Types of targeted therapy
Targeted therapy treatments are divided into two primary categories: small molecule inhibitors or monoclonal antibodies. At Penn Medicine, we carefully evaluate each patient to ensure they receive the targeted cancer treatment that is best for them and their type of cancer.
These targeted therapies are small enough to penetrate cancer cells, making them effective against targets located inside the cell. They block the proteins that signal cancer cells to grow.
Different types of inhibitors are used to treat different cancers. We offer several small molecule inhibitors at Penn Medicine, including:
- Vemurafenib: This medication treats melanoma caused by a gene mutation related to the BRAF protein, which can fuel cancer growth. It targets and disrupts the BRAF protein to stop or shrink the growth and spread of cancer.
- Imatinib and nilotinib: These medicines are used to target and inhibit the BCR-ABL protein, helping to stop the growth of chronic myelogenous leukemia cells.
- Erlotinib: This treatment targets the epidermal growth factor receptor (EGFR), a protein that often mutates in up to 25 percent of lung cancer cases, particularly in light smokers or those who’ve never smoked.
These proteins are created in a lab to mimic the body’s natural antibodies and are designed to attach to specific proteins on cancer cells. Once attached, these proteins can work in various ways such as marking the cancer cells for the immune system to address, blocking growth signals to keep the cancer from spreading, or delivering toxins directly to cancer cells to eliminate them.
Penn Medicine offers a variety of monoclonal antibodies, including:
- Trastuzumab: This treatment inhibits the HER2 protein, which is overactive in 25 percent of breast cancers. It helps slow or stop cancer growth.
- Bevacizumab: This medicine treats lung and colon cancers by inhibiting the growth of blood vessels that supply tumors, slowing cancer progression.