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Canadian Oncology Nursing Journal logoLink to Canadian Oncology Nursing Journal
. 2025 Jul 1;35(4):590–597. doi: 10.5737/23688076354590

Therapeutic breakthroughs in oncology: Enhancing treatment and management

Kirolos Eskandar 1,
PMCID: PMC12379890  PMID: 40873601

Abstract

Recent advancements in oncology have significantly transformed cancer treatment and care management, offering new hope to patients worldwide. This literature review examines key therapeutic breakthroughs, including targeted therapies, immunotherapies, personalized medicine, and innovative drug delivery systems. These cutting-edge interventions have enhanced patient outcomes, improving survival rates and quality of life, but they have also introduced complexities in managing emerging side effects, care coordination, and resource allocation. This review discusses the implications of these therapies on patient care, the ethical considerations they entail, the management of side effects, and the pivotal role of oncology nurses in administering and managing these treatments. By exploring the current landscape and future directions of oncology therapies, including areas such as cancer vaccines and precision medicine, this article provides a comprehensive understanding of how these innovations are shaping the future of cancer care.

Keywords: oncology, targeted therapies, immunotherapies, personalized medicine, drug delivery systems

INTRODUCTION

The field of oncology has witnessed significant advancements in therapeutic interventions over recent years. These breakthroughs have been pivotal in improving patient outcomes, enhancing treatment efficacy, and managing cancer more effectively. Continuous innovation in oncology therapies is driven by the need to address the complex and adaptive nature of cancer, which often renders traditional treatments insufficient over time.

Over the last two decades, advancements in oncology therapies have included targeted therapies, immunotherapies, personalized medicine, and novel drug delivery systems. Targeted therapies, such as kinase inhibitors introduced in the early 2000s, are designed to interfere with specific molecules involved in cancer growth and progression. Drugs like kinase inhibitors, which block specific enzymes responsible for cancer cell proliferation, have shown substantial success in treating various malignancies (Staff, 2024).

Immunotherapy has transformed cancer treatment by harnessing the body’s immune system to combat cancer cells. Immune checkpoint inhibitors, such as pembrolizumab and nivolumab, gained FDA approval in 2011 and have since become standard treatments for several cancers, offering durable responses and improved survival rates (DIA Global Forum, 2024). Another significant development in immunotherapy is the approval of tumor-infiltrating lymphocyte (TIL) therapy, which has shown promise in treating metastatic melanoma by enhancing the body’s natural T-cell response against cancer cells (American Association of Cancer Research, 2024).

Personalized medicine, which tailors treatment based on the genetic profile of an individual’s tumour, represents another leap forward in oncology. Precision oncology enables the identification of genetic mutations and molecular characteristics specific to a patient’s cancer, allowing for the development of highly individualized treatment plans. This approach not only improves treatment efficacy, but also minimizes adverse effects by sparing healthy cells (World Cancer Forum, 2024).

Innovative drug delivery systems have also played a crucial role in enhancing cancer treatment. Nanoparticle-based delivery and antibody-drug conjugates (ADCs), for example, have improved the targeting and delivery of therapeutic agents directly to cancer cells, increasing potency while reducing systemic toxicity (American Society of Clinical Oncology, 2024). The importance of continuous innovation in cancer treatment cannot be overstated. With cancer being one of the leading causes of death worldwide, there is a relentless pursuit of more effective and less toxic treatments.

The integration of new technologies and therapeutic strategies is essential to overcoming challenges posed by cancer heterogeneity and resistance mechanisms. By continually evolving the therapeutic landscape, the oncology community strives to provide patients with more hope, better quality of life, and improved treatment outcomes.

METHODOLOGY

To ensure a comprehensive and structured approach, this literature review adhered to established guidelines for systematic reviews. The methodology was designed to capture a wide array of studies that detail therapeutic advancements in oncology, focusing on targeted therapies, immunotherapies, personalized medicine, and innovative drug delivery systems.

Search Strategy and Databases

A systematic literature review was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to ensure a structured approach. Comprehensive searches were performed across multiple reputable databases, including PubMed, Google Scholar, Scopus, and Web of Science. The search terms used included combinations of keywords such as “Oncology,” “Targeted Therapies,” “Immunotherapies,” “Personalized Medicine,” and “Drug Delivery Systems.” These keywords were selected to capture a broad range of relevant studies published between 2010 and 2024.

