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Published on: June 26, 2019
Antiangiogenic agents as second-line therapy for advanced non-small cell lung cancer
1Department of Medical Oncology and Therapeutics Research, City of Hope and Beckman Research Institute, 1500 E. Duarte Rd., MOB 1001, Duarte, CA 91010, USA. kreckamp@coh.org
Abstract:
With the approval of the antiangiogenic antibody bevacizumab in non-small cell lung cancer (NSCLC) and other malignancies, the tumor vasculature has emerged as a worthwhile therapeutic target. Second-line therapies have the potential to improve overall survival and quality of life over best supportive care alone. Accordingly, phase II and phase III studies are actively evaluating antiangiogenic treatments in the second-line setting in NSCLC, and results are awaited. Such therapies include antiangiogenic antibodies, small molecule inhibitors, and vascular-disrupting agents. This review will present the current landscape of angiogenesis inhibition in NSCLC, focusing on use as second-line therapy.
Insights
Antiangiogenic therapies targeting tumor vasculature show promise for non-small cell lung cancer (NSCLC) second-line treatment. Ongoing studies are evaluating antibodies, small molecules, and vascular-disrupting agents to improve patient outcomes.
Area of Science:
- Oncology
- Pharmacology
Background:
- Tumor vasculature is a validated therapeutic target, particularly with the success of bevacizumab in non-small cell lung cancer (NSCLC).
- Second-line therapies offer a critical opportunity to enhance overall survival and quality of life beyond best supportive care in NSCLC patients.
Purpose of the Study:
- To review the current landscape of angiogenesis inhibition strategies in NSCLC.
- To focus on the application of these antiangiogenic therapies in the second-line treatment setting.
Main Methods:
- Review of current phase II and phase III clinical studies evaluating antiangiogenic treatments in NSCLC.
- Analysis of various antiangiogenic therapeutic classes, including antibodies, small molecule inhibitors, and vascular-disrupting agents.
Main Results:
- Ongoing clinical trials are actively investigating the efficacy of antiangiogenic treatments as second-line options for NSCLC.
- Results from these pivotal studies are anticipated and will inform future treatment guidelines.
Conclusions:
- Angiogenesis inhibition represents a significant and evolving therapeutic avenue for NSCLC management.
- The development and evaluation of novel antiangiogenic agents in the second-line setting hold considerable potential for improving patient outcomes.
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