» Articles » PMID: 29263653

Spotlight on Olaratumab in the Treatment of Soft-tissue Sarcoma: Design, Development, and Place in Therapy

Overview
Specialty Pharmacology
Date 2017 Dec 22
PMID 29263653
Citations 1
Authors
Affiliations
Soon will be listed here.
Abstract

Soft-tissue sarcoma (STS) is a heterogeneous group of tumors that arise from mesenchymal tissue. The prognosis of metastatic STS is poor with a life expectancy of 12-18 months. The mainstay of treatment is chemotherapy with an anthracycline. The addition of other chemotherapeutic agents to an anthracycline has been studied with limited success in improving outcomes for STS patients. Olaratumab is a fully human IgG1 monoclonal antibody that binds to platelet-derived growth factor receptor α (PDGFR-α) preventing binding of its ligands and receptor activation. This drug recently received the US Food and Drug Administration's accelerated approval for the treatment of advanced STS when combined with doxorubicin. This approval was based upon an improvement in overall survival of patients receiving the combination of doxorubicin and olaratumab compared to those receiving doxo-rubicin alone. In this review, we have analyzed the available literature on the development of olaratumab, its clinical utility, and its place in therapy. Based on early-phase clinical trials, olaratumab appears to be a promising agent for the treatment of STS.

Citing Articles

Investigating a chimeric anti-mouse PDGFRα antibody as a radiosensitizer in primary mouse sarcomas.

Song E, Ashcraft K, Lowery C, Mowery Y, Luo L, Ma Y EBioMedicine. 2019; 40:224-230.

PMID: 30711517 PMC: 6413473. DOI: 10.1016/j.ebiom.2019.01.046.

References
1.
Schoffski P, Chawla S, Maki R, Italiano A, Gelderblom H, Choy E . Eribulin versus dacarbazine in previously treated patients with advanced liposarcoma or leiomyosarcoma: a randomised, open-label, multicentre, phase 3 trial. Lancet. 2016; 387(10028):1629-37. DOI: 10.1016/S0140-6736(15)01283-0. View

2.
Italiano A, Mathoulin-Pelissier S, Cesne A, Terrier P, Bonvalot S, Collin F . Trends in survival for patients with metastatic soft-tissue sarcoma. Cancer. 2010; 117(5):1049-54. DOI: 10.1002/cncr.25538. View

3.
Loizos N, Xu Y, Huber J, Liu M, Lu D, Finnerty B . Targeting the platelet-derived growth factor receptor alpha with a neutralizing human monoclonal antibody inhibits the growth of tumor xenografts: implications as a potential therapeutic target. Mol Cancer Ther. 2005; 4(3):369-79. DOI: 10.1158/1535-7163.MCT-04-0114. View

4.
Heinrich M, Maki R, Corless C, Antonescu C, Harlow A, Griffith D . Primary and secondary kinase genotypes correlate with the biological and clinical activity of sunitinib in imatinib-resistant gastrointestinal stromal tumor. J Clin Oncol. 2008; 26(33):5352-9. PMC: 2651076. DOI: 10.1200/JCO.2007.15.7461. View

5.
Verma S, Younus J, Stys-Norman D, Haynes A, Blackstein M . Meta-analysis of ifosfamide-based combination chemotherapy in advanced soft tissue sarcoma. Cancer Treat Rev. 2008; 34(4):339-47. DOI: 10.1016/j.ctrv.2008.01.005. View