Current Molecular Targeted Therapies for Bone and Soft Tissue Sarcomas.
Kenji NakanoShunji TakahashiPublished in: International journal of molecular sciences (2018)
Systemic treatment options for bone and soft tissue sarcomas remained unchanged until the 2000s. These cancers presented challenges in new drug development partly because of their rarity and heterogeneity. Many new molecular targeting drugs have been tried in the 2010s, and some were approved for bone and soft tissue sarcoma. As one of the first molecular targeted drugs approved for solid malignant tumors, imatinib's approval as a treatment for gastrointestinal stromal tumors (GISTs) has been a great achievement. Following imatinib, other tyrosine kinase inhibitors (TKIs) have been approved for GISTs such as sunitinib and regorafenib, and pazopanib was approved for non-GIST soft tissue sarcomas. Olaratumab, the monoclonal antibody that targets platelet-derived growth factor receptor (PDGFR)-α, was shown to extend the overall survival of soft tissue sarcoma patients and was approved in 2016 in the U.S. as a breakthrough therapy. For bone tumors, new drugs are limited to denosumab, a receptor activator of nuclear factor κB ligand (RANKL) inhibitor, for treating giant cell tumors of bone. In this review, we explain and summarize the current molecular targeting therapies approved and in development for bone and soft tissue sarcomas.
Keyphrases
- soft tissue
- bone mineral density
- nuclear factor
- drug administration
- growth factor
- high grade
- bone loss
- giant cell
- monoclonal antibody
- toll like receptor
- cancer therapy
- postmenopausal women
- single molecule
- ejection fraction
- bone regeneration
- chronic kidney disease
- body composition
- newly diagnosed
- chronic myeloid leukemia
- peritoneal dialysis
- renal cell carcinoma
- young adults
- metastatic renal cell carcinoma