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Updated: May 24, 2026

Ultra-Fast Amplicon-Based Next-Generation Sequencing in Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Multitargeted anti-angiogenic agents and NSCLC: clinical update and future directions
Peter M Ellis1, Khalid Al-Saleh
1Juravinski Cancer Centre, Hamilton, Ontario, Canada. peter.ellis@jcc.hhsc.ca
Abstract:
Increasing understanding of the molecular abnormalities driving cell growth and proliferation has resulted in extensive research into molecularly targeted therapies. Angiogenesis is an appealing target for the treatment of non small cell lung cancer (NSCLC). Bevacizumab, a monoclonal antibody against circulating vascular endothelial growth factor (VEGF), is already approved for the treatment of NSCLC. Many other anti-angiogenic agents under development form the focus of this review. A variety of agents, including sorafenib, sunitinib, cediranib, axitinib, motesanib, linifinib and brivanib inhibit VEGF in addition to either platelet derived growth factor (PDGF), or fibroblast derived growth factor (FGF). To date, none of these agents in combination with chemotherapy have resulted in improvements in overall survival for patients with advanced NSCLC. Triple angiokinase inhibitors, which inhibit VEGF, PDGF and FGF, have potential to improve the therapeutic outcomes for patients with NSCLC. However, there is a need for identification of appropriate biomarkers to improve patient selection and identify those patients benefiting from anti-angiogenesis therapy.
Insights
Anti-angiogenesis therapies targeting vascular endothelial growth factor (VEGF) show promise for non-small cell lung cancer (NSCLC). Further research into triple angiokinase inhibitors and biomarkers is needed for improved patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Molecularly targeted therapies are crucial for treating cancer due to a better understanding of cell growth abnormalities.
- Angiogenesis, the formation of new blood vessels, is a key target for non-small cell lung cancer (NSCLC) treatment.
- Bevacizumab, a vascular endothelial growth factor (VEGF) inhibitor, is an approved therapy for NSCLC.
Purpose of the Study:
- To review current anti-angiogenic agents under development for NSCLC.
- To explore the potential of triple angiokinase inhibitors in improving therapeutic outcomes for NSCLC patients.
- To highlight the need for biomarkers to guide patient selection for anti-angiogenesis therapy.
Main Methods:
- Review of various anti-angiogenic agents targeting VEGF, platelet-derived growth factor (PDGF), and fibroblast-derived growth factor (FGF).
- Analysis of clinical outcomes for these agents in combination with chemotherapy for advanced NSCLC.
- Discussion of the role of triple angiokinase inhibitors and biomarker identification.
Main Results:
- Several agents inhibiting VEGF, PDGF, and/or FGF are under development.
- Currently, no single-target or dual-target anti-angiogenic agents combined with chemotherapy have improved overall survival in advanced NSCLC.
- Triple angiokinase inhibitors show potential for improved therapeutic outcomes.
Conclusions:
- Anti-angiogenesis therapy is a promising strategy for NSCLC.
- Triple angiokinase inhibitors represent a potential advancement in NSCLC treatment.
- Biomarker identification is essential for optimizing patient selection and maximizing the benefit of anti-angiogenesis therapies in NSCLC.
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