If your furry friend has been diagnosed with cancer, there are several treatment options available. Radiation therapy is one of them, which can be used to target specific tumors and reduce their size.
Chemotherapy is another option, which involves using medications to kill cancer cells. According to the article, Adriamycin is a common chemotherapy drug used to treat various types of canine cancer.
Surgery is also a viable option in some cases, where a veterinarian may remove the tumor or affected organs to prevent cancer from spreading. This approach is often used in conjunction with other treatments.
Targeted therapy is a newer approach that focuses on specific genetic mutations or proteins associated with cancer. Lomustine is an example of a targeted therapy medication used to treat certain types of canine cancer.
Canine Cancer Treatment Options
Unfortunately, not every dog's cancer can be cured, as factors like tumor type, size, and location, combined with early detection and treatment options, dictate a realistic outcome for each individual patient.
Radiation and surgery aren't always the best options for dogs with cancer, especially if they're older or have underlying health issues.
Oral chemotherapy is an alternative approach to treating canine cancer, but it's not a one-size-fits-all solution.
Intralesional chemotherapy involves injecting medication directly into the tumor, which can be effective for certain types of cancer.
Immunotherapy is another promising approach, but its effectiveness depends on various factors, including the type of cancer and the dog's overall health.
Palliative care is often used to manage symptoms and improve quality of life for dogs with advanced cancer, rather than focusing on curative treatment.
Specific Treatments and Drugs
Toceranib is a molecular-targeted drug that has been used to treat canine mast cell tumors, apocrine gland anal sac adenocarcinoma, thyroid cancer, and gastrointestinal stromal tumor. It inhibits PDGFR, VEGFR, and KIT, and has been shown to be effective in some cases, with a 7% partial remission rate and a median progression-free survival of 96 days.
Lapatinib, a dual inhibitor of EGFR and HER2, has been found to be effective against canine transitional cell carcinoma, with a 52% partial remission rate and a median progression-free survival of 193 days. It has also been shown to have relatively mild adverse events, making it a promising new molecular-targeted therapy for this type of cancer.
Vemurafenib, a BRAF inhibitor, has been used to treat canine transitional cell carcinoma, with a 38% partial remission rate and a median progression-free survival of 181 days. However, it has also been associated with skin masses as an adverse event in some dogs.
Pet Treatments
Pet Treatments offer hope for cancer-stricken pets.
Oral chemotherapy is a type of cancer treatment that can be given to pets, making it a viable option for those who can't undergo surgery or radiation.
Intralesional chemotherapy involves injecting chemotherapy directly into the tumor, which can be effective in some cases.
Immunotherapy trains the immune system to attack cancer cells, with some treatments like the melanoma vaccine showing promise in keeping the disease at bay.
The melanoma vaccine, given in a muscle, trains the immune system to recognize melanoma cells as foreign and kill them, with boosters needed every six months.
Research has also led to the development of novel molecular-targeted drugs, such as EGF-binding anthrax toxin, which targets EGFR-overexpressing tumor cells.
EGF-binding anthrax toxin has shown a trend toward mass reduction in dogs with transitional cell carcinoma, although its efficacy and safety need to be verified through large-scale clinical trials.
Antibody drugs targeting immune checkpoint molecules, like PD-1 and PD-L1, have also shown promise in treating canine tumors, with some clinical trials reporting overall survival benefits.
However, the response rate for these treatments is relatively low, around 10%, highlighting the need for further research to establish biomarkers that can predict which cases will benefit from these treatments.
On a similar theme: Canine Cancer Vaccine
Novel Molecular-Targeted Drugs for TCC
The development of novel molecular-targeted drugs for canine transitional cell carcinoma (TCC) is an exciting area of research. Toceranib, a multi-kinase inhibitor, has been used to treat TCC, with a clinical trial showing a 7% partial remission rate and 80% stable disease rate.
Toceranib's efficacy in TCC may be mainly due to the inhibition of KIT, as the response rate is associated with c-KIT mutations. However, its use in TCC has been met with mixed results, with some studies showing limited effectiveness.
