Targeted Drugs

Targeted Drugs

Breakthroughs in our understanding of the biology of cancer cells are driving development of a new generation of drugs that are targeted to the unique genetics of each tumor and patient. By blocking or switching off the molecular defects that cause cancer to grow and spread, these agents attack cancer cells, but leave healthy cells largely untouched, resulting in better cancer control and better quality of life.

While targeted drugs are relatively new, some have already become staples of cancer treatment. Recently, targeted drugs have been shown to extend the lives of people with advanced melanoma, long one of the most difficult cancers to treat.

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1999

First targeted anti-breast cancer drug, trastuzumab (Herceptin), has major impact on care

First targeted anti-breast cancer drug, trastuzumab (Herceptin), has major impact on care

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The FDA approves the groundbreaking drug trastuzumab (Herceptin) after research shows that adding the monoclonal antibody to chemotherapy dramatically increases survival for women with advanced breast cancer that over-produces a protein called HER2. In 2006, the drug is also approved as part of adjuvant therapy (after surgery) for women with early-stage HER2-positive breast cancer, after two major trials show that it reduces the risk of recurrence by more than 50 percent, an unprecedented result.

About 25 percent of breast cancer patients have HER2-positive disease, and prior to the introduction of trastuzumab, there were no effective treatments for these cancers, which were considered some of the most aggressive, deadly forms of the disease. Recently, trastuzumab was also FDA-approved to treat patients with stomach cancers that have a similar over-production of the HER2 protein.

1997

FDA approves first-ever targeted cancer drug, rituximab

FDA approves first-ever targeted cancer drug, rituximab

The FDA approves the first molecularly targeted cancer drug, rituximab (Rituxan), to treat patients with B-cell non-Hodgkin lymphoma that no longer responds to other treatments. Rituximab is in a new class of drugs called monoclonal antibodies, and targets a protein on the surface of immune cells known as B cells, interfering with the development of cancer. It is later combined with other cancer therapies to boost cure rates and increase survival.

1987

Scientists discover key genetic vulnerability in tumor cells – EGFR

1960

Researchers link "Philadelphia chromosome" to leukemia

Researchers link "Philadelphia chromosome" to leukemia

Investigators in Philadelphia identify a chromosomal abnormality linked to many leukemias. A decade later, researchers discover that this abnormality results when parts of two chromosomes – chromosomes 9 and 22 – switch places in a phenomenon called translocation. It later becomes the target of one of the first-ever targeted cancer treatments, imatinib (Gleevec), which transforms treatment of chronic myelogenous leukemia and other cancers.