Aflibercept a new target therapy in cancer treatment: a review

Vincenzo Ricci1, Monica Ronzoni1, Teresa Fabozzi2

  • 1Oncology Department, San Raffaele Institute, 60, Olgettina St., 20132 Milan, Italy.

Insights

Aflibercept, a VEGF inhibitor, targets tumor blood vessel formation and growth. This review explores its potential to enhance cancer treatment strategies by disrupting tumor vasculature and improving chemotherapy delivery.

Area of Science:

  • Oncology
  • Vascular Biology

Background:

  • Angiogenesis, the formation of new blood vessels, is vital for solid tumor growth and metastasis.
  • Vascular Endothelial Growth Factor (VEGF) is a key regulator of angiogenesis, making it a target for anti-cancer therapies.
  • Antiangiogenic drugs aim to normalize tumor vasculature, potentially improving chemotherapy delivery and efficacy.

Purpose of the Study:

  • To review the effects of aflibercept on tumor vasculature and solid tumors.
  • To explore the preclinical and clinical benefits of incorporating aflibercept into cancer treatment strategies.

Main Methods:

  • Review of preclinical studies on aflibercept's antiangiogenic effects.
  • Examination of clinical data regarding aflibercept's efficacy in various solid tumors.
  • Analysis of aflibercept's mechanism of action, including its binding to VEGF family members.

Main Results:

  • Aflibercept demonstrated preclinical efficacy across different tumor types.
  • Aflibercept's antiangiogenic effects include regression, remodeling, and inhibition of new tumor vessel growth.
  • The drug binds to VEGF-A, VEGF-B, and placental growth factor (PlGF).

Conclusions:

  • Aflibercept exhibits significant antiangiogenic properties by targeting multiple VEGF ligands.
  • The drug shows promise in preclinical models for various solid tumors.
  • Further investigation into aflibercept's role in combination cancer therapy is warranted to assess clinical benefits.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.1K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

1.8K
Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
2.3K
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

1.5K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
6.3K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.9K