[Frontiers in Bioscience E4, 12-22, January 1, 2012]

Role of anti-EGFR target therapy in colorectal carcinoma

Aranda-Aguilar Enrique¹, Pulido-Cortijo Gema¹, Jimenez-Castro Jeronimo¹, Gomez-Espana María Auxiliadora¹

1Medical Oncology Department. University Hospital of Reina Sofía (Cordoba), Spain

TABLE OF CONTENTS

1. Abstract
2. Introduction
3. Epidermal Growth Factor Receptor (EGFR)
3.1. Ras
4. Cetuximab
4.1. The role of cetuximab in refractory colorectal cancer
4.2. The role of cetuximab in first and second line in metastatic colorectal cancer
4.3. Toxicity
4.4. The role of cetuximab in adjuvant therapy of colorectal cancer
4.5. The role of neoadjuvant cetuximab in rectal cancer
5. Panitumumab
5.1. The role of panitumumab in refractory colorectal cancer
5.2. The role of panitumumab in first line in metastatic colorectal cancer
6. Dual antibody therapy
7. Perspectives
8. Acknowledgement
9.References

1. ABSTRACT

The epidermal growth factor receptor (EGFR) has become an important target in cancer treatment. In consequence, drugs directed at this and other molecular targets are an increasingly important part of the treatment of numerous tumours. Cetuximab and panitumumab, two monoclonal antibodies that target EGFR, have proved to be effective in metastatic colorectal cancer treatment. However, some patients do not respond to treatment with EGFR inhibitors and, for this reason, interest in the identification of patients most likely to benefit from treatment with these agents has grown considerably. K-Ras, a member of the RAS family of signalling proteins plays an important role in EGFR- mediated regulation of cellular proliferation and survival. Patients with wild-type K-Ras were found to have significantly greater overall survival, progression-free survival and/or response rate compared with patients harbouring K-Ras mutations.