Related Experiment Video
Updated: May 28, 2026

A Melanoma Patient-Derived Xenograft Model
Published on: May 20, 2019
Angiogenesis and melanoma - from basic science to clinical trials
Abstract:
The effective management of malignant melanoma has remained centred around the surgeon. The arrival of anti-angiogenic agents as the 'fourth' cancer treatment joining the ranks of surgery, chemotherapy and radiotherapy has been a source of renewed hope. This article provides an up-to-date review of the focus, state and rationale of clinical trials of anti-angiogenic therapies in metastatic malignant melanoma. Vascular Endothelial Growth Factor (VEGF) is by no means the only target, although perhaps the most extensively studied following the successful introduction of the anti-VEGF Antibody bevacizumab. This has been combined with other established therapies to try and improve outcomes in metastatic disease, and is being trialled in the UK to prevent metastasis in high-risk patients. We describe the encouraging preclinical work that lead to great enthusiasm for these agents, assess the key trials and their outcomes, discuss why these therapies have not revolutionised melanoma care and explore how they might be better targeted in the future.
Insights
Anti-angiogenic therapies, targeting Vascular Endothelial Growth Factor (VEGF), offer new hope for metastatic malignant melanoma. While not yet revolutionary, ongoing trials explore their potential to improve outcomes and prevent metastasis.
Area of Science:
- Oncology
- Medical research
Background:
- Malignant melanoma management traditionally relies on surgery, chemotherapy, and radiotherapy.
- Anti-angiogenic agents represent a significant advancement, offering a fourth therapeutic modality.
- Vascular Endothelial Growth Factor (VEGF) is a key target in developing these novel therapies.
Purpose of the Study:
- To review the current status and rationale of clinical trials involving anti-angiogenic therapies for metastatic malignant melanoma.
- To assess the outcomes of key clinical trials and understand their impact on melanoma care.
- To explore future directions for optimizing anti-angiogenic therapy in melanoma treatment.
Main Methods:
- Review of preclinical studies demonstrating the efficacy of anti-angiogenic agents.
- Analysis of clinical trial data for anti-angiogenic therapies in metastatic melanoma.
- Examination of combination therapies involving anti-VEGF agents and established treatments.
Main Results:
- Preclinical research generated significant enthusiasm for anti-angiogenic agents.
- Clinical trials combining anti-VEGF therapies with other treatments show some promise for metastatic melanoma.
- Current anti-angiogenic therapies have not yet revolutionized melanoma care as anticipated.
Conclusions:
- Anti-angiogenic therapies, particularly targeting VEGF, hold potential in managing metastatic malignant melanoma.
- Further research and optimized targeting strategies are necessary to enhance the efficacy of these agents.
- Combination therapies and trials aimed at metastasis prevention are crucial for future advancements.
More Related Videos
Related Concept Videos
Mechanism of Angiogenesis
Regulation of Angiogenesis and Blood Supply
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...

