PMID- 36612173 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230111 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 15 IP - 1 DP - 2022 Dec 28 TI - Targeted Therapy for Anaplastic Thyroid Carcinoma: Advances and Management. LID - 10.3390/cancers15010179 [doi] LID - 179 AB - Anaplastic thyroid carcinoma (ATC) is a rare and highly fatal cancer with the worst prognosis of all thyroid carcinoma (TC) histological subtypes and no standard treatment. In recent years, the explosion of investigations on ATC-targeted agents has provided a new treatment strategy for this malignant condition, and a review of these studies is warranted. We conducted a comprehensive literature search for ATC-targeted drug studies and compiled a summary of their efficacy and adverse effects (AEs) to provide new insights. Multiple clinical trials have demonstrated the efficacy and safety of dabrafenib in combination with trametinib for the treatment of ATC, but vemurafenib and NTRK inhibitors showed limited clinical responses. We found that the previously valued therapeutic effect of lenvatinib may be unsatisfactory; combining tyrosine kinase (TK) inhibitors (TKIs) with other agents results in a higher rate of clinical benefit. In addition, specific medications, including RET inhibitors, mTOR inhibitors, CDK4/6 inhibitors, and Combretastatin A4-phosphate (CA4P), offer tremendous therapeutic potential. The AEs reported for all agents are relatively numerous but largely manageable clinically. More clinical trials are expected to further confirm the effectiveness and safety of these targeted drugs for ATC. FAU - Yuan, Jiaqian AU - Yuan J AUID- ORCID: 0000-0001-6287-5150 AD - The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053, China. FAU - Guo, Yong AU - Guo Y AD - Department of Medical Oncology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310001, China. LA - eng PT - Journal Article PT - Review DEP - 20221228 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC9818071 OTO - NOTNLM OT - BRAF/MEK inhibitors OT - anaplastic thyroid carcinoma (ATC) OT - targeted therapy COIS- The authors declare no conflict of interest. EDAT- 2023/01/09 06:00 MHDA- 2023/01/09 06:01 PMCR- 2022/12/28 CRDT- 2023/01/08 01:07 PHST- 2022/10/31 00:00 [received] PHST- 2022/12/17 00:00 [revised] PHST- 2022/12/23 00:00 [accepted] PHST- 2023/01/08 01:07 [entrez] PHST- 2023/01/09 06:00 [pubmed] PHST- 2023/01/09 06:01 [medline] PHST- 2022/12/28 00:00 [pmc-release] AID - cancers15010179 [pii] AID - cancers-15-00179 [pii] AID - 10.3390/cancers15010179 [doi] PST - epublish SO - Cancers (Basel). 2022 Dec 28;15(1):179. doi: 10.3390/cancers15010179.