PMID- 22405734 OWN - NLM STAT- MEDLINE DCOM- 20130206 LR - 20220331 IS - 1879-0461 (Electronic) IS - 1040-8428 (Linking) VI - 84 IP - 1 DP - 2012 Oct TI - Multitargeted anti-angiogenic agents and NSCLC: clinical update and future directions. PG - 47-58 LID - S1040-8428(12)00043-1 [pii] LID - 10.1016/j.critrevonc.2012.02.004 [doi] AB - 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. CI - Copyright (c) 2012 Elsevier Ireland Ltd. All rights reserved. FAU - Ellis, Peter M AU - Ellis PM AD - Juravinski Cancer Centre, Hamilton, Ontario, Canada. peter.ellis@jcc.hhsc.ca FAU - Al-Saleh, Khalid AU - Al-Saleh K LA - eng PT - Journal Article PT - Review DEP - 20120308 PL - Netherlands TA - Crit Rev Oncol Hematol JT - Critical reviews in oncology/hematology JID - 8916049 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antineoplastic Agents) RN - 0 (Enzyme Inhibitors) RN - EC 2.7.10.1 (Receptors, Platelet-Derived Growth Factor) RN - EC 2.7.10.1 (Receptors, Vascular Endothelial Growth Factor) SB - IM MH - Angiogenesis Inhibitors/pharmacology/*therapeutic use MH - Antineoplastic Agents/pharmacology/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/metabolism MH - Enzyme Inhibitors/pharmacology/therapeutic use MH - Humans MH - Lung Neoplasms/*drug therapy/metabolism MH - Neovascularization, Pathologic/*drug therapy MH - Receptors, Platelet-Derived Growth Factor/antagonists & inhibitors MH - Receptors, Vascular Endothelial Growth Factor/antagonists & inhibitors MH - Signal Transduction/drug effects EDAT- 2012/03/13 06:00 MHDA- 2013/02/07 06:00 CRDT- 2012/03/13 06:00 PHST- 2011/09/15 00:00 [received] PHST- 2012/01/31 00:00 [revised] PHST- 2012/02/08 00:00 [accepted] PHST- 2012/03/13 06:00 [entrez] PHST- 2012/03/13 06:00 [pubmed] PHST- 2013/02/07 06:00 [medline] AID - S1040-8428(12)00043-1 [pii] AID - 10.1016/j.critrevonc.2012.02.004 [doi] PST - ppublish SO - Crit Rev Oncol Hematol. 2012 Oct;84(1):47-58. doi: 10.1016/j.critrevonc.2012.02.004. Epub 2012 Mar 8.