Skip to main content
Top
Published in: Targeted Oncology 1/2016

Open Access 01-02-2016 | Review Article

Fibroblast Growth Factor Receptor Family Members as Prognostic Biomarkers in Head and Neck Squamous Cell Carcinoma: A Systematic Review

Authors: Norbertus A. Ipenburg, Koos Koole, K. Seng Liem, Pauline M. W. van Kempen, Ron Koole, Paul J. van Diest, Robert J. J. van Es, Stefan M. Willems

Published in: Targeted Oncology | Issue 1/2016

Login to get access

Abstract

Background

Since head and neck cancer is characterized by poor survival rates, there is a demand for novel therapeutic targets and prognostic biomarkers. An upcoming therapeutic target is the fibroblast growth factor receptor (FGFR) family. However, their prognostic role in head and neck cancer remains unclear.

Objective

To systematically review current evidence on the prognostic value of FGFR family members in head and neck squamous cell carcinoma (HNSCC).

Methods

A systematic search of PubMed, Embase, and the Cochrane Library was performed for publications up to 14 May 2014. Two reviewers screened all articles and included prognostic studies on the molecular biomarkers FGFR1-5 in any type of HNSCC. Relevant studies were assessed on risk of bias using the Quality in Prognostic Studies (QUIPS) tool. Data on FGFR aberrations and survival outcome were extracted from relevant studies. The prognostic value of FGFR aberrations was compared among studies.

Results

The initial search yielded 1568 publications of which 12 fulfilled the inclusion criteria. Four studies reported FGFR1 gene amplification (9.3–17.4 %) and FGFR1 protein overexpression (11.8 %) in HNSCC. FGFR1 protein expression by cancer-associated fibroblasts correlated with poor survival outcome in one study (p < 0.01). Eight studies reported high rates of FGFR4 Gly388Arg polymorphisms (32.5–54.2 %) and FGFR4 protein overexpression (16–35 %), with varying correlations with survival. So far, no studies assessed the prognostic role of FGFR2, FGFR3, or FGFR5 in HNSCC.

Limitations

Significant risk of bias has been identified among included studies. Therefore, cautious interpretation of the results is recommended.

