Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2005-2-18
pubmed:abstractText
The family of epidermal growth factor receptors (EGFRs) is overexpressed in many gynecologic malignancies. Extensive preclinical studies of these receptors demonstrate that they play an important role in supporting the growth of a wide variety of malignancies and that interruption of receptor function or signaling from these receptors leads to inhibition of tumor growth or in certain cases tumor regression. Recently, many therapeutic agents targeting this receptor have entered the clinic and phase II clinical studies have demonstrated activity in lung cancer, colon cancer, and head and neck malignancies. Phase II trials of both small molecule inhibitors of EGFR and antibody-based inhibitors are underway in both cervical and ovarian cancer and emerging data suggests that their activity in unselected women with advanced gynecologic malignancies is very modest. Recently, molecular analysis of lung cancers has identified that the response to small molecule inhibitors of EGFR is highly correlated with activating mutations within the EGFR. It is possible that these agents will be highly effective in a small subset of patients with gynecologic malignancies whose tumors are dependent on EGFR signaling, perhaps through an activating mutation in EGFR or its downstream pathway. Until additional research can identify the subset of patients most likely to benefit from this targeted therapy, treatment for women with gynecologic malignancies with EGFR inhibitors should be limited to investigational trials. It is critical that these trials have access to tissue of responding and nonresponding patients so to determine the rational use of these agents in the treatment of gynecologic malignancies.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1527-2729
pubmed:author
pubmed:issnType
Print
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
103-14
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:15717992-Biological Availability, pubmed-meshheading:15717992-Clinical Trials, Phase II as Topic, pubmed-meshheading:15717992-Dose-Response Relationship, Drug, pubmed-meshheading:15717992-Drug Administration Schedule, pubmed-meshheading:15717992-Endometrial Neoplasms, pubmed-meshheading:15717992-Female, pubmed-meshheading:15717992-Genital Neoplasms, Female, pubmed-meshheading:15717992-Humans, pubmed-meshheading:15717992-Maximum Tolerated Dose, pubmed-meshheading:15717992-Neoplasm Staging, pubmed-meshheading:15717992-Ovarian Neoplasms, pubmed-meshheading:15717992-Prognosis, pubmed-meshheading:15717992-Receptor, Epidermal Growth Factor, pubmed-meshheading:15717992-Risk Assessment, pubmed-meshheading:15717992-Survival Analysis, pubmed-meshheading:15717992-Treatment Outcome, pubmed-meshheading:15717992-Uterine Cervical Neoplasms
pubmed:year
2005
pubmed:articleTitle
Rationale and clinical experience with epidermal growth factor receptor inhibitors in gynecologic malignancies.
pubmed:affiliation
Department of Oncology, Massachusetts General Hospital, Cox 6, 100 Blossom St., Boston, MA, 02114, USA.
pubmed:publicationType
Journal Article, Comparative Study, Review