Inclusion Criteria

  1. Language: Only articles published in English were included to ensure clarity and accessibility.

  2. Publication Type: Studies had to be published in peer-reviewed journals to ensure reliability and validity.

  3. Study Focus: Articles must have focused on therapeutic advancements in oncology, covering topics such as targeted therapies, immunotherapies, personalized medicine, and innovative drug delivery systems.

  4. Publication Date: Studies published between 2010 and 2024 were considered to include the most recent and relevant developments.

  5. Data Completeness: Articles needed to provide comprehensive data on treatment methodologies, outcomes, and implications for patient care

Exclusion Criteria

  1. Non-Peer-Reviewed Sources: Articles such as conference abstracts, editorials, and opinion pieces that were not subject to peer review were excluded.

  2. Language Restrictions: Non-English publications were excluded to avoid potential translation inaccuracies.

  3. Lack of Focus: Studies that did not primarily discuss advancements in therapeutic approaches or were tangential to the main topic (e.g., general oncology epidemiology) were excluded.

  4. Insufficient Data: Articles that lacked detailed outcome data, such as case reports without sufficient analysis or studies without comprehensive results, were omitted.

  5. Non-Human Studies: Preclinical studies involving animal models or in vitro experiments were excluded to maintain a focus on clinical applicability.

Study Selection and Evaluation

An initial search yielded 112 articles. Duplicate entries were removed using reference management software, resulting in 83 unique articles. The selection process involved two stages:

  1. Title and Abstract Screening: Articles were evaluated for relevance based on their titles and abstracts.

  2. Full-Text Review: Eligible articles were read in full to assess alignment with the study’s focus on therapeutic advancements and their impact on treatment and patient care.

After these stages, 30 articles were finalized for inclusion in the review.

Study Selection Process

The PRISMA flow diagram (Figure 1) provides an overview of the study selection process, illustrating the number of records identified, screened, and ultimately included in the review. The diagram also outlines the reasons for excluding studies at each stage, ensuring transparency and reproducibility of the review process.

Figure 1.

Figure 1

Overview of PRISMA Flowchart

Analysis Process

Each selected study underwent a thorough analysis to extract data related to therapeutic strategies, patient outcomes, and treatment innovations. Key elements extracted included the type of therapy, clinical trial results, patient response rates, and reported side effects. The extracted data were systematically categorized by therapy type (e.g., targeted therapies, immunotherapies, personalized medicine).

Presentation of Results

Results were synthesized and organized to highlight significant therapeutic advancements and their implications. The presentation emphasized both the efficacy of these therapies and the challenges they pose. This narrative approach allowed for a comprehensive discussion of how these therapies have impacted patient outcomes, addressing aspects such as survival rates, quality of life, and management of side effects. The analysis also explored gaps in current research and potential areas for future investigation, providing a nuanced view of the therapeutic landscape.

SUMMARY OF THERAPEUTIC ADVANCEMENTS

Targeted Therapies in Oncology

Targeted therapies have transformed oncology by offering more precise and effective treatment options. These therapies focus on specific molecular changes that are often unique to cancer cells, sparing normal cells and reducing side effects compared to traditional chemotherapy. This precision has allowed targeted therapies to become central to modern oncology care.

The mechanisms of action for targeted therapies are diverse, often focusing on proteins involved in cell signaling pathways that regulate growth, division, and survival. Common targets include the epidermal growth factor receptor (EGFR), the BCR-ABL fusion protein in chronic myeloid leukemia, and the HER2 protein in certain types of breast cancer (American Cancer Society, 2024). These therapies either inhibit these proteins directly or block the downstream effects of their signaling pathways.

There are several types of targeted therapies, including monoclonal antibodies, which bind to specific antigens on cancer cells, and small molecule inhibitors, which enter cells to disrupt intracellular signaling pathways. Monoclonal antibodies like trastuzumab (Herceptin) for HER2-positive breast cancer and rituximab (Rituxan) for non-Hodgkin lymphoma have shown significant efficacy. Small molecule inhibitors, such as imatinib (Gleevec) for chronic myeloid leukemia and erlotinib (Tarceva) for non-small cell lung cancer, target specific enzymes or growth factor receptors involved in cancer cell proliferation (Cancer.gov, 2024).

Targeted therapies have achieved promising clinical outcomes, improving survival rates and quality of life. For example, imatinib has transformed the prognosis of chronic myeloid leukemia from a fatal disease into a manageable condition with near-normal life expectancy (Osman & Deininger, 2021). Similarly, therapies targeting the BRAF mutation in metastatic melanoma have significantly extended survival rates (Sun et al., 2024).

