Novel systemic therapies for small cell lung cancer

Charles M. Rudin, Christine Hann, Craig D. Peacock, D. Neil Watkins

Research output: Contribution to journalArticle

Abstract

A diagnosis of small cell lung cancer (SCLC) today confers essentially the same terrible prognosis that it did 25 years ago, when common use of cisplatin-based chemotherapy began for this disease. In contrast to past decades of research on many other solid tumors, studies of combination chemotherapy using later generation cytotoxics and targeted kinase inhibitors have not had a significant impact on standard care for SCLC. The past few years have seen suggestions of incrementally improved outcomes using standard cytotoxics, including cisplatin-based combination studies of irinotecan and amrubicin by Japanese research consortia. Confirmatory phase III studies of these agents are ongoing in the United States. Antiangiogenic strategies are also of primary interest and are in late-phase testing. Several novel therapeutics, including high-potency small molecule inhibitors of Bcl-2 and the Hedgehog signaling pathway, and a recently discovered replication-competent picornavirus, have shown remarkable activity against SCLC in preclinical models and are currently in simultaneous phase I clinical development. Novel therapeutic approaches based on advances in understanding of the biology of SCLC have the potential to radically change the outlook for patients with this disease.

Original languageEnglish (US)
Pages (from-to)315-322
Number of pages8
JournalJNCCN Journal of the National Comprehensive Cancer Network
Volume6
Issue number3
Publication statusPublished - 2008

    Fingerprint

Keywords

  • Bcl-2
  • Hedgehog
  • Novel therapeutics
  • Small cell lung cancer
  • SVV-001

ASJC Scopus subject areas

  • Oncology

Cite this