Conclusion

In conclusion, evidence was found for prognostic value of FGFR1 expression in cancer-associated fibroblasts in HNSCC. Prognostic evidence on the other FGFR family members in HNSCC is limited and conflicting. This emphasizes the need for future well-conducted prognostic studies.
Appendix
Available only for authorised users
Literature
1.
go back to reference Argiris A, Karamouzis MV, Raben D, Ferris RL (2003) Head and neck cancer. Lancet 71:1695–709 Argiris A, Karamouzis MV, Raben D, Ferris RL (2003) Head and neck cancer. Lancet 71:1695–709
2.
go back to reference Pulte D, Brenner H (2010) Changes in survival in head and neck cancers in the late 20th and early 21st century: a period analysis. Oncologist 15:994–1001CrossRefPubMedPubMedCentral Pulte D, Brenner H (2010) Changes in survival in head and neck cancers in the late 20th and early 21st century: a period analysis. Oncologist 15:994–1001CrossRefPubMedPubMedCentral
3.
go back to reference Seiwert TY, Zuo Z, Keck MK et al (2014) Integrative and comparative genomic analysis of HPV-positive and HPV-negative head and neck squamous cell carcinomas. Clin Cancer Res 21:632–41 Seiwert TY, Zuo Z, Keck MK et al (2014) Integrative and comparative genomic analysis of HPV-positive and HPV-negative head and neck squamous cell carcinomas. Clin Cancer Res 21:632–41
4.
go back to reference Van Kempen PM, Noorlag R, Braunius WW et al (2014) Differences in methylation profiles between HPV-positive and HPV-negative oropharynx squamous cell carcinoma: a systematic review. Epigenetics 9:194–203CrossRefPubMed Van Kempen PM, Noorlag R, Braunius WW et al (2014) Differences in methylation profiles between HPV-positive and HPV-negative oropharynx squamous cell carcinoma: a systematic review. Epigenetics 9:194–203CrossRefPubMed
5.
go back to reference Leemans CR, Braakhuis BJ, Brakenhoff RH (2011) The molecular biology of head and neck cancer. Nat Rev Cancer 11:9–22CrossRefPubMed Leemans CR, Braakhuis BJ, Brakenhoff RH (2011) The molecular biology of head and neck cancer. Nat Rev Cancer 11:9–22CrossRefPubMed
6.
go back to reference Conley BA (2006) Treatment of advanced head and neck cancer: what lessons have we learned? J Clin Oncol 24:1023–5CrossRefPubMed Conley BA (2006) Treatment of advanced head and neck cancer: what lessons have we learned? J Clin Oncol 24:1023–5CrossRefPubMed
7.
go back to reference Noorlag R, van der Groep P, Leusink FK et al (2014) Nodal metastasis and survival in oral cancer: association with protein expression of SLPI, not with LCN2, TACSTD2, or THBS2. Head Neck. doi:10.1002/hed.23716 PubMed Noorlag R, van der Groep P, Leusink FK et al (2014) Nodal metastasis and survival in oral cancer: association with protein expression of SLPI, not with LCN2, TACSTD2, or THBS2. Head Neck. doi:10.​1002/​hed.​23716 PubMed
9.
go back to reference Dienstmann R, Rodon J, Prat A et al (2014) Genomic aberrations in the FGFR pathway: opportunities for targeted therapies in solid tumors. Ann Oncol 25:552–63CrossRefPubMed Dienstmann R, Rodon J, Prat A et al (2014) Genomic aberrations in the FGFR pathway: opportunities for targeted therapies in solid tumors. Ann Oncol 25:552–63CrossRefPubMed
11.
go back to reference Powers CJ, McLeskey SW, Wellstein A (2000) Fibroblast growth factors, their receptors and signaling. Endocr Relat Cancer 7:165–97CrossRefPubMed Powers CJ, McLeskey SW, Wellstein A (2000) Fibroblast growth factors, their receptors and signaling. Endocr Relat Cancer 7:165–97CrossRefPubMed
12.
go back to reference Hughes SE (1997) Differential expression of the fibroblast growth factor receptor (FGFR) multigene family in normal human adult tissues. J Histochem Cytochem 45:1005–19CrossRefPubMed Hughes SE (1997) Differential expression of the fibroblast growth factor receptor (FGFR) multigene family in normal human adult tissues. J Histochem Cytochem 45:1005–19CrossRefPubMed
13.
go back to reference Daniele G, Corral J, Molife LR, de Bono JS (2012) FGF receptor inhibitors: role in cancer therapy. Curr Oncol Rep 14:111–9CrossRefPubMed Daniele G, Corral J, Molife LR, de Bono JS (2012) FGF receptor inhibitors: role in cancer therapy. Curr Oncol Rep 14:111–9CrossRefPubMed