However, challenges and limitations persist. Resistance to targeted therapies can develop through mechanisms such as secondary mutations in the target protein, activation of alternative signaling pathways, or histological transformation of cancer cells. Additionally, the heterogeneity of tumors and the presence of multiple molecular alterations in a single cancer type mean that not all patients benefit equally (American Cancer Society, 2024).

Another challenge is managing the side effects of these therapies, which, although generally milder than traditional chemotherapy, can still be significant. These side effects can include skin reactions, gastrointestinal disturbances, and cardiovascular issues, depending on the therapy used (Targeted Therapy Drug List by Cancer Type, 2024). The complexity of managing these side effects requires specialized training for healthcare professionals, particularly oncology nurses, who are pivotal in the administration and monitoring of these therapies.

Advancements in Immunotherapies

Immunotherapies have fundamentally changed cancer treatment by enhancing the body’s immune response against cancer cells. Among the various immunotherapies, checkpoint inhibitors and CAR-T cell therapies have made the most significant advances, offering durable responses and survival benefits to many patients.

Checkpoint inhibitors, such as pembrolizumab and nivolumab, block proteins that prevent immune cells from attacking cancer cells. By targeting proteins like PD-1/PD-L1 and CTLA-4, these therapies enable the immune system to better recognize and destroy cancer cells. The effectiveness of checkpoint inhibitors has been particularly notable in treating melanoma, non-small cell lung cancer, and renal cell carcinoma, where prolonged survival rates and durable responses have been observed (Peng et al., 2024).

CAR-T cell therapy, another groundbreaking advancement, involves genetically engineering of a patient’s T cells to express chimeric antigen receptors (CARs) that specifically target cancer cells. This personalized approach has demonstrated remarkable success in treating hematologic malignancies, such as acute lymphoblastic leukemia (ALL) and certain types of non-Hodgkin lymphoma. CAR-T therapies, including Tisagenlecleucel and Axicabtagene Ciloleucel, offer new hope to patients with refractory or relapsed cancers. However, CAR-T cell therapy presents challenges, such as the complexity of manufacturing and the need to manage severe side effects like cytokine release syndrome (Ayala Ceja et al., 2024).

Success stories in immunotherapy highlight the transformative potential of these treatments. For instance, a patient with metastatic melanoma achieved complete remission after treatment with a combination of nivolumab and ipilimumab. Another notable case involves long-term remission in pediatric patients with ALL treated with CAR-T cell therapy, demonstrating the potential for sustained cancer control (Yang et al., 2023).

Ongoing research in immunotherapy is focused on enhancing the safety and efficacy of existing treatments and expanding their applicability to a broader range of cancers. New approaches, such as bispecific antibodies that target two different antigens simultaneously, and the use of oncolytic viruses to boost immune responses, are at the forefront of this research. Moreover, efforts to understand and mitigate immune-related adverse events, such as immune system overactivity, are crucial for the wider adoption of these therapies (DePeaux et al., 2023).

Personalized Medicine in Cancer Treatment

Personalized medicine, also known as precision medicine, represents a transformative shift in oncology. By leveraging genomics and molecular profiling, personalized medicine tailors treatments to the unique genetic and molecular characteristics of each patient’s tumour. This individualized approach enhances treatment efficacy while reducing the likelihood of adverse effects.

The role of genomics and molecular profiling in personalized medicine is vital. Next-generation sequencing (NGS) enables comprehensive tumor DNA analysis, revealing mutations, gene fusions, and other alterations that drive cancer growth. This information is crucial for identifying actionable targets and selecting appropriate therapies. For example, the detection of the BCR-ABL fusion gene in chronic myeloid leukemia led to the development of imatinib, a targeted therapy that revolutionized treatment (Gambardella et al., 2020). Similarly, the identification of driver mutations in genes such as EGFR and ALK has enabled targeted inhibitors that significantly improve patient outcomes in non-small cell lung cancer (NSCLC) (Gambardella et al., 2020).

Case studies exemplify the success of personalized treatment plans. Breast cancer patients with HER2-positive tumours benefit from HER2-targeted therapies such as trastuzumab. In colorectal cancer, therapies targeting KRAS mutations have been effective in improving outcomes (Hoeben et al., 2021). Another notable example is the use of CRISPR gene editing in solid tumours to modify immune cells, enabling them to recognize and attack cancer cells more effectively (Foy et al., 2023).

