Vergote Ignace, Macarulla Teresa, Hirsch Fred R, Hagemann Carsten, Miller David Scott
Division of Gynecologic Oncology, Department of Gynecology and Obstetrics, University Hospitals, KU Leuven, Herestraat 49, European Union, 3000 Leuven, Belgium.
Vall d'Hebrón University Hospital, Vall d'Hebrón Institute of Oncology (VHIO), Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.
Cancers (Basel). 2023 Jan 19;15(3):636. doi: 10.3390/cancers15030636.
Non-small cell lung cancer, ovarian cancer, and pancreatic cancer all present with high morbidity and mortality. Systemic chemotherapies have historically been the cornerstone of standard of care (SOC) regimens for many cancers, but are associated with systemic toxicity. Multimodal treatment combinations can help improve patient outcomes; however, implementation is limited by additive toxicities and potential drug-drug interactions. As such, there is a high unmet need to develop additional therapies to enhance the efficacy of SOC treatments without increasing toxicity. Tumor Treating Fields (TTFields) are electric fields that exert physical forces to disrupt cellular processes critical for cancer cell viability and tumor progression. The therapy is locoregional and is delivered noninvasively to the tumor site via a portable medical device that consists of field generator and arrays that are placed on the patient's skin. As a noninvasive treatment modality, TTFields therapy-related adverse events mainly consist of localized skin reactions, which are manageable with effective acute and prophylactic treatments. TTFields selectively target cancer cells through a multi-mechanistic approach without affecting healthy cells and tissues. Therefore, the application of TTFields therapy concomitant with other cancer treatments may lead to enhanced efficacy, with low risk of further systemic toxicity. In this review, we explore TTFields therapy concomitant with taxanes in both preclinical and clinical settings. The summarized data suggest that TTFields therapy concomitant with taxanes may be beneficial in the treatment of certain cancers.
非小细胞肺癌、卵巢癌和胰腺癌的发病率和死亡率都很高。从历史上看,全身化疗一直是许多癌症标准治疗(SOC)方案的基石,但会产生全身毒性。多模式治疗组合有助于改善患者预后;然而,其实施受到累加毒性和潜在药物相互作用的限制。因此,迫切需要开发额外的疗法,以在不增加毒性的情况下提高SOC治疗的疗效。肿瘤治疗电场(TTFields)是一种电场,可施加物理力来破坏对癌细胞生存能力和肿瘤进展至关重要的细胞过程。该疗法是局部治疗,通过一种便携式医疗设备无创地输送到肿瘤部位,该设备由场发生器和放置在患者皮肤上的电极阵列组成。作为一种无创治疗方式,TTFields治疗相关的不良事件主要包括局部皮肤反应,通过有效的急性和预防性治疗可以控制。TTFields通过多机制方法选择性地靶向癌细胞,而不影响健康细胞和组织。因此,将TTFields疗法与其他癌症治疗联合应用可能会提高疗效,且进一步产生全身毒性的风险较低。在这篇综述中,我们探讨了在临床前和临床环境中TTFields疗法与紫杉烷类药物联合应用的情况。总结的数据表明,TTFields疗法与紫杉烷类药物联合应用可能对某些癌症的治疗有益。