PMID- 28274154 OWN - NLM STAT- MEDLINE DCOM- 20170404 LR - 20220408 IS - 1744-7658 (Electronic) IS - 1354-3784 (Linking) VI - 26 IP - 4 DP - 2017 Apr TI - Investigational drugs for the treatment of cervical cancer. PG - 389-402 LID - 10.1080/13543784.2017.1302427 [doi] AB - Cervical cancer (CC) is currently the fourth most common malignant disease of women worldwide. Although the incidence and the mortality rates have been decreasing with screening detection and new treatment strategies, a significant number of metastatic or recurrent disease is still diagnosed. For those patients not amenable to curative treatments, such as surgery and radiation, palliative chemotherapy remains the standard of care. As chemotherapy regimens have limited activity, research is focalized on investigating novel pharmacologic strategies. Areas covered: This paper aims to give a complete and updated overview on investigated therapies for the treatment of CC. The authors review the results of clinical studies and highlight the ongoing trials. Expert opinion: Agents targeting various molecular pathways including epidermal growth factor receptor (EGFR), vascular endothelial growth factor (VEGF), mammalian target of rapamycin (mTOR), poly ADP-ribose polymerase (PARP), epigenetics and other biological mechanisms represent interesting investigational opportunities. Amongst such drugs, bevacizumab, an anti-VEGF monoclonal antibody, was the first targeted drug recently approved by the FDA for the treatment of patients with metastatic, recurrent, or persistent CC. Another interesting experimental approach is represented by immunotherapy, which is leading to promising results with to the development of therapeutic vaccines and immune checkpoints inhibitors. FAU - Barra, Fabio AU - Barra F AD - a Academic Unit of Obstetrics and Gynecology , IRCCS AOU San Martino - IST , Genoa , Italy. AD - b Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI) , University of Genoa , Genoa , Italy. FAU - Lorusso, Domenica AU - Lorusso D AD - c Department of Gynecologic Oncology , IRCCS National Cancer Institute , Milan , Italy. FAU - Leone Roberti Maggiore, Umberto AU - Leone Roberti Maggiore U AD - a Academic Unit of Obstetrics and Gynecology , IRCCS AOU San Martino - IST , Genoa , Italy. AD - b Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI) , University of Genoa , Genoa , Italy. FAU - Ditto, Antonino AU - Ditto A AD - c Department of Gynecologic Oncology , IRCCS National Cancer Institute , Milan , Italy. FAU - Bogani, Giorgio AU - Bogani G AD - c Department of Gynecologic Oncology , IRCCS National Cancer Institute , Milan , Italy. FAU - Raspagliesi, Francesco AU - Raspagliesi F AD - c Department of Gynecologic Oncology , IRCCS National Cancer Institute , Milan , Italy. FAU - Ferrero, Simone AU - Ferrero S AD - a Academic Unit of Obstetrics and Gynecology , IRCCS AOU San Martino - IST , Genoa , Italy. AD - b Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI) , University of Genoa , Genoa , Italy. LA - eng PT - Journal Article PT - Review DEP - 20170308 PL - England TA - Expert Opin Investig Drugs JT - Expert opinion on investigational drugs JID - 9434197 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antineoplastic Agents) RN - 0 (Drugs, Investigational) SB - IM MH - Angiogenesis Inhibitors/pharmacology MH - Animals MH - Antineoplastic Agents/pharmacology/*therapeutic use MH - Drug Design MH - Drugs, Investigational/pharmacology/*therapeutic use MH - Female MH - Humans MH - Immunotherapy/methods MH - Molecular Targeted Therapy MH - Uterine Cervical Neoplasms/*drug therapy/pathology OTO - NOTNLM OT - Angiogenesis inhibitors OT - cervical cancer OT - immunotherapy OT - investigational drugs OT - targeted therapy EDAT- 2017/03/10 06:00 MHDA- 2017/04/05 06:00 CRDT- 2017/03/10 06:00 PHST- 2017/03/10 06:00 [pubmed] PHST- 2017/04/05 06:00 [medline] PHST- 2017/03/10 06:00 [entrez] AID - 10.1080/13543784.2017.1302427 [doi] PST - ppublish SO - Expert Opin Investig Drugs. 2017 Apr;26(4):389-402. doi: 10.1080/13543784.2017.1302427. Epub 2017 Mar 8.