Emerging antiangiogenic treatments for gliomas - efficacy and safety issues

Jörg Dietrich1, Andrew D Norden, Patrick Y Wen

  • 1Division of Neuro-Oncology, Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.

Abstract

Insights

Angiogenesis inhibitors show promise for treating malignant gliomas, particularly bevacizumab. Further research will clarify their role in first-line therapy and potential toxicities.

Area of Science:

  • Neuro-oncology
  • Cancer biology
  • Pharmacology

Background:

  • Malignant gliomas are aggressive brain tumors with limited treatment options.
  • Angiogenesis, the formation of new blood vessels, is crucial for tumor growth and progression.
  • Targeting angiogenesis offers a novel therapeutic strategy for brain tumors.

Purpose of the Study:

  • To review the rationale for using angiogenesis inhibitors in malignant gliomas.
  • To summarize recent clinical experiences with these agents.
  • To highlight their potential benefits and complications.

Main Methods:

  • Review of current literature on angiogenesis inhibitors in malignant gliomas.
  • Analysis of clinical trial data for agents like bevacizumab.
  • Discussion of toxicities and practical guidance for clinicians.

Main Results:

  • Bevacizumab, often with irinotecan, shows significant radiographic responses and prolonged progression-free survival in recurrent malignant glioma.
  • New anti-angiogenic agents are increasingly used alongside conventional chemotherapy.
  • These drugs demonstrate promising activity in recurrent malignant gliomas.

Conclusions:

  • Anti-angiogenic drugs show promise in recurrent malignant gliomas.
  • Future trials will assess their role in first-line therapy.
  • Understanding and managing potential toxicities is crucial for effective treatment.