Cited by 1,070Cancer Genomics and DiagnosticsLung Cancer Treatments and MutationsCancer Immunotherapy and Biomarkers

Combinatorial drug therapy for cancer in the post-genomic era

Al-Lazikani, Bissan, Banerji, Udai, Workman, Paul·2012·Nature Biotechnology

Abstract

Over the past decade, whole genome sequencing and other 'omics' technologies have defined pathogenic driver mutations to which tumor cells are addicted. Such addictions, synthetic lethalities and other tumor vulnerabilities have yielded novel targets for a new generation of cancer drugs to treat discrete, genetically defined patient subgroups. This personalized cancer medicine strategy could eventually replace the conventional one-size-fits-all cytotoxic chemotherapy approach. However, the extraordinary intratumor genetic heterogeneity in cancers revealed by deep sequencing explains why de novo and acquired resistance arise with molecularly targeted drugs and cytotoxic chemotherapy, limiting their utility. One solution to the enduring challenge of polygenic cancer drug resistance is rational combinatorial targeted therapy.

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Registry

Crossref · 10.1038/nbt.2284

Cites

172 of 172 references verified0 citation errors · 0 not checkable

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  • Combination therapies using two or more therapeutic agents can be superior to single-agent therapies in the treatment of cancers.

    “Combination therapies using two or more therapeutic agents can be superior to single-agent therapies in the treatment of cancers (1–3).”
  • Combinations of different therapeutic agent classes are often used to reduce resistant clone emergence and maximize response.

    “To minimize the emergence of resistant clones and to achieve maximal therapeutic response, combinations of different classes of therapeutic agents123 are commonly used.”

    From MDM2, MDMX and p53 in oncogenesis and cancer therapy (2013) · cites this paper as [123]

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Authors
Al-Lazikani, B., Banerji, U., & Workman, P.
Affiliations
  • Royal Marsden NHS Foundation Trust (GB)
  • Institute of Cancer Research (GB)
Corresponding author
  • Banerji, Udai
  • Workman, Paul
Venue
Nature Biotechnology
Published
2012-07
Volume
30
Issue
7
Pages
679-692
ISSN
  • 0733-222X (ISSN-L)
  • 1087-0156
  • 1546-1696
OpenAlex
W2061061337
Cited by
1,070
References
172
Citations by year
2026: 63 · 2025: 80 · 2024: 71 · 2023: 73 · 2022: 87 · 2021: 73 · 2020: 80 · 2019: 91 · 2018: 81 · 2017: 76 · 2016: 83 · 2015: 90 · 2014: 69 · 2013: 46 · 2012: 6
FWCI
5.04
Type
journal article
Language
en
Open access
closed
Locations
  • Nature Biotechnology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • NIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust/Institute of Cancer Research
  • Cancer Research UK (C309/8992, 11566, C309/A8274)
  • National Institute for Health and Care Research
  • National Institutes of Health
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
Keywords
combination therapy, targeted cancer therapy, driver mutations, synthetic lethality, tumor vulnerability, precision oncology, acquired drug resistance, de novo resistance, polygenic resistance, cytotoxic chemotherapy
MeSH terms
Antineoplastic Combined Chemotherapy Protocols, Clinical Trials as Topic, Combined Modality Therapy, Humans, Neoplasms, Drug Design, Genome, Human, Genetic Heterogeneity, Metabolic Networks and Pathways, Precision Medicine, Molecular Targeted Therapy, High-Throughput Nucleotide Sequencing

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