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Updated: Nov 3, 2025

Three-Dimensional Bone Extracellular Matrix Model for Osteosarcoma
Published on: April 12, 2019
Targeting the VEGF Pathway in Osteosarcoma
Tarek Assi1, Sarah Watson2, Bachar Samra3
1Department of Hematology-Oncology, Faculty of Medicine, Saint Joseph University, Beirut 166830, Lebanon.
Abstract:
Osteosarcoma is the most common primary tumor of the bones affecting mainly young adults. Despite the advances in the field of systemic anticancer therapy, the prognosis of relapsed of metastatic osteosarcoma patients remain dismal with very short survival. However, the better understanding of the pathophysiology of this subtype of sarcoma has led to the identification of new targeted agents with significant activity. In fact, increased angiogenesis plays a major role in the tumor growth and survival of osteosarcoma patients. Several targeted agents have demonstrated a significant anti-tumor activity including multi-kinase inhibitors. In this review, we will discuss the pathophysiology, rationale, and role of targeting angiogenesis via the VEGF pathway in patients with osteosarcoma with emphasis on the published clinical trials and future directions.
Insights
Targeting angiogenesis via the VEGF pathway shows promise for osteosarcoma treatment. This review explores targeted agents and clinical trials for relapsed or metastatic osteosarcoma, offering hope for improved patient survival.
Area of Science:
- Oncology
- Molecular Biology
- Clinical Trials
Background:
- Osteosarcoma is the most common primary bone tumor in young adults.
- Metastatic or relapsed osteosarcoma has a poor prognosis despite current therapies.
- Increased angiogenesis is crucial for osteosarcoma growth and survival.
Purpose of the Study:
- To review the role of targeting angiogenesis via the VEGF pathway in osteosarcoma.
- To discuss the pathophysiology and rationale for anti-angiogenic therapy.
- To summarize clinical trials and future directions for VEGF pathway inhibition.
Main Methods:
- Literature review of published clinical trials.
- Analysis of the role of angiogenesis in osteosarcoma pathophysiology.
- Discussion of targeted agents, including multi-kinase inhibitors.
Main Results:
- Targeted agents inhibiting angiogenesis, particularly via the VEGF pathway, show significant anti-tumor activity.
- Multi-kinase inhibitors have demonstrated efficacy in osteosarcoma.
- Clinical trials provide evidence for the potential of these targeted therapies.
Conclusions:
- Targeting the VEGF pathway is a promising strategy for osteosarcoma treatment.
- Further clinical trials are needed to optimize anti-angiogenic therapies.
- Understanding osteosarcoma pathophysiology aids in developing novel targeted agents.
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