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Angiogenesis inhibitors in clinical development; where are we now and where are we going?
11Department of Medical Oncology, Erasmus University Medical Center, PO Box 2040, Rotterdam 3000 CA, The Netherlands. f.eskens@erasmusmc.nl
Abstract:
Angiogenesis is crucial for tumour growth and the formation of metastases. Various classes of angiogenesis inhibitors that are each able to inhibit one of the various steps of this complex process can be distinguished. Results from clinical studies with these agents are summarised. In general, it has been shown that most angiogenesis inhibitors can be safely administered, but that tumour regressions are rare. Combining angiogenesis inhibitors with cytotoxic chemotherapy can enhance anticancer activity. Recently, some promising data with regard to clinical efficacy have been presented. While performing clinical studies with angiogenesis inhibitors, defining biological activity is crucial, but thus far no validated techniques are available. It is conceivable that in the near future various classes of angiogenesis inhibitors will be combined in an attempt to further improve antiangiogenic and anticancer activity.
Insights
Angiogenesis inhibitors are safe but rarely cause tumor regression. Combining them with chemotherapy shows promise for enhanced anticancer activity and future combination therapies.
Area of Science:
- Oncology
- Cancer Biology
- Pharmacology
Background:
- Angiogenesis is vital for tumor growth and metastasis.
- Multiple classes of angiogenesis inhibitors target distinct steps in this process.
Purpose of the Study:
- To summarize clinical study results of angiogenesis inhibitors.
- To evaluate their safety, efficacy, and potential combinations.
Main Methods:
- Review of clinical studies involving angiogenesis inhibitors.
- Analysis of safety profiles and tumor response data.
- Assessment of combination strategies with chemotherapy.
Main Results:
- Angiogenesis inhibitors are generally safe but rarely induce tumor regression.
- Combination with cytotoxic chemotherapy can improve anticancer effects.
- Promising clinical efficacy data have recently emerged.
Conclusions:
- While safe, current angiogenesis inhibitors show limited tumor regression.
- Combining different classes of inhibitors may enhance antiangiogenic and anticancer activity.
- Development of validated biomarkers for biological activity is crucial for future studies.
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