Cetuximab is a chimeric monoclonal antibody that has revolutionized the treatment of metastatic colorectal cancer. Knowledge of the mechanisms that underlie its effectiveness, as well as the primary and secondary resistance mechanisms, have led to important developments in the understanding of cetuximab biology. In light of knowledge gained from recent trials, the efficacy of cetuximab has been clearly demonstrated to depend upon RAS mutational status, moreover cetuximab should only be used in a subset of patients who may benefit. In this article, we critically review clinical and pharmacogenetic issues of cetuximab, focusing on the cost-effectiveness involved with the use of the drug.

Pharmacogenomics of cetuximab in metastatic colorectal carcinoma

Cascinu S.;
2014-01-01

Abstract

Cetuximab is a chimeric monoclonal antibody that has revolutionized the treatment of metastatic colorectal cancer. Knowledge of the mechanisms that underlie its effectiveness, as well as the primary and secondary resistance mechanisms, have led to important developments in the understanding of cetuximab biology. In light of knowledge gained from recent trials, the efficacy of cetuximab has been clearly demonstrated to depend upon RAS mutational status, moreover cetuximab should only be used in a subset of patients who may benefit. In this article, we critically review clinical and pharmacogenetic issues of cetuximab, focusing on the cost-effectiveness involved with the use of the drug.
2014
cetxuximab
colorectal carcinoma
cost-effectiveness
EGFR
pharmacogenomics
predictive
RAS
resistance
Antibodies, Monoclonal, Humanized
Antineoplastic Agents
Cetuximab
Colorectal Neoplasms
Drug Resistance, Neoplasm
ErbB Receptors
Humans
Mutation
Neoplasm Metastasis
PTEN Phosphohydrolase
Phosphatidylinositol 3-Kinases
Proto-Oncogene Proteins
Proto-Oncogene Proteins B-raf
Proto-Oncogene Proteins c-akt
Proto-Oncogene Proteins p21(ras)
TOR Serine-Threonine Kinases
ras Proteins
Pharmacogenetics
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/108811
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