While the benefits of personalized medicine are substantial, challenges remain. Tumour heterogeneity, high costs of genetic testing, and the need for specialized infrastructure can limit the widespread implementation of personalized medicine. Furthermore, the dynamic nature of cancer, which can evolve resistance to targeted therapies, necessitates continuous monitoring and adaptation of treatment strategies (Weintraub, 2022).

Despite these challenges, ongoing research and technological advancements offer promise for the future of personalized medicine. The integration of multi-omics approaches, combining genomic, transcriptomic, and proteomic data, is expected to further refine personalized treatment strategies. As the field continues to evolve, personalized medicine is poised to play an increasingly central role in cancer care, offering more effective and individualized treatment options.

Innovations in Drug Delivery Systems

Innovations in drug delivery systems are transforming cancer treatment by improving the targeting and effectiveness of therapies while minimizing side effects. Among the most promising advancements are nanoparticles, liposomes, and micelles, which offer novel methods for delivering anticancer agents directly to tumor sites, ensuring greater precision in targeting cancer cells.

Nanoparticles, due to their small size and surface modification capabilities, can be engineered to target specific cancer cells, improving drug delivery precision. For instance, nanoparticles can be coated with ligands or antibodies that bind specifically to cancer cell receptors, enhancing drug uptake by tumor cells. Recent studies highlight the use of folate-conjugated nanoparticles for targeting folate receptors overexpressed in certain cancers, improving the delivery and efficacy of chemotherapeutic agents (Rana et al., 2023).

Liposomes, spherical vesicles with a lipid bilayer, encapsulate drugs, providing a protective environment that enhances drug stability and reduces toxicity. Liposomal formulations, such as Doxil, have shown significant efficacy in treating cancers like breast cancer and Kaposi’s sarcoma by prolonging drug circulation time and accumulating preferentially in tumor tissues due to the enhanced permeability and retention (EPR) effect (Allen & Cullis, 2020).

Micelles, formed by amphiphilic molecules, solubilize hydrophobic drugs, increasing their bioavailability. Their ability to encapsulate poorly water-soluble drugs and deliver them to tumors is particularly beneficial. Studies have demonstrated that micellar formulations can enhance the delivery of paclitaxel, a common chemotherapeutic agent, reducing its side effects and improving therapeutic outcomes (Rosenblum et al., 2021).

The impact of these novel drug delivery systems on treatment efficacy and side effects is profound. By ensuring that higher concentrations of drugs reach the tumor site, these systems can reduce the necessary dosage, thereby lowering adverse effects on healthy tissues. This targeted delivery also enables combination therapies, where multiple drugs can be encapsulated within a single nanoparticle or liposome, offering a multifaceted attack on cancer cells (Xu et al., 2021). These innovative systems often require specialized administration protocols, with oncology nurses playing a crucial role in the safe and effective management of these complex therapies.

Current research is focused on further improving these delivery systems and exploring new materials and methods to enhance their specificity and efficiency. Ongoing studies are investigating the use of biodegradable polymers and stimuli- responsive systems that release their payload in response to specific triggers in the tumor microenvironment, such as pH or temperature changes (Lee & Thompson, 2022).

IMPACT ON PATIENT CARE AND QUALITY OF LIFE

Advancements in cancer treatment have significantly impacted patient care and quality of life, with new therapies offering improved outcomes while also presenting new challenges in managing side effects. Innovations in targeted therapies, immunotherapies, and personalized medicine have been instrumental in enhancing patient outcomes but managing the associated side effects and maintaining a good quality of life remain critical considerations.

CAR-T cell therapy, for example, has shown promising results in treating blood cancers like lymphoma and myeloma. However, patients often experience a decline in quality of life immediately after treatment due to severe side effects such as cytokine release syndrome. Studies demonstrate significant improvements in quality of life within six months of post-treatment. Research indicates that patients’ quality of life scores improved from a median baseline of 77.9 to 83.7 six months after CAR-T cell infusion, despite the initial decline during the first week of treatment (American Association of Hematology, 2023). This highlights the potential for substantial recovery and enhanced well-being following the initial treatment phase, emphasizing the need for comprehensive follow-up care.

The integration of novel therapies into clinical practice has also been accompanied by a focus on comprehensive patient care. The National Coalition for Cancer Survivorship emphasizes the importance of cancer care planning and coordination to help patients navigate treatment options and manage their care effectively. This approach not only supports informed decision-making but fosters collaboration among multidisciplinary care teams, ultimately improving patient outcomes and quality of life (National Coalition for Cancer Survivorship, 2020).

