Skip to main content
Top
Published in: Journal of Translational Medicine 1/2011

Open Access 01-12-2011 | Editorial

Combination therapy: the next opportunity and challenge of medicine

Authors: Paolo A Ascierto, Francesco M Marincola

Published in: Journal of Translational Medicine | Issue 1/2011

Login to get access

Abstract

From an historical point of view, combination therapy was the basis for the care of important diseases like infection diseases or cancer. Today the "cocktail drug" of the Highly Active Anti Retroviral Therapy (HAART) has reduced the death for HIV infection changing the outcome of such disease. Moreover, the combination of different strategies changed the course of transplants (both in haematology and surgical transplant). Different diseases with high social impact including cardiovascular, metabolic (obesity, hypercholesterolaemia and diabetes) and autoimmune diseases, have better results with combinations of different drug classes of drugs. After recent successes in the immunotherapy field (Sepuleucel-T, ipilimumab) and the new promising small molecule therapies, cancer should be the next challenge for combination strategies.
Literature
1.
go back to reference Daniel TM: The history of tuberculosis. Resp Med. 2006, 100: 1862-70. 10.1016/j.rmed.2006.08.006.CrossRef Daniel TM: The history of tuberculosis. Resp Med. 2006, 100: 1862-70. 10.1016/j.rmed.2006.08.006.CrossRef
2.
go back to reference Sánchez-Fueyo A, Strom TB: Immunologic basis of graft rejection and tolerance following transplantation of liver or other solid organs. Gastroenterology. 2011, 140: 51-64. 10.1053/j.gastro.2010.10.059.CrossRefPubMed Sánchez-Fueyo A, Strom TB: Immunologic basis of graft rejection and tolerance following transplantation of liver or other solid organs. Gastroenterology. 2011, 140: 51-64. 10.1053/j.gastro.2010.10.059.CrossRefPubMed
3.
go back to reference Montaner JSG, Lima VD, Barrios R, Yip B, Wood E, Kerr T, Shannon K, Harrigan PR, Hogg RS, Daly P, Kendall P: Association of highly active antiretroviral therapy coverage, population viral load, and yearly new HIV diagnoses in British Columbia, Canada: a population-based study. Lancet. 2010, 376: 532-39. 10.1016/S0140-6736(10)60936-1.PubMedCentralCrossRefPubMed Montaner JSG, Lima VD, Barrios R, Yip B, Wood E, Kerr T, Shannon K, Harrigan PR, Hogg RS, Daly P, Kendall P: Association of highly active antiretroviral therapy coverage, population viral load, and yearly new HIV diagnoses in British Columbia, Canada: a population-based study. Lancet. 2010, 376: 532-39. 10.1016/S0140-6736(10)60936-1.PubMedCentralCrossRefPubMed
4.
go back to reference Maggiolo F, Leone S: Is HAART modifying the HIV epidemic?. Lancet. 2010, 376: 492-3. 10.1016/S0140-6736(10)61057-4.CrossRefPubMed Maggiolo F, Leone S: Is HAART modifying the HIV epidemic?. Lancet. 2010, 376: 492-3. 10.1016/S0140-6736(10)61057-4.CrossRefPubMed
5.
go back to reference Al-Zakwani I, Zubaid M, Panduranga P, Rashed W, Sulaiman K, Almahmeed W, Al-Motarreb A, Al Suwaidi J, Amin H: Medication Use Pattern and Predictors of Optimal Therapy at Discharge in 8176 Patients With Acute Coronary Syndrome From 6 Middle Eastern Countries: Data From the Gulf Registry of Acute Coronary Events. Angiology. 2011, Al-Zakwani I, Zubaid M, Panduranga P, Rashed W, Sulaiman K, Almahmeed W, Al-Motarreb A, Al Suwaidi J, Amin H: Medication Use Pattern and Predictors of Optimal Therapy at Discharge in 8176 Patients With Acute Coronary Syndrome From 6 Middle Eastern Countries: Data From the Gulf Registry of Acute Coronary Events. Angiology. 2011,
6.
go back to reference Mukherjee B, Howard L: Combination therapy in pulmonary arterial hypertension: do we have the right strategy?. Expert Rev Respir Med. 2011, 5: 191-205. 10.1586/ers.11.13.CrossRefPubMed Mukherjee B, Howard L: Combination therapy in pulmonary arterial hypertension: do we have the right strategy?. Expert Rev Respir Med. 2011, 5: 191-205. 10.1586/ers.11.13.CrossRefPubMed
