Biomarkers to predict the clinical efficacy of bevacizumab in cancer

被引:262
作者
Jubb, Adrian M. [1 ]
Harris, Adrian L. [1 ]
机构
[1] Univ Oxford, Weatherall Inst Mol Med, Oxford OX3 9DS, England
关键词
ENDOTHELIAL GROWTH-FACTOR; METASTATIC COLORECTAL-CANCER; ADVANCED BREAST-CANCER; PACLITAXEL PLUS BEVACIZUMAB; ANTI-VEGF THERAPY; PHASE-III TRIAL; BLOOD-PRESSURE; TUMOR REFRACTORINESS; CELL MOBILIZATION; 1ST-LINE THERAPY;
D O I
10.1016/S1470-2045(10)70232-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Bevacizumab is a monoclonal antibody against vascular endothelial growth factor that has antiangiogenic activity and Improves progression free survival in many solid malignancies when combined with cytotoxic chemotherapy but has little effect on overall survival Despite the effects of this drug in unselected patients the Response Evaluation Criteria in Solid Tumours are suboptimum to predict benefit Additionally, tumours show inherent and emerging resistance to regimens that include bevacizumab The ability to target therapy towards well selected subgroups of patients would Increase the likelihood of benefits and would improve cost effectiveness and therapeutic outcomes In this review we discuss putative clinical radiological and molecular markers of bevacizumab efficacy, derived from data obtained in clinical trials Current evidence indicates some predictive value for hypertension vascular imaging and polymorphisms affecting components of the vascular endothelial growth factor pathway in patients receiving bevacizumab Many questions relating to these and other surrogate biomarkers, however, remain unanswered and their clinical usefulness has yet to be proven
引用
收藏
页码:1172 / 1183
页数:12
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