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Analysis of Combinatorial miRNA Treatments to Regulate Cell Cycle and Angiogenesis
Published on: March 30, 2019
Developmental antiangiogenic agents for the treatment of non-small cell lung cancer (NSCLC)
1Department of Thoracic/Head and Neck Medical Oncology, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Unit Number: 432, Houston, TX 77030, USA. gblumens@mdanderson.org
Abstract:
Standard therapy for advanced or metastatic non-small cell lung cancer (NSCLC) has primarily consisted of traditional cytotoxic chemotherapy, although use of targeted therapies has been approved in specific settings. Antiangiogenic agents represent a promising therapeutic strategy for treatment of advanced NSCLC. Bevacizumab is currently approved when given in combination with first-line platinum-based therapy in selected patients with nonsquamous NSCLC. Bevacizumab may also provide benefit in other clinical settings, as a part of a combination or maintenance strategy. Other antiangiogenic agents under development, including multi-targeted kinase inhibitors (MTKIs) and antibody-based agents, have exhibited mixed results in the NSCLC population. Published efficacy and safety data from clinical trials for antiangiogenic agents are reviewed, with an emphasis on novel agents and novel settings for established agents. Identification of biomarkers associated with improved efficacy may help select patients likely to receive the most benefit from these agents and may improve outcomes through development of personalized therapeutic strategies.
Insights
Antiangiogenic agents show promise for advanced non-small cell lung cancer (NSCLC). Research reviews their efficacy, focusing on novel agents and biomarkers for personalized NSCLC treatment strategies.
Area of Science:
- Oncology
- Pharmacology
Background:
- Standard treatment for advanced non-small cell lung cancer (NSCLC) relies on chemotherapy.
- Targeted therapies and antiangiogenic agents offer alternative strategies for NSCLC treatment.
Purpose of the Study:
- To review the efficacy and safety of antiangiogenic agents in clinical trials for NSCLC.
- To explore novel antiangiogenic agents and new applications for established ones.
- To emphasize the role of biomarkers in personalizing NSCLC therapy.
Main Methods:
- Review of published clinical trial data for antiangiogenic agents in NSCLC.
- Focus on multi-targeted kinase inhibitors (MTKIs) and antibody-based agents.
- Analysis of efficacy and safety profiles.
Main Results:
- Bevacizumab is approved for first-line treatment of nonsquamous NSCLC with platinum-based therapy.
- Other antiangiogenic agents have shown mixed results in NSCLC.
- Biomarker identification is crucial for patient selection and improved outcomes.
Conclusions:
- Antiangiogenic agents are a promising therapeutic strategy for advanced NSCLC.
- Further research into novel agents and personalized approaches, guided by biomarkers, is warranted.
- Optimizing antiangiogenic therapy can improve outcomes in NSCLC patients.
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