Buy your tickets to A Night to Strike Out Rare Cancer! On sale now. Buy now×
overview

Overview

Targeted therapy is a personalized drug treatment for cancer. It focuses on the cancer’s genetic mutations. Sometimes referred to as precision medicine, targeted therapies can be especially helpful for rare cancers that have no standard of care. This is because they are used based on the presence of a genetic mutation rather than the type of rare cancer. Targeted therapy works by attacking the specific drivers of cancer cell growth in your body. It is different from chemotherapy, which attacks all cells that grow and divide quickly. Targeted therapy is often more precise and less toxic than traditional chemotherapy. It can lead to better outcomes and have fewer side effects.

Types of targeted therapies

Most targeted therapies are either small-molecule drugs or monoclonal antibodies. A new type of targeted therapy, antibody-drug conjugates, may also be an option.

small mol

Small-molecule drug – A drug that can enter cells easily because it has a low molecular weight. Once inside the cells, it can affect other molecules, such as proteins, and may cause cancer cells to die. Most small-molecule drugs can be administered orally, as a pill you can swallow.

mono antibody

Monoclonal antibody – A type of protein that is made in the laboratory and can bind to certain targets in the body, such as antigens on the surface of cancer cells. Antigens are markers that tell your immune system whether something in your body is harmful or not. Monoclonal antibodies are given intravenously (injected into a vein) and can be used alone or to carry drugs, toxins, or radioactive substances directly to cancer cells.

conjug

Antibody-drug conjugates (ADC) – A substance that combines a monoclonal antibody with a cytotoxic drug, like chemotherapy. The monoclonal antibody binds to specific proteins or receptors found on cancer cells, allowing the cytotoxic drug to enter these cells and destroy them without harming other cells.

compare

Considerations

Targeted therapy requires biomarker testing to identify a genetic alteration in the tumor that may benefit from certain therapies. People with rare cancers should always ask their care teams for biomarker testing. The results can help your care team determine which treatment options are most likely to help you. 

Not all genetic mutations have treatments that target them. Also, any cancer can become resistant to targeted therapies over time, meaning that an otherwise effective therapy may stop working after a period of time. Ask your doctor if any targeted therapies are recommended.

case study

Example: Cholangiocarcinoma with FGFR2 Fusions

Cholangiocarcinoma is a rare cancer of the bile ducts. In about 10-20% of cholangiocarcinoma cases, genetic mutations in the FGFR2 (fibroblast growth factor receptor 2) gene are present. There are multiple targeted therapies (FGFR inhibitors) that block the FGFR fusion proteins that drive the growth of this cancer, however, these therapies are only available to patients who have FGFR fusions as identified through a biomarker test.

For more information about cholangiocarcinoma, see our Cholangio­carcinoma Research page or the Cholangiocarcinoma Foundation.

Additional resources