7.
go back to reference Wald DS, Law M, Morris JK, Bestwick JP, Wald NJ: Combination therapy versus monotherapy in reducing blood pressure: meta-analysis on 11,000 participants from 42 trials. Am J Med. 2009, 122: 290-300. 10.1016/j.amjmed.2008.09.038.CrossRefPubMed Wald DS, Law M, Morris JK, Bestwick JP, Wald NJ: Combination therapy versus monotherapy in reducing blood pressure: meta-analysis on 11,000 participants from 42 trials. Am J Med. 2009, 122: 290-300. 10.1016/j.amjmed.2008.09.038.CrossRefPubMed
8.
go back to reference Calhoun DA, Jones D, Textor S, Goff DC, Murphy TP, Toto RD, White A, Cushman WC, White W, Sica D, Ferdinand K, Giles TD, Falkner B, Carey RM: Resistant hypertension: diagnosis, evaluation, and treatment. A scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research. Hypertension. 2008, 51: 1403-19. 10.1161/HYPERTENSIONAHA.108.189141.CrossRefPubMed Calhoun DA, Jones D, Textor S, Goff DC, Murphy TP, Toto RD, White A, Cushman WC, White W, Sica D, Ferdinand K, Giles TD, Falkner B, Carey RM: Resistant hypertension: diagnosis, evaluation, and treatment. A scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research. Hypertension. 2008, 51: 1403-19. 10.1161/HYPERTENSIONAHA.108.189141.CrossRefPubMed
9.
go back to reference Friedman HS, Rajagopalan S, Barnes JP, Roseman H: Combination therapy with ezetimibe/simvastatin versus statin monotherapy for low-density lipoprotein cholesterol reduction and goal attainment in a real-world clinical setting. Clin Ther. 2011, 33: 212-24. 10.1016/j.clinthera.2011.02.011.CrossRefPubMed Friedman HS, Rajagopalan S, Barnes JP, Roseman H: Combination therapy with ezetimibe/simvastatin versus statin monotherapy for low-density lipoprotein cholesterol reduction and goal attainment in a real-world clinical setting. Clin Ther. 2011, 33: 212-24. 10.1016/j.clinthera.2011.02.011.CrossRefPubMed
10.
go back to reference Sawakhanda RB, Dharmalingam M, Kumar S, Bell D: Triple oral fixed dose diabetes polypill vs. Insulin plus Metformin efficacy demonstration study in the treatment of advanced type 2 diabetes (TrIED study-II). Diabetes Obes Metab. 2011, Sawakhanda RB, Dharmalingam M, Kumar S, Bell D: Triple oral fixed dose diabetes polypill vs. Insulin plus Metformin efficacy demonstration study in the treatment of advanced type 2 diabetes (TrIED study-II). Diabetes Obes Metab. 2011,
11.
go back to reference Colombel JF, Sandborn WJ, Reinisch W, Mantzaris GJ, Kornbluth A, Rachmilewitz D, Lichtiger S, D'Haens G, Diamond RH, Broussard DL, Tang KL, van der Woude CJ, Rutgeerts P, SONIC Study Group: Infliximab, azathioprine, or combination therapy for Crohn's disease. N Engl J Med. 2010, 362: 1383-95. 10.1056/NEJMoa0904492.CrossRefPubMed Colombel JF, Sandborn WJ, Reinisch W, Mantzaris GJ, Kornbluth A, Rachmilewitz D, Lichtiger S, D'Haens G, Diamond RH, Broussard DL, Tang KL, van der Woude CJ, Rutgeerts P, SONIC Study Group: Infliximab, azathioprine, or combination therapy for Crohn's disease. N Engl J Med. 2010, 362: 1383-95. 10.1056/NEJMoa0904492.CrossRefPubMed
12.
go back to reference Soliman MM, Ashcroft DM, Watson KD, Lunt M, Symmons DP, Hyrich KL, British Society for Rheumatology Biologics Register: Impact of concomitant use of DMARDs on the persistence with anti-TNF therapies in patients with rheumatoid arthritis: results from the British Society for Rheumatology Biologics Register. Ann Rheum Dis. 2011, 70 (4): 583-9. 10.1136/ard.2010.139774. Epub 2011 Feb 17PubMedCentralCrossRefPubMed Soliman MM, Ashcroft DM, Watson KD, Lunt M, Symmons DP, Hyrich KL, British Society for Rheumatology Biologics Register: Impact of concomitant use of DMARDs on the persistence with anti-TNF therapies in patients with rheumatoid arthritis: results from the British Society for Rheumatology Biologics Register. Ann Rheum Dis. 2011, 70 (4): 583-9. 10.1136/ard.2010.139774. Epub 2011 Feb 17PubMedCentralCrossRefPubMed
