Abstract
The importance of angiogenesis in tumour growth and development is well known. Overexpression of vascular endothelial growth factor (VEGF), the key mediator of angiogenesis, is associated with poor prognosis in cancer. As a result, several therapeutic agents that inhibit the actions of VEGF or its receptors are currently in development for use in advanced solid tumours, such breast, colorectal, lung and renal cancer. Clinical data from trials of anti-VEGF agents in this group of tumours are discussed, with a particular focus on the efficacy and safety of bevacizumab, the anti-VEGF agent at the most advanced stage of development in those tumour types. Future potential uses of bevacizumab in cancer therapy will be discussed.
MeSH terms
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Angiogenesis Inhibitors / administration & dosage
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Angiogenesis Inhibitors / pharmacology
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Angiogenesis Inhibitors / therapeutic use*
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Antibodies, Monoclonal / administration & dosage
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Antibodies, Monoclonal / pharmacology
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Antibodies, Monoclonal / therapeutic use*
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Antibodies, Monoclonal, Humanized
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Antineoplastic Agents / administration & dosage
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Antineoplastic Agents / pharmacology
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Antineoplastic Agents / therapeutic use
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Benzenesulfonates / pharmacology
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Benzenesulfonates / therapeutic use
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Bevacizumab
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Clinical Trials as Topic
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Combined Modality Therapy
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Drug Delivery Systems
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Forecasting
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Humans
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Indoles / pharmacology
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Indoles / therapeutic use
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Neoadjuvant Therapy
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Neoplasm Proteins / antagonists & inhibitors
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Neoplasms / blood supply
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Neoplasms / drug therapy
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Neoplasms / therapy
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Neovascularization, Pathologic / drug therapy*
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Niacinamide / analogs & derivatives
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Phenylurea Compounds
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Protein Kinase Inhibitors / administration & dosage
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Protein Kinase Inhibitors / pharmacology
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Protein Kinase Inhibitors / therapeutic use
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Pyridines / pharmacology
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Pyridines / therapeutic use
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Pyrroles / pharmacology
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Pyrroles / therapeutic use
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Receptors, Vascular Endothelial Growth Factor / antagonists & inhibitors
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Sirolimus / analogs & derivatives
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Sirolimus / pharmacology
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Sirolimus / therapeutic use
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Sorafenib
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Sunitinib
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Vascular Endothelial Growth Factor A / antagonists & inhibitors
Substances
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Angiogenesis Inhibitors
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Antibodies, Monoclonal
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Antibodies, Monoclonal, Humanized
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Antineoplastic Agents
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Benzenesulfonates
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Indoles
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Neoplasm Proteins
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Phenylurea Compounds
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Protein Kinase Inhibitors
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Pyridines
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Pyrroles
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VEGFA protein, human
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Vascular Endothelial Growth Factor A
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Niacinamide
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Bevacizumab
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temsirolimus
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Sorafenib
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Receptors, Vascular Endothelial Growth Factor
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Sunitinib
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Sirolimus