14.
15.
go back to reference Haugsten EM, Wiedlocha A, Olsnes S, Wesche J (2010) Roles of fibroblast growth factor receptors in carcinogenesis. Mol Cancer Res 8:1439–52CrossRefPubMed Haugsten EM, Wiedlocha A, Olsnes S, Wesche J (2010) Roles of fibroblast growth factor receptors in carcinogenesis. Mol Cancer Res 8:1439–52CrossRefPubMed
16.
go back to reference Parker BC, Engels M, Annala M, Zhang W (2014) Emergence of FGFR family gene fusions as therapeutic targets in a wide spectrum of solid tumours. J Pathol 232:4–15CrossRefPubMed Parker BC, Engels M, Annala M, Zhang W (2014) Emergence of FGFR family gene fusions as therapeutic targets in a wide spectrum of solid tumours. J Pathol 232:4–15CrossRefPubMed
17.
go back to reference Dieci MV, Arnedos M, Andre F, Soria JC (2013) Fibroblast growth factor receptor inhibitors as a cancer treatment: from a biologic rationale to medical perspectives. Cancer Discov 3:264–79CrossRefPubMed Dieci MV, Arnedos M, Andre F, Soria JC (2013) Fibroblast growth factor receptor inhibitors as a cancer treatment: from a biologic rationale to medical perspectives. Cancer Discov 3:264–79CrossRefPubMed
18.
go back to reference Dutra RL, de Carvalho MB, Dos Santos M et al (2012) FGFR4 profile as a prognostic marker in squamous cell carcinoma of the mouth and oropharynx. PLoS One 7, e50747CrossRefPubMedPubMedCentral Dutra RL, de Carvalho MB, Dos Santos M et al (2012) FGFR4 profile as a prognostic marker in squamous cell carcinoma of the mouth and oropharynx. PLoS One 7, e50747CrossRefPubMedPubMedCentral
19.
go back to reference Da Costa Andrade VC, Parise O, Hors CP et al (2007) The fibroblast growth factor receptor 4 (FGFR4) Arg388 allele correlates with survival in head and neck squamous cell carcinoma. Exp Mol Pathol 82:53–7CrossRefPubMed Da Costa Andrade VC, Parise O, Hors CP et al (2007) The fibroblast growth factor receptor 4 (FGFR4) Arg388 allele correlates with survival in head and neck squamous cell carcinoma. Exp Mol Pathol 82:53–7CrossRefPubMed
20.
go back to reference Hayden JA, Côté P, Bombardier C (2006) Evaluation of the quality of prognosis studies in systematic reviews. Ann Intern Med 144:427–37CrossRefPubMed Hayden JA, Côté P, Bombardier C (2006) Evaluation of the quality of prognosis studies in systematic reviews. Ann Intern Med 144:427–37CrossRefPubMed
21.
go back to reference Hayden JA, van der Windt DA, Cartwright JL et al (2013) Assessing bias in studies of prognostic factors. Ann Intern Med 158:280–6CrossRefPubMed Hayden JA, van der Windt DA, Cartwright JL et al (2013) Assessing bias in studies of prognostic factors. Ann Intern Med 158:280–6CrossRefPubMed
22.
go back to reference Chen GL, Luo LH, Ding J (2006) Expression of basic fibroblast growth factor and its double receptors in laryngeal squamous cell carcinoma and its significance. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 41:301–2PubMed Chen GL, Luo LH, Ding J (2006) Expression of basic fibroblast growth factor and its double receptors in laryngeal squamous cell carcinoma and its significance. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 41:301–2PubMed
23.
go back to reference Choi KY, Rho YS, Kwon KH et al (2013) ECRG1 and FGFR4 single nucleotide polymorphism as predictive factors for nodal metastasis in oral squamous cell carcinoma. Cancer Biomark 12:115–24 Choi KY, Rho YS, Kwon KH et al (2013) ECRG1 and FGFR4 single nucleotide polymorphism as predictive factors for nodal metastasis in oral squamous cell carcinoma. Cancer Biomark 12:115–24
24.
go back to reference Göke F, Bode M, Franzen A et al (2013) Fibroblast growth factor receptor 1 amplification is a common event in squamous cell carcinoma of the head and neck. Mod Pathol 26:1298–306CrossRefPubMed Göke F, Bode M, Franzen A et al (2013) Fibroblast growth factor receptor 1 amplification is a common event in squamous cell carcinoma of the head and neck. Mod Pathol 26:1298–306CrossRefPubMed
