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Small molecules, big impact: 20 years of targeted therapy in oncology

The future of oncology is non-invasive or minimally invasive targeted therapy.

     Author: Merentsova Anastasia

Copy editor: Kigbayeva Kamila

 

      The identification of molecular targets and the growing knowledge of their cellular functions have led to the development of small molecule inhibitors as a major therapeutic class for cancer treatment. Both multitargeted and highly selective kinase inhibitors are used for the treatment of advanced treatment-resistant cancers, and many of them have also achieved regulatory approval for early clinical settings as adjuvant therapies or as first-line options for recurrent or metastatic disease. Lessons learned from the development of these agents can accelerate the development of next-generation inhibitors to optimise the therapeutic index, overcome drug resistance, and establish combination therapies.

 

      The future of small molecule inhibitors is promising as there is the potential to investigate novel difficult-to-drug targets, to apply predictive non-clinical models to select promising drugs, and to use dynamic clinical trial interventions with liquid biopsies to deliver the drug directly to the target cells.

 

Source: https://www.thelancet.com/journals/lancet/article/

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