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Published in: Current Oncology Reports 5/2018

01-05-2018 | Gynecologic Cancers (NS Reed, Section Editor)

Targeted Agents in Cervical Cancer: Beyond Bevacizumab

Authors: Gloria Marquina, Aranzazu Manzano, Antonio Casado

Published in: Current Oncology Reports | Issue 5/2018

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Abstract

Cervical cancer constitutes a leading cause of morbidity and cancer deaths in women throughout the world. Approximately two thirds of the patients are diagnosed with locally advanced cervical cancer, showing disappointing survival rates despite correct multidisciplinary management. Metastatic disease implies a poor prognosis itself since diagnosis. Platinum-based chemotherapy has been the backbone treatment of metastatic cervical cancer for years with no major outstanding improvements on survival. The addition of new molecules, such as antiangiogenic agents, dramatically changed the treatment of this disease. Bevacizumab, an antiangiogenic agent that targets vascular endothelial growth factor 2 (VEGF-2), added to standard chemotherapy in cervical cancer showed significant improvement on survival; therefore, the combination of carboplatin, paclitaxel, and bevacizumab is currently the standard frontline treatment in cervical cancer. Other antiangiogenic agents have been tested in this disease with no further development nor approvals. New compounds are currently being under development with promising results in this disease as well as a number of new strategies that could potentially fulfill the unmet need of establishing effective therapeutic approaches in cervical cancer.
Literature
2.
go back to reference Parkin DM, Bray F, Ferley J, et al. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55(2):74–108.CrossRefPubMed Parkin DM, Bray F, Ferley J, et al. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55(2):74–108.CrossRefPubMed
8.
go back to reference Li N, Franceschi S, Howell-Jones R, Snijders PJ, Clifford GM, et al. Human papillomavirus type distribution in 30,848 invasive cervical cancers worldwide: variation by geographical region, histological type and year of publication. Int J Cancer. 2011;128(4):927–35. https://doi.org/10.1002/ijc.25396.CrossRefPubMed Li N, Franceschi S, Howell-Jones R, Snijders PJ, Clifford GM, et al. Human papillomavirus type distribution in 30,848 invasive cervical cancers worldwide: variation by geographical region, histological type and year of publication. Int J Cancer. 2011;128(4):927–35. https://​doi.​org/​10.​1002/​ijc.​25396.CrossRefPubMed
11.
13.
go back to reference Thigpen T, Shingleton H, Homesley H, LaGasse L, Blessing J. Cis-dichlorodiammineplatinum (II) in the treatment of gynecologic malignancies: phase II trials by the Gynecologic Oncology Group. Cancer Treat Rep. 1979;63(9–10):1549–55.PubMed Thigpen T, Shingleton H, Homesley H, LaGasse L, Blessing J. Cis-dichlorodiammineplatinum (II) in the treatment of gynecologic malignancies: phase II trials by the Gynecologic Oncology Group. Cancer Treat Rep. 1979;63(9–10):1549–55.PubMed
19.
go back to reference • Kitagawa R, Katsumata N, Shibata T, Kamura T, Kasamatsu T, Nakanishi T, et al. Paclitaxel plus carboplatin versus paclitaxel plus cisplatin in metastatic or recurrent cervical cancer: the open-label randomized phase III trial JCOG0505. J Clin Oncol. 2015;33(19):2129–35. Carboplatin-paclitaxel not inferior to Cisplatin-paclitaxel. https://doi.org/10.1200/JCO.2014.58.4391.CrossRefPubMed • Kitagawa R, Katsumata N, Shibata T, Kamura T, Kasamatsu T, Nakanishi T, et al. Paclitaxel plus carboplatin versus paclitaxel plus cisplatin in metastatic or recurrent cervical cancer: the open-label randomized phase III trial JCOG0505. J Clin Oncol. 2015;33(19):2129–35. Carboplatin-paclitaxel not inferior to Cisplatin-paclitaxel. https://​doi.​org/​10.​1200/​JCO.​2014.​58.​4391.CrossRefPubMed
22.
go back to reference •• Tewari KS, Sill MW, Penson RT, Huang H, Ramondetta LM, Landrum LM et al. Bevacizumab for advanced cervical cancer: final overall survival and adverse event analysis of a randomized, controlled, open-label, phase 3 trial (Gynecologic Oncology Group 240). Lancet. 2017; 390(10130):1654-63. First phase 3 study showing increased overall survival adding bevacizumab to standard chemotherapy in cervical carcinoma. •• Tewari KS, Sill MW, Penson RT, Huang H, Ramondetta LM, Landrum LM et al. Bevacizumab for advanced cervical cancer: final overall survival and adverse event analysis of a randomized, controlled, open-label, phase 3 trial (Gynecologic Oncology Group 240). Lancet. 2017; 390(10130):1654-63. First phase 3 study showing increased overall survival adding bevacizumab to standard chemotherapy in cervical carcinoma.
23.
26.