Recent approaches in treating prostate cancer demonstrate that new therapies can slow disease progression without significantly compromising quality of life, a balance crucial to maintaining overall well-being during treatment (The University of Kansas Cancer Centre, 2024). However, advanced therapies bring challenges, particularly in managing side effects that can adversely affect patients’ quality of life. Effective management strategies are essential to mitigate these side effects, which range from physical symptoms like pain and fatigue to psychological issues such as anxiety and depression. Ensuring that patients receive appropriate support, including psychological counseling and symptom management, is vital to enhancing their overall treatment experience and maintaining quality of life (American Association of Hematology, 2023).

ETHICAL ISSUES IN NEW ONCOLOGY TREATMENTS

The rapid development of new oncology treatments has introduced significant ethical challenges, requiring careful consideration of issues such as access, affordability, patient rights, and informed consent. As advanced therapies become available, ensuring equitable access and affordability is paramount. Many innovative treatments come with high costs, making them inaccessible to a large segment of the population, which raises ethical concerns regarding equity and justice in healthcare (Crico et al., 2022). The disparity in access to CAR-T cell therapy due to its exorbitant cost exemplifies the ethical dilemma of balancing cutting-edge treatment availability with broad patient access (Crico et al., 2022).

Another critical ethical issue is the need for informed consent, particularly with the increasing use of technologies like artificial intelligence (AI) in cancer care. AI can improve diagnostic accuracy and treatment planning, but its integration necessitates transparent communication with patients about how AI influences treatment decisions. Patients should be fully aware of AI’s role, its benefits and limitations, and any potential biases inherent in these technologies. This transparency is essential to uphold patient autonomy and trust in the healthcare system (Hantel et al., 2024).

Ethical considerations also extend to clinical trials and the application of these therapies. The process of clinical trials and the use of new treatments involve potential risks and uncertainties that must be clearly communicated to patients. The principles of beneficence and non-maleficence guide clinicians to ensure that the benefits of a new treatment outweigh its risks. Moreover, maintaining patient-centered care, where the patient’s preferences, values, and goals are respected, is crucial in treatment decision-making (Crico et al., 2022).

The ethical landscape in oncology is further complicated by differing perspectives between patients and physicians on the cost-effectiveness of treatments. Studies show that oncologists and patients often have varying views on what constitutes a justified expense for a potential benefit in quality-adjusted life years (QALYs). These discrepancies highlight the need for shared decision-making and alignment of treatment goals (Tenner & Helft, 2013).

ROLE OF ONCOLOGY NURSES IN ADMINISTERING AND MANAGING TREATMENTS

Oncology nurses play a pivotal role in administering and managing cancer treatments, addressing not only the physical but also the emotional and educational needs of patients. These healthcare professionals are critical to ensuring the effective delivery of novel and advanced therapies, contributing significantly to the overall treatment process.

Oncology nurses are responsible for administering chemotherapy, immunotherapy, targeted therapy, and other advanced treatments. Their duties include preparing and administering medications, monitoring patients for adverse reactions, managing side effects, and providing supportive care throughout the treatment cycle (Association of Community Cancer Centers, 2024). As new cancer treatments emerge, oncology nurses must stay current with the latest protocols and guidelines, requiring continuous education and specialized training. This enables them to safely administer complex therapies and educate patients and their families on what to expect during treatment (Oncology Nursing Society, 2021).

The education and training of oncology nurses are vital components of their role. They must remain well-versed in the latest scientific advancements and treatment modalities, especially as new drug delivery systems and immunotherapies become more prevalent. Continuous professional development, often facilitated by organizations such as the Oncology Nursing Society (ONS), ensures nurses are equipped to handle evolving treatment complexities (ONS, 2021). Their expertise not only improves treatment outcomes but also enhances the patient’s experience, offering clear communication about the intricacies of cancer therapies and providing reassurance during the care process.

Nurse-patient interactions are central to oncological care. Oncology nurses build strong relationships with their patients, providing emotional support and guidance to help them cope with the stress and anxiety associated with cancer treatment. They serve as advocates for their patients, ensuring that concerns are addressed, and that comprehensive, individualized care is provided (Lyu et al., 2024). This holistic approach is crucial for providing comprehensive, patient-centered care, addressing both the physical and emotional needs of patients. By supporting patients through treatment challenges and promoting clear communication, oncology nurses enhance the overall treatment experience and foster a supportive care environment.

