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Understanding the Nature of the Cancer Cell
At OSI, we are working to expand our knowledge of how a normal cell turns into a cancer cell. We now understand that this involves aberrations in the cell signaling pathways that control cell proliferation, apoptosis (programmed cell death), angiogenesis (the process of blood vessel growth), invasion and metastasis. We have therefore focused our targeted programs on these cellular processes.

Signal Transduction
Signal transduction is the complicated process by which signals, including growth stimulatory signals, are transmitted to the nucleus of a cell regulating the growth and activity of that cell. In the case of cancer, the normal patterns of signal transduction are disrupted. At OSI, we are focused on the development of agents that will ameliorate the resulting aberrant signaling. Tarceva™ is an example of a drug designed to inhibit aberrant HER1/EGFR signaling. HER2 (epidermal growth factor receptor 2) is an oncogene that, when functioning normally, regulates cell growth. However, overexpression of HER2 has been correlated with aggressive cancer growth, particularly in metastatic breast cancer. Approximately 25–30% of all women with metastatic breast cancer overexpress HER2.

As part of our long-standing discovery collaboration with Pfizer Inc., we co-discovered CP-724,714, a potent and selective oral inhibitor of HER2. Although the funded phase of our collaborative research with Pfizer has concluded, Pfizer has continued to develop drug candidates that originated from that collaboration. CP-724,714 is currently in Phase I clinical trials.


Angiogenesis
We believe the ability to safely and effectively inhibit the process of angiogenesis continues to represent one of the most intriguing opportunities in cancer research today. Angiogenesis is the process of blood vessel growth and has been shown to play an important role in the development and spread of cancer. It has been firmly established that in order for a tumor to grow, it must develop its own blood supply. The induction of angiogenesis is mediated by the production of many growth factors including vascular endothelial growth factor (VEGF). This factor binds to the VEGF receptor (VEGFR), a key receptor tyrosine kinase involved in regulating blood vessel growth. CP-547,632, a potent and selective inhibitor of VEGFR, is presently in Phase I clinical trials. This agent was also discovered as part of our cancer discovery program with Pfizer, who is developing the product.

Apoptosis
At OSI, we are also studying apoptosis, or programmed cell death. Normal cells undergo tightly controlled or programmed death, which is often pathologically prevented in cancer cells. We are currently researching the mechanisms that underlie the ability of certain cells to avoid apoptosis and contribute to tumor growth by promoting cell survival.
 

Frances A. Shepherd, M.D.
Scott Taylor Chair in
Lung Cancer Research at the Princess Margaret Hospital. Professor of Medicine at the University of Toronto. Principal Investigator for Phase III Tarceva™ NSCLC Trial.

 

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