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Published on: December 1, 2016
Anti-Angiogenics: Their Value in Lung Cancer Therapy
Abstract:
Lung cancer is the second most common cancer and the leading cause of cancer-related deaths. Different targeted therapies and the introduction of immunotherapy have successfully improved outcome for patients with non-small lung cancer (NSCLC). Anti-angiogenic drugs are an essential component in the treatment of NSCLC patients. The vascular endothelial growth factor (VEGF)-A antibody bevacizumab is approved for first-line treatment of advanced-stage patients in combination with platinum-based chemotherapy. Ramucirumab, a VEGF receptor antibody, and nintedanib, an anti-angiogenic multi-tyrosine kinase inhibitor, are approved for second-line treatment in combination with docetaxel. This review provides a summary of pivotal trials with anti-angiogenic drugs in NSCLC in different settings. We give an overview of how to position anti-angiogenic therapy in the current treatment algorithms and highlight future directions. The identification of predictive biomarkers for patient selection could improve the success of anti-angiogenic drugs and represents an important area of research. In addition, novel therapeutic targets including endothelial metabolomic intermediates and cellular components of the tumor microenvironment could lead to the identification of innovative new targets besides the VEGF axis.
Insights
Anti-angiogenic drugs significantly improve outcomes for non-small cell lung cancer (NSCLC) patients. Research focuses on biomarkers and novel targets beyond VEGF to enhance anti-angiogenic therapy effectiveness.
Area of Science:
- Oncology
- Pharmacology
- Cancer Research
Background:
- Lung cancer is a leading cause of cancer-related mortality.
- Anti-angiogenic therapies, including VEGF inhibitors, are crucial in treating non-small cell lung cancer (NSCLC).
- Approved agents like bevacizumab, ramucirumab, and nintedanib are used in various treatment lines for advanced NSCLC.
Purpose of the Study:
- To review pivotal clinical trials of anti-angiogenic drugs in NSCLC.
- To provide an overview of current treatment algorithms incorporating anti-angiogenic therapy.
- To highlight future research directions and novel therapeutic targets.
Main Methods:
- Systematic review of pivotal clinical trials involving anti-angiogenic drugs in NSCLC.
- Analysis of current treatment guidelines and therapeutic positioning.
- Exploration of emerging research in predictive biomarkers and novel targets.
Main Results:
- Anti-angiogenic drugs are established components in first-line (bevacizumab) and second-line (ramucirumab, nintedanib) NSCLC treatment.
- The review summarizes efficacy data from key trials across different NSCLC settings.
- Future directions emphasize biomarker discovery and targeting beyond the VEGF axis.
Conclusions:
- Anti-angiogenic therapies have significantly improved outcomes in NSCLC.
- Identifying predictive biomarkers is essential for optimizing patient selection and treatment success.
- Exploring novel targets within the tumor microenvironment and endothelial metabolism holds promise for future therapeutic advancements.
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