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Home: Oncology Leader Commentary: George W. Sledge, MD

Click on the topic below for comments by Dr George W. Sledge to comment on. You will also find links to related articles and clinical trials.

Tyrosine kinase inhitors, antiangiogenic agents
Tyrosine kinase inhitors
Herceptin versus the new tyrosine kinase inhibitors
Combining Herceptin and a tyrosine kinase inhibitors
Combining Herceptin and an Aromotase Inhibitor
Current trends in systemic therapy
Management of metastatic breast cancer
Use of Herceptin in metastatic disease
Assessing HER2 status
Herceptin as a first-line single agent
Endocrine therapy versus cytotoxic therapy of metastatic disease
Tamoxifen rechallenge in patients with prior adjuvant tamoxifen
Chosing an aromatase inhibitor
Aromatase inhibitors as first-line therapy of metastatic disease
Overview of the science of breast cancer medicine.

Combining Herceptin and a tyrosine kinase inhibitors

Interview with Neil Love, MD from Breast Cancer Update for Medical Oncologists, Program 5 2000

Play Audio Below:

I think a real interesting question would be if you used Herceptin and combined it with a TK inhibitor for HER2, would you get a greater bang than if you just used Herceptin alone. We don’t have, obviously, any clinical data and, indeed, there’s very little in the way pre-clinical data at this point. Probably the more interesting ones though are going to be combinations of Herceptin with tyrosine inhibitors that inactivate the epidermal growth factor receptor. EGFR, the epidermal growth factor receptor, preferentially dimerizes with HER2. HER2 itself doesn’t have a ligand, but is the preferential dimerization partner with all the other members of the epidermal growth factor receptor family. So, a one-two punch where we shut down Herceptin externally and shut down the epidermal growth factor receptor internally ¾ since we know that in many cases EGFR has a truncated form where it, in fact, doesn’t have an external domain ¾ actually it makes a good deal of sense and it’s certainly something well worth looking at in the clinic.

Relevant Links:

Preclinical and clinical development of cyclin-dependent kinase modulators [Review].
Senderowicz, A. M. and Sausville, E. A. (Reprint available from: Senderowicz AM NIH Bldg 10,Rm 6N113 Bethesda, MD 20892 USA). Journal of the National Cancer Institute. 92(5):376-387, 2000 Mar 1.

Anti-HER2 antibody enhances the growth inhibitory effect of anti-oestrogen on breast cancer cells expressing both oestrogen receptors and HER2.
Kunisue, H.; Kurebayashi, J.; Otsuki, T.; Tang, C. K.; Kurosumi, M.; Yamamoto, S.; Tanaka, K.; Doihara, H.; Shimizu, N., and Sonoo, H. (Reprint available from: Kurebayashi J Kawasaki Med Sch, Dept Breast & Thyroid Surg 577 Matsushima Kurashiki Okayama 7010192 Japan). British Journal of Cancer. 82(1):46-51, 2000 Jan.

A pilot trial of suramin in metastatic breast cancer to assess antiangiogenic activity in individual patients.
Gradishar, W. J.; Soff, G.; Liu, J. G.; Cisneros, A.; French, S.; Rademaker, A.; Benson, A. B., and Bouck, N. (Reprint available from: Gradishar WJ 676 N St Clair St,Suite 850 Chicago, IL 60611 USA). Oncology. 58(4):324-333, 2000.

Progress in antiangiogenic gene therapy of cancer [Review].
Feldman, A. L. and Libutti, S. K. Cancer. 89(6):1181-1194, 2000 Sep 15.

Continuous low dose Thalidomide: a phase II study in advanced melanoma, renal cell, ovarian and breast cancer.
Eisen, T.; Boshoff, C.; Mak, I.; Sapunar, F.; Vaughan, M. M.; Pyle, L.; Johnston, S. R. D.; Ahern, R.; Smith, I. E., and Gore, M. E. (Reprint available from: Gore ME Royal Marsden Hosp, Dept Med London SW3 6JJ England). British Journal of Cancer. 82(4):812-817, 2000 Feb.

Docetaxel (Taxotere) in HER-2-positive patients and in combination with trastuzumab (Herceptin) [Review].
Burris, H. A. Seminars in Oncology. 27(2 Suppl 3):19-23, 2000 Apr.

Phase II evaluation of thalidomide in patients with metastatic breast cancer.
Baidas, S. M.; Winer, E. P.; Fleming, G. F.; Harris, L.; Pluda, J. M.; Crawford, J. G.; Yamauchi, H.; Isaacs, C.; Hanfelt, J.; Tefft, M.; Flockhart, D.; Johnson, M. D.; Hawkins, M. J.; Lippman, M. E., and Hayes, D. F. Journal of Clinical Oncology. 18(14):2710-2717, 2000 Jul.

Biological rationale for HER2/neu (c-erbB2) as a target for monoclonal antibody therapy [Review]. Pegram, M. and Slamon, D Seminars in Oncology. 27(5 Suppl 9):13-19, 2000 Oct.

In process Current and planned clinical trials with trastuzumab (Herceptin) [Review].
Baselga, J. Seminars in Oncology. 27(5 Suppl 9):27-32, 2000 Oct. In process

Clinical trials of single-agent trastuzumab (Herceptin) [Review].
Seminars in Oncology. 27(5 Suppl 9):20-26, 2000 Oct. In proces

Anti-HER2 antibody enhances the growth inhibitory effect of anti-oestrogen on breast cancer cells expressing both oestrogen receptors and HER2.
Kunisue, H.; Kurebayashi, J.; Otsuki, T.; Tang, C. K.; Kurosumi, M.; Yamamoto, S.; Tanaka, K.; Doihara, H.; Shimizu, N., and Sonoo, H. (Reprint available from: Kurebayashi J Kawasaki Med Sch, Dept Breast & Thyroid Surg 577 Matsushima Kurashiki Okayama 7010192 Japan). British Journal of Cancer. 82(1):46-51, 2000 Jan.

Biological rationale for HER2/neu (c-erbB2) as a target for monoclonal antibody therapy [Review].
Pegram, M. and Slamon, D Seminars in Oncology. 27(5 Suppl 9):13-19, 2000 Oct.
In process

The use of HER2 testing in the management of breast cancer [Review].
Ravdin, P. Seminars in Oncology. 27(5 Suppl 9):33-42, 2000 Oct. In process

Relevant Clinical Trials:

Phase III Randomized Study of Trastuzumab (Herceptin) Alone Followed By Paclitaxel Plus Trastuzumab Versus Upfront Combination of Trastuzumab and Paclitaxel in Women With HER2 Overexpressing Metastatic Breast Cancer

Cyclophosphamide Followed by Paclitaxel With or Without Trastuzumab (Herceptin) in Patients With HER-2 Overexpressing Breast Cancer

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