Current and Evolving Therapies for Metastatic Pancreatic Cancer: Are We Stuck With Cytotoxic Chemotherapy?

作者: Gauri R. Varadhachary , Robert A. Wolff

DOI: 10.1200/JOP.2016.015586

关键词:

摘要: At present, front-line therapy for metastatic pancreatic ductal adenocarcinoma is combination chemotherapy, most commonly FOLFIRINOX (fluorouracil, irinotecan, and oxaliplatin) or gemcitabine nanoparticle albumin-bound paclitaxel. Despite a better understanding of the genomic landscape importance tumor microenvironment, we have not made seismic shift in overall survival this disease. Given our growing biology adenocarcinoma, question remains whether novel, noncytotoxic agents will augment even replace conventional chemotherapy. The thrust ongoing efforts can be divided into broad categories, including exploiting DNA damage repair phenotype, stroma specific pathway–targeting agents, enhancing immune destruction adenocarcinoma. In article, review current evolving therapeutic cancer.

参考文章(46)
Stefano Cascinu, Rossana Berardi, Roberto Labianca, Salvatore Siena, Alfredo Falcone, Enrico Aitini, Sandro Barni, Francesco Di Costanzo, Elisa Dapretto, Giuseppe Tonini, Chiara Pierantoni, Salvatore Artale, Silvia Rota, Irene Floriani, Mario Scartozzi, Alberto Zaniboni, Cetuximab plus gemcitabine and cisplatin compared with gemcitabine and cisplatin alone in patients with advanced pancreatic cancer: a randomised, multicentre, phase II trial. Lancet Oncology. ,vol. 9, pp. 39- 44 ,(2008) , 10.1016/S1470-2045(07)70383-2
Andrea Wang-Gillam, Chung-Pin Li, György Bodoky, Andrew Dean, Yan-Shen Shan, Gayle Jameson, Teresa Macarulla, Kyung-Hun Lee, David Cunningham, Jean F Blanc, Richard A Hubner, Chang-Fang Chiu, Gilberto Schwartsmann, Jens T Siveke, Fadi Braiteh, Victor Moyo, Bruce Belanger, Navreet Dhindsa, Eliel Bayever, Daniel D Von Hoff, Li-Tzong Chen, Clarence Adoo, Thomas Anderson, Jamil Asselah, Alan Azambuja, Carolyn Bampton, Carlos Henrique Barrios, Tanios Bekaii-Saab, Melichar Bohuslav, David Chang, Jen-Shi Chen, Yeu-Chin Chen, Hye Jin Choi, Ik Joo Chung, Vincent Chung, Tibor Csoszi, Antonio Cubillo, Linda DeMarco, Maike de Wit, Tomislav Dragovich, William Edenfield, Luis Enrique Fein, Fábio Franke, Martin Fuchs, Vega Gonzales-Cruz, Alberto Gozza, Rivera Herrero Fernando, Rosario Iaffaioli, Jitka Jakesova, Zsuzsanna Kahan, Misagh Karimi, Jun Suk Kim, Ernesto Korbenfeld, Istvan Lang, Fa-Chyi Lee, Kuan-Der Lee, Lara Lipton, Wen Wee Ma, Laszlo Mangel, Raul Mena, Daniel Palmer, Shubham Pant, Joon Oh Park, Paolo Piacentini, Uwe Pelzer, Javier Gallego Plazas, Cooray Prasad, Kun-Ming Rau, Jean-Luc Raoul, Donald Richards, Paul Ross, Luis Schlittler, Martin Smakal, Vladimira Stahalova, Cora Sternberg, Thomas Seufferlein, Niall Tebbutt, Jeferson Jose Vinholes, Raymond Wadlow, Milkos Wenczl, Mark Wong, None, Nanoliposomal irinotecan with fluorouracil and folinic acid in metastatic pancreatic cancer after previous gemcitabine-based therapy (NAPOLI-1): a global, randomised, open-label, phase 3 trial The Lancet. ,vol. 387, pp. 545- 557 ,(2016) , 10.1016/S0140-6736(15)00986-1
Rebecca L. Siegel, Kimberly D. Miller, Ahmedin Jemal, Cancer statistics, 2016 CA: A Cancer Journal for Clinicians. ,vol. 66, pp. 7- 30 ,(2016) , 10.3322/CAAC.21332
Niharika B. Mettu, James L. Abbruzzese, Clinical Insights Into the Biology and Treatment of Pancreatic Cancer Journal of Oncology Practice. ,vol. 12, pp. 17- 23 ,(2016) , 10.1200/JOP.2015.009092
