Thymoma future or investigational therapies: Difference between revisions

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==Targeted Therapy==
==Targeted Therapy==
*'''KIT pathway'''
*'''KIT pathway'''
It is overexpressed by immunohistochemistry in 2% of thymomas and in 79%of thymic carcinomas. Imatinib and nilotinib are been tried in several clinical trials.<ref name="www.ncbi.nlm.nih.gov">{{Cite web  | last =  | first =  | title = Thymic carcinoma with overexpression of mutated... [N Engl J Med. 2004] - PubMed - NCBI | url = http://www.ncbi.nlm.nih.gov/pubmed/15201427 | publisher =  | date =  | accessdate = }}</ref>
It is overexpressed by immunohistochemistry in 2% of thymomas and in 79%of thymic carcinomas. Imatinib and nilotinib are been tried in several clinical trials.<ref name="www.ncbi.nlm.nih.gov01">{{Cite web  | last =  | first =  | title = Thymic carcinoma with overexpression of mutated... [N Engl J Med. 2004] - PubMed - NCBI | url = http://www.ncbi.nlm.nih.gov/pubmed/15201427 | publisher =  | date =  | accessdate = }}</ref>


*'''Epidermal growth factor pathway'''
*'''Epidermal growth factor pathway'''
It is overexpressed by immunohistochemistry in 70% of thymomas and in 53%of thymic carcinomas. Cetuximab, erlotinib, gefitinib are being used in diff clinical trials.<ref name="www.ncbi.nlm.nih.gov">{{Cite web  | last =  | first =  | title = Response of thymoma to cetuximab. [Lancet Oncol. 2007] - PubMed - NCBI | url = http://www.ncbi.nlm.nih.gov/pubmed/17466903 | publisher =  | date =  | accessdate = }}</ref>
It is overexpressed by immunohistochemistry in 70% of thymomas and in 53%of thymic carcinomas. Cetuximab, erlotinib, gefitinib are being used in diff clinical trials.<ref name="www.ncbi.nlm.nih.gov02">{{Cite web  | last =  | first =  | title = Response of thymoma to cetuximab. [Lancet Oncol. 2007] - PubMed - NCBI | url = http://www.ncbi.nlm.nih.gov/pubmed/17466903 | publisher =  | date =  | accessdate = }}</ref>


*'''IGF-1R pathway'''
*'''IGF-1R pathway'''
Expression of IGF-1R was found in 4% of thymomas and in 37% of thymic carcinomas. Figitumumab and cixutumumab have been tried in ndifferent clinical trials.<ref name="www.ncbi.nlm.nih.gov">{{Cite web  | last =  | first =  | title = Thymic Malignancies: From Clinical Management to Targeted Therapies | url = http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3675690/ | publisher =  | date =  | accessdate = }}</ref>
Expression of IGF-1R was found in 4% of thymomas and in 37% of thymic carcinomas. Figitumumab and cixutumumab have been tried in ndifferent clinical trials.<ref name="www.ncbi.nlm.nih.gov03">{{Cite web  | last =  | first =  | title = Thymic Malignancies: From Clinical Management to Targeted Therapies | url = http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3675690/ | publisher =  | date =  | accessdate = }}</ref>


==References==
==References==

Revision as of 21:45, 24 February 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Amr Marawan, M.D. [2]

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Overview

Due to the advancement in understanding the molecular biology of the disease, there is an increased number of targeted therapies being tested in clinical trials, but the results have so far been disappointing.

Targeted Therapy

  • KIT pathway

It is overexpressed by immunohistochemistry in 2% of thymomas and in 79%of thymic carcinomas. Imatinib and nilotinib are been tried in several clinical trials.[1]

  • Epidermal growth factor pathway

It is overexpressed by immunohistochemistry in 70% of thymomas and in 53%of thymic carcinomas. Cetuximab, erlotinib, gefitinib are being used in diff clinical trials.[2]

  • IGF-1R pathway

Expression of IGF-1R was found in 4% of thymomas and in 37% of thymic carcinomas. Figitumumab and cixutumumab have been tried in ndifferent clinical trials.[3]

References

  1. "Thymic carcinoma with overexpression of mutated... [N Engl J Med. 2004] - PubMed - NCBI".
  2. "Response of thymoma to cetuximab. [Lancet Oncol. 2007] - PubMed - NCBI".
  3. "Thymic Malignancies: From Clinical Management to Targeted Therapies".


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