Fitz - Targeted Therapy & Biologicals Flashcards
occupies the ATP cofactor binding site on Bcr-Ab causing inhibition of phosphate transfer to tyrosine kinase
imatinib
resistance to imatinib
mutation in ATP binding pocket
can overcome imatibib resistance
dasatinib
tx: imatinib
CML, GIST
tx: basatinib
CML, ALL
receptors specific for GIST
c-kit, PDFR (membrane)
tx of imatinib-resistant GIST
sunitinib
membrane ass’d RTK inhibitors
- gefitinib
- erlotinib
- lapatinib
- sunitinib
- sorafenib
RTK overexpression seen 25% of breast cancers
HER2
drugs that inhibit EGFR
- gefitinib
- erlotinib
- lapatinib
drugs that inhibit HER2
lapatinib
drugs that inhibit PDFR and VEGFR
- sunitinib
- sorafenib
tx: gefitinib, erlotinib
NSCLC
tx: sunitinib
- GIST
- RCC
tx: sorafenib
RCC
HCC
tx: lapatinib
breast cancer
inhibits mutant BRAF V600E
vemurafinib
antibodies that target EGFR
- cetuximab
- panitumab
antibodies that target HER2R
trastuzumab
antibodies that target VEGF ligand
bevacizumab
tx: cetuximab
colorectal, H/N cancer (not KRAS mutants)
tx: panitumumab
colorectal ca (not KRAS mutants)
tx: bevacizumab
advanced solid tumors - RCC, colon, lung brain ca
tx: trastuzumab
HER2+ breast ca
target for rituxomab
CD20+ - B cell lymphomas