Antivascular agents for non-small-cell lung cancer: Current status and future directions

Eitan Amir, Laszlo Mandoky, Fiona Blackhall, Nick Thatcher, Walter Klepetko, Hendrik Jan Ankersmit, Mir Ali Reza Hoda, Gyula Ostoros, Magdolna Dank, Balazs Dome

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background: Despite improvements in surgery and chemo(radio)therapy which have allowed for modest advances in the treatment of patients with non-small-cell lung cancer (NSCLC), survival remains poor and further improvements are needed. Attention over recent years has focused, therefore, on targeted therapies, with notable success in the development of antivascular drugs. Objective: To summarize the current knowledge on antivascular therapy in patients with NSCLC. Method: Review of randomized controlled trials exploring treatment of NSCLC patients with antivascular drugs. Results/conclusion: Bevacizumab, a humanized monoclonal antibody against the vascular endothelial growth factor (VEGF), when added to cytotoxic chemotherapy, was the first treatment to prolong the overall survival of patients with advanced NSCLC beyond 12 months, a significant breakthrough in the management of advanced NSCLC. Small-molecule tyrosine kinase inhibitors and alternative antivascular strategies such as VEGF-trap and vascular disrupting agents are also being investigated and have shown promise in clinical trials. This review summarizes the most recent and important findings in antivascular agents in NSCLC. © 2009 Informa UK Ltd.
    Original languageEnglish
    Pages (from-to)1667-1686
    Number of pages19
    JournalExpert Opinion on Investigational Drugs
    Volume18
    Issue number11
    DOIs
    Publication statusPublished - Nov 2009

    Keywords

    • Angiogenesis
    • Antivascular drug
    • Clinical trial
    • Non-small-cell lung cancer

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