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Small-Molecule Inhibitors (SMIs) as an Effective Therapeutic Strategy for Endometrial Cancer
Megino-Luque, Cristina (Centro de Investigación Biomédica en Red de Cáncer)
Moiola, Cristian Pablo (Hospital Universitari Vall d'Hebron)
Molins-Escuder, Clara (Universitat de Lleida)
López-Gil, Carlos (Hospital Universitari Vall d'Hebron)
Gil-Moreno, Antonio 1965- (Hospital Universitari Vall d'Hebron)
Matías-Guiu, Xavier (Institut d'Investigació Biomèdica de Bellvitge)
Colás Ortega, Eva (Hospital Universitari Vall d'Hebron)
Eritja, Núria (Institut de Recerca Biomèdica de Lleida)
Universitat Autònoma de Barcelona

Data: 2020
Resum: Patients diagnosed with endometrial cancer (EC), the most common gynaecological malignancy in women worldwide, cope with a disease associated with poor prognosis and limited treatment options after first-line therapy when it reaches an advanced or metastatic stage. Lately, small-molecule inhibitors have emerged as an alternative targeted therapy, renewing hope in the fight against this disease. The aim of this review is to shed light into the current state and future prospects of small-molecule inhibitors on EC treatment by summarizing the extensive number of clinical trials that have been performed during the last years, and to provide a comprehensive up-to-date document with the most remarkable results. Despite the great effort researchers are making to improve the molecular characterization of tumours, to unravel the underlying mechanism of EC progression, and to increase the efficacy of targeted therapy, we might say that there is still a long way to pave to efficiently treat EC patients. Endometrial cancer (EC) is the sixth most common cancer in women. A continued number of low-risk EC patients at diagnosis, as well as patients diagnosed with advanced-stage disease, will experience an aggressive disease. Unfortunately, those patients will present recurrence or overt dissemination. Systemic cytotoxic chemotherapy treatment on advanced, recurrent, or metastatic EC patients has shown poor results, with median survival rates of less than one year, and median progression-free survival rates of four months. Therefore, the search for innovative and alternative drugs or the development of combinatorial therapies involving new targeted drugs and standard regimens is imperative. Over the last few decades, some small-molecule inhibitors have been introduced in the clinics for cancer treatment, but only a few have been approved by the Food and Drug Administration (FDA) for EC treatment. In the present review, we present the current state and future prospects of small-molecule inhibitors on EC treatment, both alone and in combination.
Ajuts: Ministerio de Economía y Competitividad RTC-2017-6261
Ministerio de Economía y Competitividad B16/12/00231
Ministerio de Economía y Competitividad CB16/12/00328
Instituto de Salud Carlos III PI17/02071
Instituto de Salud Carlos III PI17/02155
Instituto de Salud Carlos III CP19/00025
Agència de Gestió d'Ajuts Universitaris i de Recerca 2017/SGR-1368
Agència de Gestió d'Ajuts Universitaris i de Recerca 2017/SGR-166
Ministerio de Economía y Competitividad LT002/16/00315
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Endometrial cancer ; Small-molecule inhibitor ; PI3K/AKT/mTOR ; Receptor tyrosine kinase ; Clinical trials
Publicat a: Cancers, Vol. 12 (september 2020) , ISSN 2072-6694

DOI: 10.3390/cancers12102751
PMID: 32987790


26 p, 789.4 KB

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