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INNOSC Theranostics and
            Pharmacological Sciences                                           Precision medicine and beyond in oncology




            Table 1. Drug list for established targeted therapies
            Drug name  Target   Biomarker  Method of   Clinical use  Adverse effects  Sample   Reference  Combinations
                                         detection                                size
            Trastuzumab-  HER2  HER2    Biopsy+IHC Breast, bladder,   Nausea, vomiting,   Synthesized  Martín   Antibody - drug
            deruxtecan                           ovarian, gastric   constipation, diarrhea,   in review a  et al.  6  conjugate
                                                 cancers, NSCLC  anorexia, fatigue,              (trastuzumab +
                                                              alopecia, anemia                   deruxtecan)
            Pembrolizumab PD-1  N/A     Biopsy+flow  NSCLC, HCC,  Diarrhea, autoimmune   154  Reck et al.  7
                                        cytometry             hepatitis, type 2 diabetes
                                                              mellitus, and immune
                                                              reactions
            Osimertinib  EGFR   N/A     Biopsy+flow  NSCLC    Rash, acne, diarrhea,   279  Soria et al.  8  Osimertinib
                                        cytometry             dry skin, interstitial             platinum - based
                                        and serum             lung disease, QT                   chemotherapies
                                                              prolongation (0.33%),
                                                              one patient each had
                                                              fatal pneumonia, cerebral
                                                              infarction, myocardial
                                                              infarction, pulmonary
                                                              embolism
            Palbociclib  CDK4/6  N/A    Biopsy+flow  Hormone-   Neutropenia, leukopenia,  417  Turner   Palbociclib +
                                        cytometry  positive breast   thrombocytopenia,   et al.  9  fulvestrant
                                                 cancer, HCC  fatigue, nausea, headache,
                                                              upper respiratory
                                                              infections
                                                                                                10
            Letrozole  Aromatase  N/A   Biopsy+IHC ER or      Arthralgia, hot flashes,   164; 666  Ingle et al. ;  Palbociclib;
                                                 PgR-positive   weight gain, insomnia,   Finn et al.  11  letrozole
                                                 breast cancer  vaginitis, fatigue
            Fulvestrant  ERa    HER2    Biopsy+flow  ER-positive breast  Hot flashes, headache,   347 patients Cristofanilli  Palbociclib +
                                        cytometry  cancer     nausea, vomiting,         et al.  11  fulvestrant
                                                              constipation, increased
                                                              LFTs, UTIs, rashes,
                                                              vaginitis
            Dabrafenib  BRAF    N/A     Biopsy+flow  NSCLC    Fatigue, pyrexia,   36 patients  Planchard   Dabrafenib +
                       V600E            cytometry             headache, arthralgia,     et al.  12  trametinib
                                                              hyperkeratosis,
                                                              retinal vein occlusion,
                                                              pneumonitis, interstitial
                                                              lung disease, cutaneous
                                                              SCC
            Trametinib  MEK1,   Ki67    Biopsy+flow  Melanoma,   Dermatitis acneiform,   Synthesized  Salama   Dabrafenib +
                       MEK2,            cytometry  NSCLC      peripheral edema,   in review a  et al.  13  trametinib
                       BRAF                                   fatigue, nausea
            Sorafenib  Raf-1,   ACSL4   Serum    HCC          Fatigue, weight loss,   227 patients Llovet
                                                                                            14
                       BRAF,                                  desquamation, hand-foot   et al.  and
                       VEGFR1-3,                              skin reaction, alopecia,   Feng et al.  15
                       PDGFR-β                                diarrhea, anorexia,
                                                              nausea, vomiting, voice
                                                              change
            Note: N/A refers to not available.  Indicates data sourced from reviews Martín et al.  and Feng et al.,  which synthesize evidence rather than report
                                  a
                                                                            15
                                                                  6
            original sample size.
            Abbreviations: ACSL4: Acyl-CoA synthetase long chain family member 4; BRAF: V-Raf murine sarcoma viral oncogene homolog B1; CDK4/6:
            Cyclin-dependent kinase 4/6; EGFR: Epidermal growth factor receptor; ER: Estrogen receptor; HCC: Hepatocellular carcinoma; HER2: Human
            epidermal growth factor receptor 2; IHC: Immunohistochemistry; LFTs: Liver function tests; MEK: Mitogen-activated protein kinase; NSCLC:
            Non-small cell lung cancer; PD-1: Programmed cell death protein 1; PDGFR-β: Platelet-derived growth factor receptor beta; PgR: Progesterone
            receptor; Raf-1: Rapidly accelerated fibrosarcoma 1; SCC; Squamous cell carcinoma; UTIs: Urinary tract infections; VEGFR: Vascular endothelial
            growth factor receptor.


            Volume 8 Issue 3 (2025)                         37                          doi: 10.36922/ITPS025140018
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