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11 Cards in this Set

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  • Back
targeted vs non-targeted therapy
targeted: know the target, drugs developed to selectively inhibit process specific to cancer

non: developed empirically, had effect on "cancer phenotype"
examples of non-targeted cancer therapies
5-FU, doxorubicin, cyclophosphamide
advantages of targeted therapy (3)
makes sense given cancer biology, effects of therapy can be tested based on effect on the target, mechanisms of drug-resistance can be more easily identified
What are SERMs
selective estrogen receptor modulators
tamoxifen
hormone ablation therapy for women with ER positive breast ca
cetuximab
antibody that targets epidermal growth factor receptor (EGFR) for the treatment of colorectal cancer

not effective in those with mutations in Ras, Raf (downstream of EGFR)
trastuzamab/herceptin
antibody that targets epidermal growth factor receptor (EGFR) for the treatment of breast cancer

not effective in those with mutations in Ras, Raf (downstream of EGFR)
erlotinib
EGFR tyrosine kinase inhibitor for treatment of non-small cell lung cancer

increased response in those with activating mutation in EGFR tyrosine kinase
imantinib
inhibits BCR-ABL and stops cell proliferation in CML
what percentage of CML cases are caused by the philadelphia chromosome?
95%
vemurafenib
mutations in BRAF found in 50% of melanomas and 90% of mutations affect single residue (V600E); mutation makes it constituitively active - activates MEK pathway; drug that blocks only constituitively active BRAF