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Published in: Current Oncology Reports 4/2024

21-02-2024 | Adrenocortical Carcinoma | REVIEW

Current Status and Future Direction in the Treatment of Advanced Adrenocortical Carcinoma

Authors: Chulkue Pak, Shinkyo Yoon, Jae Lyun Lee, Tak Yun, Inkeun Park

Published in: Current Oncology Reports | Issue 4/2024

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Abstract

Purpose of Review

To provide a comprehensive overview of the current understanding and developments in the treatment options for adrenocortical carcinoma (ACC), focusing on the strategies utilized for advanced disease.

Recent Findings

Research has delved into the genomic landscape of ACC, revealing potential targets for therapy. Despite the failure of inhibitors aimed at the insulin like growth factor 1(IGF-1) receptor, other approaches, including vascular endothelial growth factor receptor (VEFGR) tyrosine kinase inhibitors and immune checkpoint inhibitors, are being investigated. There are also ongoing trials of combination treatments such as lenvatinib with pembrolizumab and cabozantinib with atezolizumab.

Summary

ACC remains a challenging malignancy with limited effective treatment options. Although EDP-M stands as the frontline treatment, the search for effective second-line therapies is ongoing. Targeted therapies and immunotherapies, especially in combination regimens, are demonstrating potential and are the subject of continued research. The evolving genomic landscape emphasizes the significance of targeted therapies and the need for further in-depth studies to solidify effective treatment regimens for ACC.
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Metadata
Title
Current Status and Future Direction in the Treatment of Advanced Adrenocortical Carcinoma
Authors
Chulkue Pak
Shinkyo Yoon
Jae Lyun Lee
Tak Yun
Inkeun Park
Publication date
21-02-2024
Publisher
Springer US
Published in
Current Oncology Reports / Issue 4/2024
Print ISSN: 1523-3790
Electronic ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-024-01510-z

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