Peter Bailey, David K Chang, Katia Nones, Amber L Johns, Ann-Marie Patch, Marie-Claude Gingras, David K Miller, Angelika N Christ, Tim JC Bruxner, Michael C Quinn, Craig Nourse, L Charles Murtaugh, Ivon Harliwong, Senel Idrisoglu, Suzanne Manning, Ehsan Nourbakhsh, Shivangi Wani, Lynn Fink, Oliver Holmes, Venessa Chin, Matthew J Anderson, Stephen Kazakoff, Conrad Leonard, Felicity Newell, Nick Waddell, Scott Wood, Qinying Xu, Peter J Wilson, Nicole Cloonan, Karin S Kassahn, Darrin Taylor, Kelly Quek, Alan Robertson, Lorena Pantano, Laura Mincarelli, Luis N Sanchez, Lisa Evers, Jianmin Wu, Mark Pinese, Mark J Cowley, Marc D Jones, Emily K Colvin, Adnan M Nagrial, Emily S Humphrey, Lorraine A Chantrill, Amanda Mawson, Jeremy Humphris, Angela Chou, Marina Pajic, Christopher J Scarlett, Andreia V Pinho, Marc Giry-Laterriere, Ilse Rooman, Jaswinder S Samra, James G Kench, Jessica A Lovell, Neil D Merrett, Christopher W Toon, Krishna Epari, Nam Q Nguyen, Andrew Barbour, Nikolajs Zeps, Kim Moran-Jones, Nigel B Jamieson, Janet S Graham, Fraser Duthie, Karin Oien, Jane Hair, Robert Grützmann, Anirban Maitra, Christine A Iacobuzio-Donahue, Christopher L Wolfgang, Richard A Morgan, Rita T Lawlor, Vincenzo Corbo, Claudio Bassi, Borislav Rusev, Paola Capelli, Roberto Salvia, Giampaolo Tortora, Debabrata Mukhopadhyay, Gloria M Petersen, Australian Pancreatic Cancer Genome Initiative, Donna M Munzy, William E Fisher, Saadia A Karim, James R Eshleman, Ralph H Hruban, Christian Pilarsky, Jennifer P Morton, Owen J Sansom, Aldo Scarpa, Elizabeth A Musgrove, Ulla-Maja Hagbo Bailey, Oliver Hofmann, Robert L Sutherland, David A Wheeler, Anthony J Gill, Richard A Gibbs, John V Pearson, Nicola Waddell, Andrew V Biankin, Sean M Grimmond, None, Genomic analyses identify molecular subtypes of pancreatic cancer Nature. ,vol. 531, pp. 47- 52 ,(2016) , 10.1038/NATURE16965
Ira Mellman, Vanessa M. Hubbard-Lucey, Matthew J. Tontonoz, Michael D. Kalos, Daniel S. Chen, James P. Allison, Charles G. Drake, Hy Levitsky, Nils Lonberg, Sjoerd H. van der Burg, Douglas T. Fearon, E. John Wherry, Israel Lowy, Robert H. Vonderheide, Patrick Hwu, De-Risking Immunotherapy: Report of a Consensus Workshop of the Cancer Immunotherapy Consortium of the Cancer Research Institute Cancer immunology research. ,vol. 4, pp. 279- 288 ,(2016) , 10.1158/2326-6066.CIR-16-0045
Jonathan T. Sockolosky, Michael Dougan, Jessica R. Ingram, Chia Chi M. Ho, Monique J. Kauke, Steven C. Almo, Hidde L. Ploegh, K. Christopher Garcia, Durable antitumor responses to CD47 blockade require adaptive immune stimulation. Proceedings of the National Academy of Sciences of the United States of America. ,vol. 113, pp. 201604268- ,(2016) , 10.1073/PNAS.1604268113
Timothy M Nywening, Andrea Wang-Gillam, Dominic E Sanford, Brian A Belt, Roheena Z Panni, Brian M Cusworth, Adetunji T Toriola, Rebecca K Nieman, Lori A Worley, Motoyo Yano, Kathryn J Fowler, A Craig Lockhart, Rama Suresh, Benjamin R Tan, Kian-Huat Lim, Ryan C Fields, Steven M Strasberg, William G Hawkins, David G DeNardo, S Peter Goedegebuure, David C Linehan, Targeting tumour-associated macrophages with CCR2 inhibition in combination with FOLFIRINOX in patients with borderline resectable and locally advanced pancreatic cancer: a single-centre, open-label, dose-finding, non-randomised, phase 1b trial Lancet Oncology. ,vol. 17, pp. 651- 662 ,(2016) , 10.1016/S1470-2045(16)00078-4
Davendra P.S. Sohal, Pamela B. Mangu, Alok A. Khorana, Manish A. Shah, Philip A. Philip, Eileen M. O’Reilly, Hope E. Uronis, Ramesh K. Ramanathan, Christopher H. Crane, Anitra Engebretson, Joseph T. Ruggiero, Mehmet S. Copur, Michelle Lau, Susan Urba, Daniel Laheru, Metastatic Pancreatic Cancer: American Society of Clinical Oncology Clinical Practice Guideline Journal of Clinical Oncology. ,vol. 34, pp. 2784- 2796 ,(2016) , 10.1200/JCO.2016.67.1412