CLINICAL TRIALS AND RESEARCH IN ONCOLOGY

Clinical trials are the foundation of oncology research, generating critical data that guides the development and approval of new cancer treatments. Their importance cannot be overstated, as clinical trials are essential for evaluating the safety and efficacy of therapies before they become standard care. These trials help determine optimal dosing, uncover potential side effects, and compare new treatments with existing ones, ensuring that patients benefit from improved outcomes (Unger et al., 2016).

Recent clinical trials have yielded promising results. For example, the S2302 Pragmatica-Lung Study, focusing on combining the targeted therapy ramucirumab and the immunotherapy drug pembrolizumab for non-small cell lung cancer, is notable for its broad eligibility criteria, ensuring diverse participant representation. This approach could serve as a model for future trials, prioritizing inclusivity and comprehensive data collection (Transforming NCI Cancer Clinical Trials, 2023).

Another significant trial, presented at ASCO 2024, evaluated the drug Lorbrena and demonstrated a five-year progression-free survival rate of 60% in patients with ALK-mutated lung cancer (Peter, 2024). This highlights the importance of targeted therapies in treating specific genetic mutations, offering substantial survival benefits compared to traditional treatments.

Despite these advancements, participation in clinical trials remains a challenge. Logistical issues, lack of awareness, and socioeconomic barriers often limit patient enrollment. Efforts to improve participation include simplifying trial designs, broadening eligibility criteria, and enhancing patient engagement through better communication and support systems (Transforming NCI Cancer Clinical Trials, 2023; ASCO, 2024). Decentralized clinical trials, which leverage telemedicine and community-based centres, are emerging as a promising solution to improve access for patients in rural or underserved areas.

To address these challenges, initiatives like the Clinical Trials Innovation Unit (CTIU) have been established to develop innovative trial designs and operational procedures. By fostering collaborations among government, industry, and academic partners, the CTIU aims to streamline the clinical trial process, ensuring faster and more effective evaluation of new treatments in the rapidly evolving landscape of oncology research (Cancer.gov, 2023, 2023).

FUTURE DIRECTIONS AND EMERGING THERAPIES IN ONCOLOGY

The field of oncology is rapidly evolving, driven by cutting-edge research and emerging therapies that hold the potential for significant advancements in cancer treatment. Among these, cancer vaccines, precision oncology, and nanotechnology-enabled therapies are at the forefront, shaping the future of oncology care.

Cancer vaccines are one of the most exciting areas of development. Recent progress has been fueled by advancements in mRNA technology, demonstrated during the COVID-19 pandemic. Researchers are optimistic about targeting shared neoantigens arising from driver mutations across various tumour types, which could lead to the development of off-the-shelf cancer vaccines (Pancholi, 2024). This approach aims to stimulate the immune system to recognize and attack cancer cells more effectively, potentially leading to highly personalized cancer treatments.

Precision oncology continues to revolutionize cancer care by leveraging genomic data to tailor treatments to the genetic profiles of individual patients. This personalized approach has shown significant promise in improving treatment efficacy while reducing adverse effects. Emerging therapies in this domain include the use of artificial intelligence (AI) and machine learning to identify new drug targets and optimize treatment protocols (Rulten et al., 2023). The integration of AI is expected to enhance the precision of cancer treatments and drive the development of novel therapeutic agents.

Nanotechnology-enabled therapies are also making considerable strides. Nanoparticles, liposomes, and micelles are being utilized to improve drug delivery systems, enhancing the bioavailability and targeting of anticancer drugs. These advancements are particularly beneficial in reducing systemic toxicity and improving treatment outcomes (Chehelgerdi et al., 2023). The future of nanotechnology in oncology is vast, with applications such as theragnostic agents that combine therapeutic and diagnostic functions, providing real-time monitoring of treatment efficacy.

Collaborative efforts and interdisciplinary research are essential for advancing these emerging therapies. The convergence of molecular biology, bioinformatics, and materials science is crucial for translating laboratory discoveries into clinical applications. Researchers and clinicians must continue working together to drive innovations that will improve patient outcomes and quality of life (Pancholi, 2024).

CONCLUSION

The landscape of oncology is undergoing a transformative shift with the advent of novel therapeutic breakthroughs such as targeted therapies, immunotherapies, personalized medicine, and innovative drug delivery systems. These advancements are significantly enhancing patient outcomes and quality of life, while introducing new challenges in clinical practice, including the management of side effects and ethical considerations surrounding accessibility and affordability. Oncology nurses play a critical role in the administration and management of these therapies, requiring continuous education and training to navigate the complexities of advanced treatments. Additionally, ongoing clinical trials and interdisciplinary research are pivotal for validating these treatments and paving the way for future innovations in cancer care. As the field progresses, collaborative efforts will be essential for overcoming barriers to clinical trial participation and ensuring equitable access to cutting-edge treatments, ultimately leading to more effective and personalized cancer care.

