Promising novel therapeutic approaches in the management of gastrointestinal stromal tumors.
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Date
2017-01Author
Szucs, Z
Thway, K
Fisher, C
Bulusu, R
Constantinidou, A
Benson, C
van der Graaf, WT
Jones, RL
Type
Journal Article
Metadata
Show full item recordAbstract
Primary and secondary resistance to currently available licensed tyrosine kinase inhibitors poses a real clinical challenge in the management of advanced gastrointestinal stromal tumors. Within the frame of early phase clinical trials novel systemic treatments are currently being evaluated to target both the well explored and novel emerging downstream effectors of KIT and PDGFRA signaling. Alternative therapeutic approaches also include exploring novel inhibitors of the KIT/PDGFRA receptors, immune checkpoint and cyclin-dependent kinase inhibitors. The final clinical trial outcome data for these agents are highly anticipated. Integration of new diagnostic techniques into routine clinical practice can potentially guide tailored delivery of agents in the treatment of a highly polyclonal, heterogeneous disease such as heavily pretreated advanced gastrointestinal stromal tumor.
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Subject
Humans
Gastrointestinal Stromal Tumors
Receptor, Platelet-Derived Growth Factor alpha
DNA-Binding Proteins
Transcription Factors
Antineoplastic Agents
Protein Kinase Inhibitors
Signal Transduction
Mutation
Disease Management
Proto-Oncogene Proteins c-kit
Immunomodulation
Molecular Targeted Therapy
Research team
Clinical and Translational Sarcoma
Sarcoma Clinical Trials (R Jones)
Language
eng
License start date
2017-01
Citation
Future oncology (London, England), 2017, 13 (2), pp. 185 - 194