Repurposed Drugs, Targeted Therapy, Cancer Metabolism, Akkermansia and Immunotherapy: A 2026 Evidence Review
OneDayMD Evidence Review Original publication: 2025 | Major revisions: January, March, May and August 2026 | Article type: Narrative evidence review / translational oncology update Abstract Cancer treatment is increasingly moving from a one-size-fits-all model toward biologically stratified combination therapy. Modern oncology can now target specific molecular alterations, activate antitumor immunity, manipulate cellular metabolism and, potentially, modify the gut microbiome. This review integrates four related areas of research: targeted therapy, immunotherapy, metabolic oncology and drug repurposing , with particular attention to the emerging role of Akkermansia and the gut microbiome. Targeted therapies provide the clearest example of precision oncology. In EGFR-mutated non-small-cell lung cancer (NSCLC), osimertinib (Tagrisso) is an established EGFR tyrosine-kinase inhibitor for appropriately selected patients. FDA labeling includes fi...