Table 1.
Select antiangiogenic agents in trial for GBM.
Drug | Mechanism | Most Advanced Phase | Results |
---|---|---|---|
Antibodies
| |||
bevacizumab | VEGF antibody | Phase II-recurrent GBM | Bevacizumab alone: 29–35 % APF6 |
Phase III- newly diagnosed | Bevacizumab + irinotecan: 50.2% APF6 | ||
| |||
aflibercept | VEGF-A & B, PlGF “receptor decoy” | Phase II- recurrent GBM | 30% response rate |
Phase I- newly diagnosed | ongoing | ||
| |||
IMC-3G3 | PDGFR α antibody | Phase I/II in recurrent GBM | ongoing |
| |||
ramucirumab | VEGFR2 antibody | Phase I/II in recurrent GBM | ongoing |
| |||
Small Molecule Inhibitors | |||
| |||
cediranib | VEGFR-1/2/3, c-kit, PDGFR- α/β inhibitor, weak FGFR-1, EGFR inhibitor | Phase III- recurrent GBM | no improvement in OS compared to lomustine alone |
Phase II- newly diagnosed GBM | ongoing | ||
| |||
E7080 | VEGFR-2/3, FGFR1, PDGFR-β | Phase II- recurrent GBM | ongoing |
| |||
sunitinib | VEGFR-2, PDGFR, c-kit inhibitor | Phase I- recurrent GBM | APF6 24% |
| |||
cabozantinib | VEGFR-2, c-met, Tie-2, c-kit inhibitor | Phase II- recurrent GBM | ongoing |
| |||
pazopanib | VEGFR-1/2/3, PDGFR-α/β, c-kit inhibitor | Phase I/II- recurrent GBM | APFS6 3% |
| |||
AEE788 | VEGFR-1/2, EGFR inhibitor | Phase I/II- recurrent GBM | results pending |
| |||
sorafenib | VEGFR-2/3, PDGFR-β, Flt-3, Raf inhibitor | Phase I/II- recurrent and newly diagnosed GBM | results pending |
| |||
vandetanib | VEGFR-1/2, EGFR, Ret kinases inhibitor | Phase I/II- newly diagnosed GBM | study halted because failed to meet interim analysis goals |
Please see the National Cancer Institute website for up-to-date information on ongoing trials (www.clinicaltrials.org). VEGF: vascular endothelial growth factor; VEGFR: vascular endothelial growth factor receptor; PlGF: placental growth factor; EGFR: epidermal growth factor receptor; PDGFR: platelet derived growth factor receptor; FGFR: fibroblast growth factor receptor