PMID- 24138719 OWN - NLM STAT- MEDLINE DCOM- 20150330 LR - 20190728 IS - 1873-4286 (Electronic) IS - 1381-6128 (Linking) VI - 20 IP - 24 DP - 2014 TI - Anti-angiogenic drugs and biomarkers in non-small-cell lung cancer: a 'hard days night'. PG - 3958-72 AB - The discovery of specific molecular alterations (i.e. EGFR activating mutations, EML4/ALK translocation, ROS1 rearrangements) in a selected population of patients affected by non small cell lung cancer (NSCLC) translated into effective treatments for this small but well defined fraction of patients, driven by the use of predictive biomarkers of efficacy for targeted agents. Unfortunately, the same reliable predictive biomarkers are lacking for anti-angiogenic drugs. Angiogenesis plays a major role in the progression of NSCLC, however, anti-angiogenic agents provided a minimal, although significant, clinical benefit in unselected populations, burdened by a not negligible toxicities. In this context, no validated angiogenic factor or other molecular biomarker of angiogenesis can reliably predict clinical outcome, sensitivity, early response or resistance to any of the investigated anti-angiogenic therapies currently used. Moreover, the available clinical data are prevalently retrospective, underpowered, and, in many cases, contradictory, thus underscoring that the understanding of the complex architecture of angiogenic signaling is still incomplete. We here review the currently available studies on the effect of anti-angiogenic drugs in NSCLC, with a particular focus on bio-molecular factors that are regarded as potential predictors of treatment efficacy. FAU - Pilotto, Sara AU - Pilotto S FAU - Bonomi, Maria AU - Bonomi M FAU - Massari, Francesco AU - Massari F FAU - Milella, Michele AU - Milella M FAU - Ciuffreda, Ludovica AU - Ciuffreda L FAU - Brunelli, Matteo AU - Brunelli M FAU - Fassan, Matteo AU - Fassan M FAU - Chilosi, Marco AU - Chilosi M FAU - Scarpa, Aldo AU - Scarpa A FAU - Tortora, Giampaolo AU - Tortora G FAU - Bria, Emilio AU - Bria E AD - Medical Oncology dU, Policlinico 'G.B. Rossi', University of Verona, P.zza L.A. Scuro 1, 37134, Verona, Italy. emiliobria@yahoo.it. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United Arab Emirates TA - Curr Pharm Des JT - Current pharmaceutical design JID - 9602487 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Biomarkers, Tumor) SB - IM MH - Angiogenesis Inhibitors/*pharmacology MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology MH - Biomarkers, Tumor/antagonists & inhibitors/genetics/*metabolism MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/genetics MH - Humans MH - Lung Neoplasms/*drug therapy/genetics MH - Neovascularization, Pathologic/drug therapy/genetics EDAT- 2013/10/22 06:00 MHDA- 2015/03/31 06:00 CRDT- 2013/10/22 06:00 PHST- 2013/09/18 00:00 [received] PHST- 2013/10/28 00:00 [accepted] PHST- 2013/10/22 06:00 [entrez] PHST- 2013/10/22 06:00 [pubmed] PHST- 2015/03/31 06:00 [medline] AID - CPD-EPUB-56749 [pii] AID - 10.2174/13816128113196660757 [doi] PST - ppublish SO - Curr Pharm Des. 2014;20(24):3958-72. doi: 10.2174/13816128113196660757.