25.
go back to reference Young RJ, Lim AM, Angel C et al (2013) Frequency of fibroblast growth factor receptor 1 gene amplification in oral tongue squamous cell carcinomas and associations with clinical features and patient outcome. Oral Oncol 49:576–81CrossRefPubMed Young RJ, Lim AM, Angel C et al (2013) Frequency of fibroblast growth factor receptor 1 gene amplification in oral tongue squamous cell carcinomas and associations with clinical features and patient outcome. Oral Oncol 49:576–81CrossRefPubMed
26.
go back to reference Freier K, Schwaenen C, Sticht C et al (2007) Recurrent FGFR1 amplification and high FGFR1 protein expression in oral squamous cell carcinoma (OSCC). Oral Oncol 43:60–6CrossRefPubMed Freier K, Schwaenen C, Sticht C et al (2007) Recurrent FGFR1 amplification and high FGFR1 protein expression in oral squamous cell carcinoma (OSCC). Oral Oncol 43:60–6CrossRefPubMed
27.
go back to reference Hase T, Kawashiri S, Tanaka A et al (2006) Correlation of basic fibroblast growth factor expression with the invasion and the prognosis of oral squamous cell carcinoma. J Oral Pathol Med 35:136–9CrossRefPubMed Hase T, Kawashiri S, Tanaka A et al (2006) Correlation of basic fibroblast growth factor expression with the invasion and the prognosis of oral squamous cell carcinoma. J Oral Pathol Med 35:136–9CrossRefPubMed
28.
go back to reference Farnebo L, Tiefenböck K, Ansell A et al (2013) Strong expression of survivin is associated with positive response to radiotherapy and improved overall survival in head and neck squamous cell carcinoma patients. Int J Cancer 133:1994–2003CrossRefPubMed Farnebo L, Tiefenböck K, Ansell A et al (2013) Strong expression of survivin is associated with positive response to radiotherapy and improved overall survival in head and neck squamous cell carcinoma patients. Int J Cancer 133:1994–2003CrossRefPubMed
29.
go back to reference Azad AK, Bairati I, Samson E et al (2012) Validation of genetic sequence variants as prognostic factors in early-stage head and neck squamous cell cancer survival. Clin Cancer Res 18:196–206CrossRefPubMed Azad AK, Bairati I, Samson E et al (2012) Validation of genetic sequence variants as prognostic factors in early-stage head and neck squamous cell cancer survival. Clin Cancer Res 18:196–206CrossRefPubMed
30.
go back to reference Tanuma J, Izumo T, Hirano M et al (2010) FGFR4 polymorphism, TP53 mutation, and their combinations are prognostic factors for oral squamous cell carcinoma. Oncol Rep 23:739–44PubMed Tanuma J, Izumo T, Hirano M et al (2010) FGFR4 polymorphism, TP53 mutation, and their combinations are prognostic factors for oral squamous cell carcinoma. Oncol Rep 23:739–44PubMed
31.
go back to reference Ansell A, Farnebo L, Grénman R, Roberg K, Thunell LK (2009) Polymorphism of FGFR4 in cancer development and sensitivity to cisplatin and radiation in head and neck cancer. Oral Oncol 45:23–9CrossRefPubMed Ansell A, Farnebo L, Grénman R, Roberg K, Thunell LK (2009) Polymorphism of FGFR4 in cancer development and sensitivity to cisplatin and radiation in head and neck cancer. Oral Oncol 45:23–9CrossRefPubMed
32.
go back to reference Streit S, Bange J, Fichtner A et al (2004) Involvement of the FGFR4 Arg388 allele in head and neck squamous cell carcinoma. Int J Cancer 111:213–7CrossRefPubMed Streit S, Bange J, Fichtner A et al (2004) Involvement of the FGFR4 Arg388 allele in head and neck squamous cell carcinoma. Int J Cancer 111:213–7CrossRefPubMed
33.
go back to reference Motahhary P, Baghaie F, Mamishi S et al (2012) Mutational status of FGFR3 in oral squamous cell carcinoma. J Dent (Tehran) 9:7–13 Motahhary P, Baghaie F, Mamishi S et al (2012) Mutational status of FGFR3 in oral squamous cell carcinoma. J Dent (Tehran) 9:7–13
34.
go back to reference Zhang Y, Hiraishi Y, Wang H et al (2005) Constitutive activating mutation of the FGFR3b in oral squamous cell carcinomas. Int J Cancer 117:166–8CrossRefPubMed Zhang Y, Hiraishi Y, Wang H et al (2005) Constitutive activating mutation of the FGFR3b in oral squamous cell carcinomas. Int J Cancer 117:166–8CrossRefPubMed
