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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.

Tyrosine kinase inhibitors, antiangiogenic agents

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

Play Audio Below:

From a drug standpoint, there are two major areas that I find very interesting right now. One of the antiangiogenic agents — we, at Indiana University have been looking at antiangiogenic agents in the laboratory and now in the clinic for several years. The other area that I think dove-tails very nicely with the antiangiogenic agents are the tyrosine kinase inhibitors. We are going to see an explosion of TK inhibitors entering the clinic over the next few years. I think these are going to have a fairly profound influence on how we practice medicine. There are going to be several of them that are going to be coming into the clinic in the fairly near future. I think, based on the pre-clinic models, you can kind of break them down into sort of two broad groups. One are the sort of highly selected ones, ones that will just knock out a single tyrosine kinase. The other are ones that are somewhat more promiscuous, that may for instance knock out both the epidermal growth factor receptor and one of the VEGF receptors. And this is kind of a fascinating thought, that you’ll be able, using the same oral medicine, be able to knock out both angiogenesis and growth at the same time. But, a drug very much like that will be entering the clinic in the fairly near future.

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

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