BRAF inhibitors, such as vemurafenib, have shown promise in treating TCC, with a clinical trial reporting a 38% partial remission rate and a median progression-free survival of 181 days. This is one of the best response rates and survival outcomes reported to date for medical therapies.
The use of BRAF inhibitors in TCC is particularly exciting, given that the BRAF mutation is found in 70-80% of canine TCC cases. However, BRAF inhibitors can also cause adverse events, such as skin tumors, which have been reported in both dogs and humans.
Further research is needed to fully understand the effectiveness and potential risks of these novel molecular-targeted drugs for TCC.
Clinical Trials and Research
Clinical trials of novel molecular-targeted drugs for canine tumors have been reported over the past decade, with notable results from antibody drugs targeting immune checkpoint molecules.
These antibody drugs have shown promising results, particularly in dogs with oral malignant melanoma, with some cases experiencing dramatic tumor shrinkage, including the disappearance of lung metastases.
A recent study reported a canine antibody drug against CTLA-4, another important immune checkpoint molecule, but clinical trials of the anti-CTLA-4 antibody in dogs have not yet been reported.
The response rate for antibody drugs targeting PD-1 and PD-L1 is low, approximately 10%, but responders can show tumor shrinkage even in late-stage disease.
A future challenge is to establish biomarkers that can predict which cases will benefit from immune checkpoint inhibitors.
Clinical Trials of Molecular-Targeted Therapies
Clinical trials of molecular-targeted therapies have shown a significant increase in recent years, especially in the field of veterinary medicine.
The number of papers on clinical trials of molecular-targeted drugs in dogs and cats has gradually increased around 2009, following the approval of masitinib and toceranib in 2008 and 2009, respectively.
Toceranib, the world's first molecular-targeted veterinary drug, has had a substantial impact on cancer treatment in veterinary medicine, but its approval may have impeded the development of subsequent drugs.
The first era of molecular-targeted therapeutics in veterinary medicine is considered to be the era of toceranib, which lasted from 2009 to 2014.
Clinical trials of novel agents targeting entirely new molecules commenced around 2015, marking the beginning of the second era of molecular-targeted therapeutics.
The second era has seen the approval of drugs such as oclacitinib, lokivetmab, grapiprant, bedinvetmab, and frunevetmab, which have shown promising results in treating various cancers and diseases in dogs and cats.
Antibody drugs targeting immune checkpoint molecules, such as PD-1 and PD-L1, have been shown to have low response rates but promising results in treating canine tumors.
The use of dogs as spontaneous animal models of cancer has been advocated in recent publications, as they spontaneously develop a variety of cancers similar to those in humans and can be evaluated using the same testing methods as humans.
Palliative Care
Palliative care is often misunderstood as only being for pets with untreatable diseases, but it's actually about making your furry friend comfortable and maintaining their quality of life. Vets use palliative care to address symptoms with medication, refer patients to outside vets who specialize in pain-relieving acupuncture, or find vets who specialize in integrative medication that involves supplements or a holistic approach.
A pet with a benign nasal lesion might require management of their bleeding and inflammation because nasal surgery isn't an option. This could involve medication to control the bleeding and inflammation.
The oral tablet Laverdia was conditionally approved by the FDA last year, which vets might prescribe to maintain quality of life for owners who don't pursue chemotherapy due to its expense or the difficulty in administering it to an aggressive pet.
A different take: Canine Nasal Cancer
Frequently Asked Questions
Is it worth treating a dog with cancer?
Treatment is recommended when it's likely to extend the dog's life by more than a few months, but the decision depends on individual circumstances and quality of life. Consult a veterinarian to determine the best course of action for your dog.
Sources
- https://source.colostate.edu/colorado-state-university-veterinarians-help-bring-groundbreaking-cancer-drug-market/
- https://petcureoncology.com/cancer-treatment-options-dog-cat/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466056/
- https://carecharlotte.com/blog/breakthroughs-in-cancer-treatments-for-pets/
- https://www.csuanimalcancercenter.org/2019/11/21/chemotherapy-for-pet-cancer/
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