36.
go back to reference Sweeny L, Zimmermann TM, Liu Z, Rosenthal EL (2012) Evaluation of tyrosine receptor kinases in the interactions of head and neck squamous cell carcinoma cells and fibroblasts. Oral Oncol 48:1242–9CrossRefPubMedPubMedCentral Sweeny L, Zimmermann TM, Liu Z, Rosenthal EL (2012) Evaluation of tyrosine receptor kinases in the interactions of head and neck squamous cell carcinoma cells and fibroblasts. Oral Oncol 48:1242–9CrossRefPubMedPubMedCentral
37.
38.
go back to reference Wakulich C, Jackson-Boeters L, Daley TD, Wysocki GP (2002) Immunohistochemical localization of growth factors fibroblast growth factor-1 and fibroblast growth factor-2 and receptors fibroblast growth factor receptor-2 and fibroblast growth factor receptor-3 in normal oral epithelium, epithelial dysplasias, and squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:573–9CrossRefPubMed Wakulich C, Jackson-Boeters L, Daley TD, Wysocki GP (2002) Immunohistochemical localization of growth factors fibroblast growth factor-1 and fibroblast growth factor-2 and receptors fibroblast growth factor receptor-2 and fibroblast growth factor receptor-3 in normal oral epithelium, epithelial dysplasias, and squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:573–9CrossRefPubMed
39.
go back to reference Dellacono FR, Spiro J, Eisma R, Kreutzer D (1997) Expression of basic fibroblast growth factor and its receptors by head and neck squamous carcinoma tumor and vascular endothelial cells. Am J Surg 174:540–4CrossRefPubMed Dellacono FR, Spiro J, Eisma R, Kreutzer D (1997) Expression of basic fibroblast growth factor and its receptors by head and neck squamous carcinoma tumor and vascular endothelial cells. Am J Surg 174:540–4CrossRefPubMed
41.
go back to reference Craddock KJ, Ludkovski O, Sykes J, Shepherd FA, Tsao M (2013) Prognostic value of fibroblast growth factor receptor 1 gene locus amplification in resected lung squamous cell carcinoma. J Thorac Oncol 8:1371–7CrossRefPubMed Craddock KJ, Ludkovski O, Sykes J, Shepherd FA, Tsao M (2013) Prognostic value of fibroblast growth factor receptor 1 gene locus amplification in resected lung squamous cell carcinoma. J Thorac Oncol 8:1371–7CrossRefPubMed
42.
go back to reference Russell PA, Yu Y, Young RJ et al (2014) Prevalence, morphology, and natural history of FGFR1-amplified lung cancer, including squamous cell carcinoma, detected by FISH and SISH. Mod Pathol. doi:10.1038/modpathol.2014.71 PubMed Russell PA, Yu Y, Young RJ et al (2014) Prevalence, morphology, and natural history of FGFR1-amplified lung cancer, including squamous cell carcinoma, detected by FISH and SISH. Mod Pathol. doi:10.​1038/​modpathol.​2014.​71 PubMed
43.
go back to reference Kim HR, Kim DJ, Kang DR et al (2013) Fibroblast growth factor receptor 1 gene amplification is associated with poor survival and cigarette smoking dosage in patients with resected squamous cell lung cancer. J Clin Oncol 31:731–7CrossRefPubMed Kim HR, Kim DJ, Kang DR et al (2013) Fibroblast growth factor receptor 1 gene amplification is associated with poor survival and cigarette smoking dosage in patients with resected squamous cell lung cancer. J Clin Oncol 31:731–7CrossRefPubMed
44.
go back to reference Cihoric N, Savic S, Schneider S et al (2014) Prognostic role of FGFR1 amplification in early-stage non-small cell lung cancer. Br J Cancer 110:2914–22CrossRefPubMedPubMedCentral Cihoric N, Savic S, Schneider S et al (2014) Prognostic role of FGFR1 amplification in early-stage non-small cell lung cancer. Br J Cancer 110:2914–22CrossRefPubMedPubMedCentral
46.
go back to reference Bange J, Prechtl D, Cheburkin Y et al (2002) Cancer progression and tumor cell motility are associated with the FGFR4 Arg 388 allele. Cancer Res 62:840–7PubMed Bange J, Prechtl D, Cheburkin Y et al (2002) Cancer progression and tumor cell motility are associated with the FGFR4 Arg 388 allele. Cancer Res 62:840–7PubMed
47.