Footnotes

COMPETING INTERESTS: The authors declare that they have no competing interests.

REFERENCES

  1. American Association of Cancer Research. Cancer research catalyst. 2024. https://www.aacr.org/professionals/blog/
  2. American Cancer Society. 2-24 Targeted cancer therapy | Targeted drug therapy for cancer. https://www.cancer.org/cancer/managing-cancer/treatment-types/targeted-therapy/what-is.html .
  3. American Society of Clinical Oncology. New cancer research impacting treatment, prevention, early diagnosis. 2024. 2024. Jun 1, https://society.asco.org/about-asco/press-center/news-releases/new-cancer-research-impacting-treatment-prevention-early .
  4. American Society of Hemotolgy. A promising outlook: CAR T cells improve patient quality of life. 2023. https://www.hematology.org/newsroom/press-releases/2023/a-promising-outlook-car-t-cells-improve-patient-quality-of-life .
  5. Association of Community Cancer Centers. Oncology nurses: The heart of cancer care. ACCC Buzz; 2024. May 29, https://www.accccancer.org/acccbuzz/blog-post-template/accc-buzz/2024/05/29/oncology-nurses-the-heart-of-cancer-care . [Google Scholar]
  6. Ayala Ceja M, Khericha M, Harris CM, et al. Autologous CAR-T cell manufacturing. J Exp Med. 2024;221(1) doi: 10.1084/jem.20230903. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Cancer.gov. Transforming NCI cancer clinical trials. 2023. 2023. Apr 14, https://www.cancer.gov/news-events/cancer-currents-blog/2023/transforming-nci-cancer-clinical-trials .
  8. Cancer.gov. Targeted therapy drug list by cancer type. 2024. 2024. Jul 16, https://www.cancer.gov/about-cancer/treatment/types/targeted-therapies/approved-drug-list .
  9. Chehelgerdi M, Chehelgerdi M, Allela OQB, Pecho RDC, Jayasankar N, Rao DP, Thamaraikani T, Vasanthan M, Viktor P, Lakshmaiya N, Saadh MJ, Amajd A, Abo- Zaid MA, Castillo-Acobo RY, Ismail AH, Amin AH, Akhavan-Sigari R. Progressing nanotechnology to improve targeted cancer treatment: overcoming hurdles in its clinical implementation. Molecular Cancer. 2023;22(1):169. doi: 10.1186/s12943-023-01865-0. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Crico C, Sanchini V, Casali PG, Pravettoni G. Ethical issues in oncology practice: A qualitative study of stakeholders’ experiences and expectations. BMC Medical Ethics. 2022;23(1):67. doi: 10.1186/s12910-022-00803-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. DePeaux K, Rivadeneira DB, Lontos K, Dean VG, Gunn WG, Watson MJ, Yao T, Wilfahrt D, Hinck C, Wieteska L, Thorne SH, Hinck AP, Delgoffe GM. An oncolytic virus-delivered TGFβ inhibitor overcomes the immunosuppressive tumor microenvironment. The Journal of Experimental Medicine. 2023;220(10):e20230053. doi: 10.1084/jem.20230053. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Global Forum DIA. Cancer treatment: Advances in the 20th and 21st Centuries. 2024. https://globalforum.diaglobal.org/issue/april-2024/cancer-treatment-advances-in-the-20th-and-21st-centuries/
  13. Foy SP, Jacoby K, Bota DA, Hunter T, Pan Z, Stawiski E, Ma Y, Lu W, Peng S, Wang CL, Yuen B, Dalmas O, Heeringa K, Sennino B, Conroy A, Bethune MT, Mende I, White W, Kukreja M, Gunturu S, Mandl SJ. Non-viral precision T cell receptor replacement for personalized cell therapy. Nature. 2023;615(7953):687–696. doi: 10.1038/s41586-022-05531-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Gambardella V, Tarazona N, Cejalvo JM, Lombardi P, Huerta M, Roselló S, Fleitas T, Roda D, Cervantes A. Personalized medicine: Recent progress in cancer therapy. Cancers. 2020;12(4):1009. doi: 10.3390/cancers12041009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Hantel A, Walsh TP, Marron JM, Kehl KL, Sharp R, Van Allen E, Abel GA. Perspectives of oncologists on the ethical implications of using artificial intelligence for cancer care. JAMA Network Open. 2024;7(3):e244077. doi: 10.1001/jamanetworkopen.2024.4077. