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Monitoring Functionality and Morphology of Vasculature Recruited by Factors Secreted by Fast-growing Tumor-generating Cells
Published on: November 23, 2014
Angiogenesis inhibitors in the management of breast cancer
Verena Bossung1, Nadia Harbeck
1Breast Center, Department of Obstetrics and Gynecology, University Hospital of Cologne, Cologne, Germany.
Purpose Of Review:
An improved understanding of the important role of angiogenesis in tumor biology has led to development of different antiangiogenic therapies. This review highlights therapeutic agents from recent breast cancer trials showing the greatest potential for further clinical use in the near future.
Recent Findings:
Numerous clinical studies for several antiangiogenic agents have recently been conducted in breast cancer patients and different antiangiogenic approaches have demonstrated their antitumor activity. Bevacizumab is the most advanced agent, being the first approved angiogenesis inhibitor in metastatic breast cancer. The multikinase inhibitors sorafenib, sunitinib, and pazopanib have also shown promising early results and are further evaluated. To maximize efficacy and safety of antiangiogenic agents and help selecting patients suitable for this therapy, identification of predictive biomarkers is essential.
Summary:
Novel antiangiogenic agents have produced positive data in clinical trials for breast cancer leading to the approval of bevacizumab for the first-line therapy of metastatic breast cancer. Other interesting substances such as multikinase inhibitors are currently being investigated. So far, angiogenesis inhibitors provide an additional therapeutic option for metastatic breast cancer; their role in early breast cancer as well as optimal patient selection will need further research.
Insights
Antiangiogenic therapies show promise for breast cancer treatment. Bevacizumab is approved for metastatic breast cancer, with other agents like multikinase inhibitors under investigation for improved efficacy and patient selection.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Angiogenesis, the formation of new blood vessels, is crucial for tumor growth and progression.
- Antiangiogenic therapies target this process to inhibit tumor development.
- Recent advancements have focused on novel agents for breast cancer treatment.
Purpose of the Study:
- To review antiangiogenic agents evaluated in recent breast cancer clinical trials.
- To highlight therapies with significant potential for future clinical application.
- To discuss the role of angiogenesis inhibitors in breast cancer management.
Main Methods:
- Review of recent clinical trials involving antiangiogenic agents in breast cancer.
- Analysis of therapeutic agents demonstrating antitumor activity.
- Evaluation of approved and investigational antiangiogenic drugs.
Main Results:
- Bevacizumab, an angiogenesis inhibitor, is the first approved agent for metastatic breast cancer.
- Multikinase inhibitors (sorafenib, sunitinib, pazopanib) show promising early results.
- Predictive biomarkers are essential for optimizing efficacy and safety of antiangiogenic therapies.
Conclusions:
- Novel antiangiogenic agents have shown positive outcomes in breast cancer trials.
- Bevacizumab is approved for first-line metastatic breast cancer therapy.
- Further research is needed to define the role of angiogenesis inhibitors in early breast cancer and for patient selection.
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