabilities. We highlight how understanding drug-resistance mechanisms can enable innovative treatment regimens that deliver longer-lasting benefit to patients.
大多数实验性癌症药物最终在临床开发过程中失败,导致获得监管批准的少数药物成本高昂。此外,由于耐药性的出现,批准的药物通常仅为晚期疾病患者提供适度的临床益处。在这里,我们讨论了我们认为有希望克服与信号通路相互作用以及肿瘤内存在多个共存的细胞状态相关的耐药性的机会,这些细胞状态具有不同的脆弱性。我们强调了如何理解耐药机制可以使创新的治疗方案为患者带来更长时间的受益。