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Hoeben A, Joosten EAJ, van den Beuken-van Everdingen MHJ. Personalized medicine: Recent progress in cancer therapy. Cancers. 2021;13(2):242. doi: 10.3390/cancers13020242. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Osman AEG, Deininger MW. Chronic myeloid leukemia: Modern therapies, current challenges and future directions. Blood Reviews. 2021;49:100825. doi: 10.1016/j.blre.2021.100825. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Oncology Nursing Society. New guidelines in cancer care. ONS Voice; 2021. Apr 6, https://voice.ons.org/news-and-views/new-guidelines-in-cancer-care . [Google Scholar]
  19. Lyu XC, Jiang HJ, Lee LH, Yang CI, Sun XY. Oncology nurses’ experiences of providing emotional support for cancer patients: a qualitative study. BMC Nursing. 2024;23(1):58. doi: 10.1186/s12912-024-01718-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. National Coalition for Cancer Survivorship. Quality Cancer Care. 2020. https://canceradvocacy.org/policy/quality-cancer-care/
  21. Pancholi NJ. Advances in cancer vaccines – American Association for Cancer Research (AACR) American Association for Cancer Research (AACR). ; 2024b. Feb 2, Experts forecast 2024, Part 1. https://www.aacr.org/blog/2024/01/08/experts-forecast-cancer-research-and-treatment-advances-in-2024-part-1/ [Google Scholar]
  22. Peng V, Trsan T, Sudan R, Bhattarai B, Cortez VS, Molgora M, Vacher J, Colonna M. Inositol phosphatase INPP4B sustains ILC1s and intratumoral NK cells through an AKT-driven pathway. The Journal of Experimental Medicine. 2024;221(3):e20230124. doi: 10.1084/jem.20230124. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Peter RM. ASCO 2024: The latest advances in oncology clinical trials. Labiotech.eu. 2024. Jun 10, https://www.labiotech.eu/in-depth/asco-2024-latest-advances-in-oncology-clinical-trials/
  24. Rulten SL, Grose RP, Gatz SA, Jones JL, Cameron AJM. The future of precision oncology. International Journal of Molecular Sciences. 2023;24(16):12613. doi: 10.3390/ijms241612613. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. CRC Staff. FDA approvals in oncology: January-March 2024 | AACR. American Association for Cancer Research (AACR); 2024. Jun 28, https://www.aacr.org/blog/2024/04/03/fda-approvals-in-oncology-january-march-2024/ [Google Scholar]
  26. Sun C, España S, Richarz N, Solé-Blanch C, Boada A, Martinez-Cardús A, Chu A, Liu Z, Manzano JL. Targeted therapy or immunotherapy in BRAF-mutated metastatic melanoma: A Spanish center’s decade of experience. Frontiers in Oncology. 2024:14. doi: 10.3389/fonc.2024.1322116. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Tenner L, Helft PR. Ethical challenges in oncology, explored through a series of vignettes. Oncology. 2013;27(2):87–90. [PubMed] [Google Scholar]
  28. The University of Kansas Cancer Center. New prostate cancer treatment approach slows progression. 2024. https://www.kucancercenter.org/news-room/news/2024/06/prostate-cancer-treatment-slows-progression .
  29. Unger JM, Cook E, Tai E, Bleyer A. The role of clinical trial participation in cancer research: Barriers, evidence, and strategies. American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting. 2016;35:185–198. doi: 10.1200/EDBK_156686. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Weintraub K. (2022, November 13) New cancer therapy takes personalized medicine to a new level. https://medicalxpress.com/news/2022-11-cancer-therapy-personalized-medicine.html .
  31. World Economic Forum. 11 new breakthroughs in the fight against cancer. 2024. https://www.weforum.org/agenda/2024/07/cancer-treatment-and-diagnosis-breakthroughs/
  32. Yang Q, Guo N, Zhou Y, Chen J, Wei Q, Han M. The role of tumor-associated macrophages (TAMs) in tumor progression and relevant advance in targeted therapy. Acta pharmaceutica Sinica. B. 2020;10(11):2156–2170. doi: 10.1016/j.apsb.2020.04.004. [DOI] [PMC free article] [PubMed] [Google Scholar]

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