go back to reference Thussbas C, Nahrig J, Streit S et al (2006) FGFR4 Arg388 allele is associated with resistance to adjuvant therapy in primary breast cancer. J Clin Oncol 24:3747–55CrossRefPubMed Thussbas C, Nahrig J, Streit S et al (2006) FGFR4 Arg388 allele is associated with resistance to adjuvant therapy in primary breast cancer. J Clin Oncol 24:3747–55CrossRefPubMed
48.
49.
go back to reference Spinola M, Leoni VP, Tanuma J et al (2005) FGFR4 Gly388Arg polymorphism and prognosis of breast and colorectal cancer. Oncol Rep 14:415–9PubMed Spinola M, Leoni VP, Tanuma J et al (2005) FGFR4 Gly388Arg polymorphism and prognosis of breast and colorectal cancer. Oncol Rep 14:415–9PubMed
50.
go back to reference Liu X, Zhang W, Geng D et al (2014) Clinical significance of fibroblast growth factor receptor-3 mutations in bladder cancer: a systematic review and meta-analysis. Genet Mol Res 13:1109–20CrossRefPubMed Liu X, Zhang W, Geng D et al (2014) Clinical significance of fibroblast growth factor receptor-3 mutations in bladder cancer: a systematic review and meta-analysis. Genet Mol Res 13:1109–20CrossRefPubMed
51.
go back to reference Hammerman PS, Hayes DN, Grandis JR (2015) Therapeutic insights from genomic studies of head and neck squamous cell carcinomas. Cancer Discov 5:239–44CrossRefPubMedPubMedCentral Hammerman PS, Hayes DN, Grandis JR (2015) Therapeutic insights from genomic studies of head and neck squamous cell carcinomas. Cancer Discov 5:239–44CrossRefPubMedPubMedCentral
52.
go back to reference André F, Bachelot T, Campone M et al (2013) Targeting FGFR with dovitinib (TKI258): preclinical and clinical data in breast cancer. Clin Cancer Res 19:3693–702CrossRefPubMed André F, Bachelot T, Campone M et al (2013) Targeting FGFR with dovitinib (TKI258): preclinical and clinical data in breast cancer. Clin Cancer Res 19:3693–702CrossRefPubMed
53.
go back to reference The Cancer Genome Atlas Network (2015) Comprehensive genomic characterization of head and neck squamous cell carcinomas. Nature 517:576–82CrossRefPubMedCentral The Cancer Genome Atlas Network (2015) Comprehensive genomic characterization of head and neck squamous cell carcinomas. Nature 517:576–82CrossRefPubMedCentral
54.
go back to reference Uzawa K, Ishigami T, Fushimi K et al (2011) Targeting fibroblast growth factor receptor 3 enhances radiosensitivity in human squamous cancer cells. Oncogene 30:4447–52CrossRefPubMed Uzawa K, Ishigami T, Fushimi K et al (2011) Targeting fibroblast growth factor receptor 3 enhances radiosensitivity in human squamous cancer cells. Oncogene 30:4447–52CrossRefPubMed
55.
go back to reference Roidl A, Berger H, Kumar S et al (2009) Resistance to chemotherapy is associated with fibroblast growth factor receptor 4 up-regulation. Clin Cancer Res 15:2058–66CrossRefPubMed Roidl A, Berger H, Kumar S et al (2009) Resistance to chemotherapy is associated with fibroblast growth factor receptor 4 up-regulation. Clin Cancer Res 15:2058–66CrossRefPubMed
56.
go back to reference Turkington RC, Longley DB, Allen WL et al (2014) Fibroblast growth factor receptor 4 (FGFR4): a targetable regulator of drug resistance in colorectal cancer. Cell Death Dis 5, e1046CrossRefPubMedPubMedCentral Turkington RC, Longley DB, Allen WL et al (2014) Fibroblast growth factor receptor 4 (FGFR4): a targetable regulator of drug resistance in colorectal cancer. Cell Death Dis 5, e1046CrossRefPubMedPubMedCentral
Metadata
Title
Fibroblast Growth Factor Receptor Family Members as Prognostic Biomarkers in Head and Neck Squamous Cell Carcinoma: A Systematic Review
Authors
Norbertus A. Ipenburg
Koos Koole
K. Seng Liem
Pauline M. W. van Kempen
Ron Koole
Paul J. van Diest
Robert J. J. van Es
Stefan M. Willems
Publication date
01-02-2016
Publisher
Springer International Publishing
Published in
Targeted Oncology / Issue 1/2016
Print ISSN: 1776-2596
Electronic ISSN: 1776-260X
DOI
https://doi.org/10.1007/s11523-015-0374-9

Other articles of this Issue 1/2016

Targeted Oncology 1/2016 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine