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The Use of Epidermal Growth Factor Receptor Monoclonal Antibodies in Squamous Cell Carcinoma of the Head and Neck

机译:表皮生长因子受体单克隆抗体在头颈部鳞状细胞癌中的应用

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Targeting of the EGF receptor (EGFR) has become a standard of care in several tumor types. In squamous cell carcinoma of the head and neck, monoclonal antibodies directed against EGFR have become a regular component of therapy for curative as well as palliative treatment strategies. These agents have anti-tumor efficacy as a single modality and have demonstrated synergistic tumor killing when combined with radiation and/or chemotherapy. While cetuximab has been the primary anti-EGFR monoclonal antibody used in the US, variant anti-EGFR monoclonal antibodies have been used in several clinical studies and shown benefit with improved toxicity profiles. Next generation anti-EGFR monoclonal antibodies may demonstrate multi-target epitope recognition, enhanced immune cell stimulation, or conjugation with radioisotopes in order to improve clinical outcomes. Identification of the specific patient subset that would optimally benefit from anti-EGFR monoclonal antibodies remains an elusive goal.
机译:EGF受体(EGFR)的靶向已成为几种肿瘤类型的护理标准。在头颈部鳞状细胞癌中,针对EGFR的单克隆抗体已成为根治性和姑息性治疗策略的常规组成部分。这些药物具有单一形式的抗肿瘤功效,并且在与放疗和/或化学疗法联合使用时,已显示出协同的杀伤肿瘤作用。尽管西妥昔单抗一直是美国使用的主要抗EGFR单克隆抗体,但变异的抗EGFR单克隆抗体已用于多项临床研究中,并显示出改善的毒性特征的益处。下一代抗EGFR单克隆抗体可能会表现出多目标表位识别,增强的免疫细胞刺激或与放射性同位素结合的作用,以改善临床疗效。鉴定最能受益于抗EGFR单克隆抗体的特定患者亚组仍然是一个遥不可及的目标。

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