go back to reference McLachlan J, Boussios S, Okines A, Glaessgen D, Bodlar S, Kalaitzaki R et al. The impact of systemic therapy beyond first-line treatment for advanced cervical cancer. Clin Oncol (R Coll Radiol). 2017;29(3):153-60. McLachlan J, Boussios S, Okines A, Glaessgen D, Bodlar S, Kalaitzaki R et al. The impact of systemic therapy beyond first-line treatment for advanced cervical cancer. Clin Oncol (R Coll Radiol). 2017;29(3):153-60.
27.
go back to reference NCT02009579. Available at: htpp//clinicaltrials.gov. Accessed 3 Nov 2017. NCT02009579. Available at: htpp//clinicaltrials.gov. Accessed 3 Nov 2017.
32.
go back to reference Cortes-Perez NG, Azevedo V, Alcocer-Gonzalez JM, Rodriguez-Padilla C, Tamez-Guerra RS, Corthier G, et al. Cell-surface display of E7 antigen from human papillomavirus type-16 in Lactococcus lactis and in Lactobacillus plantarum using a new cell- wall anchor from lactobacilli. J Drug Target. 2005;13(2):89–98. https://doi.org/10.1080/10611860400024219.CrossRefPubMed Cortes-Perez NG, Azevedo V, Alcocer-Gonzalez JM, Rodriguez-Padilla C, Tamez-Guerra RS, Corthier G, et al. Cell-surface display of E7 antigen from human papillomavirus type-16 in Lactococcus lactis and in Lactobacillus plantarum using a new cell- wall anchor from lactobacilli. J Drug Target. 2005;13(2):89–98. https://​doi.​org/​10.​1080/​1061186040002421​9.CrossRefPubMed
34.
37.
go back to reference Kaufmann AM, Stern PL, Rankin EM, Sommer H, Nuessler V, Schneider A, et al. Safety and immunogenicity of TA-HPV, a recombinant vaccinia virus expressing modified human papillomavirus (HPV)-16 and HPV-18 E6 and E7 genes, in women with progressive cervical cancer. Clin Cancer Res. 2002;8(12):3676–85.PubMed Kaufmann AM, Stern PL, Rankin EM, Sommer H, Nuessler V, Schneider A, et al. Safety and immunogenicity of TA-HPV, a recombinant vaccinia virus expressing modified human papillomavirus (HPV)-16 and HPV-18 E6 and E7 genes, in women with progressive cervical cancer. Clin Cancer Res. 2002;8(12):3676–85.PubMed
41.
44.
go back to reference Kersemaekers AM, Fleuren GJ, Kenter GG, van den Broek L, Uljee SM, Hermans J, et al. Oncogene alterations in carci- nomas of the uterine cervix: overexpression of the epidermal growth factor receptor is associated with poor prognosis. Clin Cancer Res. 1999;5(3):577–86.PubMed Kersemaekers AM, Fleuren GJ, Kenter GG, van den Broek L, Uljee SM, Hermans J, et al. Oncogene alterations in carci- nomas of the uterine cervix: overexpression of the epidermal growth factor receptor is associated with poor prognosis. Clin Cancer Res. 1999;5(3):577–86.PubMed
52.
go back to reference Thaker PH, Brady WE, Lankes HA, Cohn DE, Aghajanian C, Gardner Mutch D, et al. Limited access phase I trial of paclitaxel, cisplatin and ABT-888 in the treatment of advanced, persistent, or recurrent carcinoma of the cervix: an NRG/GOG study. ASCO. 2015. Thaker PH, Brady WE, Lankes HA, Cohn DE, Aghajanian C, Gardner Mutch D, et al. Limited access phase I trial of paclitaxel, cisplatin and ABT-888 in the treatment of advanced, persistent, or recurrent carcinoma of the cervix: an NRG/GOG study. ASCO. 2015.
59.
go back to reference •• The Cancer Genome Atlas Research Network. Integrated genomic and molecular characterization of cervical cancer. Nature. 2017;543(7645):378–84. Comprehensive descriptions of genomic and molecular characterization of cervix cancer with discovery of new mutated genes, paving the way for therapeutic improvements. CrossRefPubMedCentral •• The Cancer Genome Atlas Research Network. Integrated genomic and molecular characterization of cervical cancer. Nature. 2017;543(7645):378–84. Comprehensive descriptions of genomic and molecular characterization of cervix cancer with discovery of new mutated genes, paving the way for therapeutic improvements. CrossRefPubMedCentral
60.
go back to reference Lee JM, Cimino-Mathews A, Peer CJ, Zimmer A, Lipkowitz S, Annunziata CM, et al. Safety and clinical activity of the programmed death-ligand I inhibitor Durvalumab in combination with poly (ADP-ribose) polymerase inhibitor olaparib or vascular endothelial growth factor receptor 1-3 inhibitor cediranib in women’s cancer: a dose-escalation, phase I study. J Clin Oncol. 2017;35(19):2193–202. https://doi.org/10.1200/JCO.2016.72.1340.CrossRefPubMed Lee JM, Cimino-Mathews A, Peer CJ, Zimmer A, Lipkowitz S, Annunziata CM, et al. Safety and clinical activity of the programmed death-ligand I inhibitor Durvalumab in combination with poly (ADP-ribose) polymerase inhibitor olaparib or vascular endothelial growth factor receptor 1-3 inhibitor cediranib in women’s cancer: a dose-escalation, phase I study. J Clin Oncol. 2017;35(19):2193–202. https://​doi.​org/​10.​1200/​JCO.​2016.​72.​1340.CrossRefPubMed
Metadata
Title
Targeted Agents in Cervical Cancer: Beyond Bevacizumab
Authors
Gloria Marquina
Aranzazu Manzano
Antonio Casado
Publication date
01-05-2018
Publisher
Springer US
Published in
Current Oncology Reports / Issue 5/2018
Print ISSN: 1523-3790
Electronic ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-018-0680-3

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