The Current and Future Therapies for Human Osteosarcoma

Title:The Current and Future Therapies for Human Osteosarcoma

Volume: 9 Issue: 1

Author(s): Abdullah Pratt, Hue H. Luu, Tong-Chuan He, Rex C Haydon, Jinyong Luo, Zhong-Liang Deng, Guoxin Nan, Xiaoji Luo, Wei Shui, Joseph D. Lamplot, Ning Wang, Xiang Chen, Hongyu Zhang, Xing Liu, Ruidong Li, Jiaqiang Qin and Sahitya Denduluri

Affiliation:

Keywords: Bisphosphonates, BMP, IGF, IGFBP5, limb-salvage, osteosarcoma, OS99.

Abstract: Osteosarcoma (OS) is the most common non-hematologic malignant tumor of bone in adults and children. As sarcomas are more common in adolescents and young adults than most other forms of cancer, there are a significant number of years of life lost secondary to these malignancies. OS is associated with a poor prognosis secondary to a high grade at presentation, resistance to chemotherapy and a propensity to metastasize to the lungs. Current OS management involves both chemotherapy and surgery. The incorporation of cytotoxic chemotherapy into therapeutic regimens escalated cure rates from <20% to current levels of 65-75%. Furthermore, limb-salvage surgery is now offered to the majority of OS patients. Despite advances in chemotherapy and surgical techniques over the past three decades, there has been stagnation in patient survival outcome improvement, especially in patients with metastatic OS. Thus, there is a critical need to identify novel and directed therapy for OS. Several Phase I trials for sarcoma therapies currently ongoing or recently completed have shown objective responses in OS. Novel drug delivery mechanisms are currently under phase II and III clinical trials. Furthermore, there is an abundance of preclinical research which holds great promise in the development of future OSdirected therapeutics. Our continuously improving knowledge of the molecular and cell-signaling pathways involved in OS will translate into more effective therapies for OS and ultimately improved patient survival. The present review will provide an overview of current therapies, ongoing clinical trials and therapeutic targets under investigation for OS.

Cite this article as:

Pratt Abdullah, Luu H. Hue, He Tong-Chuan, Haydon C Rex, Luo Jinyong, Deng Zhong-Liang, Nan Guoxin, Luo Xiaoji, Shui Wei, Lamplot D. Joseph, Wang Ning, Chen Xiang, Zhang Hongyu, Liu Xing, Li Ruidong, Qin Jiaqiang and Denduluri Sahitya, The Current and Future Therapies for Human Osteosarcoma, Current Cancer Therapy Reviews 2013; 9 (1) . https://dx.doi.org/10.2174/1573394711309010006