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Vascular disrupting agents in clinical development
1Department of Medical Oncology, Erasmus University Medical Center, PO Box 2040, Rotterdam 3000 CA, The Netherlands.
Abstract:
Growth of human tumours depends on the supply of oxygen and nutrients via the surrounding vasculature. Therefore tumour vasculature is an attractive target for anticancer therapy. Apart from angiogenesis inhibitors that compromise the formation of new blood vessels, a second class of specific anticancer drugs has been developed. These so-called vascular disrupting agents (VDAs) target the established tumour vasculature and cause an acute and pronounced shutdown of blood vessels resulting in an almost complete stop of blood flow, ultimately leading to selective tumour necrosis. As a number of VDAs are now being tested in clinical studies, we will discuss their mechanism of action and the results obtained in preclinical studies. Also data from clinical studies will be reviewed and some considerations with regard to the future development are given.
Insights
Vascular disrupting agents (VDAs) offer a novel anticancer therapy by targeting established tumor vasculature, causing blood flow shutdown and tumor necrosis. Clinical studies are reviewing VDA efficacy and future development for cancer treatment.
Area of Science:
- Oncology
- Vascular Biology
- Pharmacology
Background:
- Tumor growth relies on oxygen and nutrients supplied by tumor vasculature.
- Targeting tumor vasculature is a key strategy in anticancer therapy.
- Vascular disrupting agents (VDAs) represent a distinct class of anticancer drugs.
Purpose of the Study:
- To discuss the mechanism of action of vascular disrupting agents (VDAs).
- To review preclinical and clinical study results of VDAs.
- To provide considerations for the future development of VDAs.
Main Methods:
- Review of preclinical studies on VDAs.
- Analysis of clinical trial data for VDAs.
- Discussion of VDA mechanisms of action.
Main Results:
- VDAs target established tumor vasculature, causing acute blood flow shutdown.
- This shutdown leads to selective tumor necrosis.
- Ongoing clinical studies are evaluating VDA effectiveness.
Conclusions:
- VDAs are a promising therapeutic strategy targeting tumor vasculature.
- Further clinical evaluation is necessary to optimize VDA development.
- VDAs offer a novel approach to anticancer therapy.
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