13.
go back to reference Hodi FS, O'Day SJ, McDermott DF, Weber RW, Sosman JA, Haanen JB, Gonzalez R, Robert C, Schadendorf D, Hassel JC, Akerley W, van den Eertwegh AJ, Lutzky J, Lorigan P, Vaubel JM, Linette GP, Hogg D, Ottensmeier CH, Lebbé C, Peschel C, Quirt I, Clark JI, Wolchok JD, Weber JS, Tian J, Yellin MJ, Nichol GM, Hoos A, Urba WJ: Improved survival with ipilimumab in patients with metastatic melanoma. N Engl J Med. 2010, 363: 711-23. 10.1056/NEJMoa1003466.PubMedCentralCrossRefPubMed Hodi FS, O'Day SJ, McDermott DF, Weber RW, Sosman JA, Haanen JB, Gonzalez R, Robert C, Schadendorf D, Hassel JC, Akerley W, van den Eertwegh AJ, Lutzky J, Lorigan P, Vaubel JM, Linette GP, Hogg D, Ottensmeier CH, Lebbé C, Peschel C, Quirt I, Clark JI, Wolchok JD, Weber JS, Tian J, Yellin MJ, Nichol GM, Hoos A, Urba WJ: Improved survival with ipilimumab in patients with metastatic melanoma. N Engl J Med. 2010, 363: 711-23. 10.1056/NEJMoa1003466.PubMedCentralCrossRefPubMed
14.
go back to reference Kantoff PW, Higano CS, Shore ND, Berger ER, Small EJ, Penson DF, Redfern CH, Ferrari AC, Dreicer R, Sims RB, Xu Y, Frohlich MW, Schellhammer PF, IMPACT Study Investigators: Sipuleucel-T immunotherapy for castration-resistant prostate cancer. N Engl J Med. 2010, 363: 411-22. 10.1056/NEJMoa1001294.CrossRefPubMed Kantoff PW, Higano CS, Shore ND, Berger ER, Small EJ, Penson DF, Redfern CH, Ferrari AC, Dreicer R, Sims RB, Xu Y, Frohlich MW, Schellhammer PF, IMPACT Study Investigators: Sipuleucel-T immunotherapy for castration-resistant prostate cancer. N Engl J Med. 2010, 363: 411-22. 10.1056/NEJMoa1001294.CrossRefPubMed
15.
go back to reference Flaherty KT, Puzanov I, Kim KB, Ribas A, McArthur GA, Sosman JA, O'Dwyer PJ, Lee RJ, Grippo JF, Nolop K, Chapman PB: Inhibition of mutated, activated BRAF in metastatic melanoma. N Engl J Med. 2010, 363: 809-19. 10.1056/NEJMoa1002011.PubMedCentralCrossRefPubMed Flaherty KT, Puzanov I, Kim KB, Ribas A, McArthur GA, Sosman JA, O'Dwyer PJ, Lee RJ, Grippo JF, Nolop K, Chapman PB: Inhibition of mutated, activated BRAF in metastatic melanoma. N Engl J Med. 2010, 363: 809-19. 10.1056/NEJMoa1002011.PubMedCentralCrossRefPubMed
16.
go back to reference Ascierto PA, Streicher HZ, Sznol M: Melanoma: a model for testing new agents in combination therapies. J Transl Med. 2010, 8: 38-10.1186/1479-5876-8-38.PubMedCentralCrossRefPubMed Ascierto PA, Streicher HZ, Sznol M: Melanoma: a model for testing new agents in combination therapies. J Transl Med. 2010, 8: 38-10.1186/1479-5876-8-38.PubMedCentralCrossRefPubMed
17.
go back to reference Liu X, Ma Q, Zhang F: Therapeutic drug monitoring in highly active antiretroviral therapy. Expert Opin Drug Saf. 2010, 9: 743-58. 10.1517/14740331003767395.CrossRefPubMed Liu X, Ma Q, Zhang F: Therapeutic drug monitoring in highly active antiretroviral therapy. Expert Opin Drug Saf. 2010, 9: 743-58. 10.1517/14740331003767395.CrossRefPubMed
18.
go back to reference Fried MW, Shiffman ML, Reddy KR, Smith C, Marinos G, Gonçales FL, Häussinger D, Diago M, Carosi G, Dhumeaux D, Craxi A, Lin A, Hoffman J, Yu J: Peginterferon alfa-2a plus ribavirin for chronic hepatitis C virus infection. N Engl J Med. 2002, 347: 975-82. 10.1056/NEJMoa020047.CrossRefPubMed Fried MW, Shiffman ML, Reddy KR, Smith C, Marinos G, Gonçales FL, Häussinger D, Diago M, Carosi G, Dhumeaux D, Craxi A, Lin A, Hoffman J, Yu J: Peginterferon alfa-2a plus ribavirin for chronic hepatitis C virus infection. N Engl J Med. 2002, 347: 975-82. 10.1056/NEJMoa020047.CrossRefPubMed
Metadata
Title
Combination therapy: the next opportunity and challenge of medicine
Authors
Paolo A Ascierto
Francesco M Marincola
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Translational Medicine / Issue 1/2011
Electronic ISSN: 1479-5876
DOI
https://doi.org/10.1186/1479-5876-9-115

Other articles of this Issue 1/2011

Journal of Translational Medicine 1/2011 Go to the issue