Table 3.
Clinical studies demonstrating evidence of vascular normalization in human tumors
Tumor type | Antiangiogenic therapy | Changes in vessel structure | Changes in vessel function | Clinical observations |
---|---|---|---|---|
Primary tumors | ||||
Rectal carcinoma (n = 32) | Bevacizumab | ↓Vessel density, ↑PVC coverage | ↓Tumor blood flow, ↓IFP, improved delivery of FDG per vessel | Tumors became pale (Willett et al. 2004, 2009) |
Glioblastoma (n = 31) | Cediranib | ↓Vessel size | ↓Permeability | ↓tumor-associated edema, reduced patient need for corticosteroids (Batchelor et al. 2007, 2010) |
High grade glioma (n = 5) | Bevacizumab | ↓Vascular arcades and glomeruloid vessels | Fischer et al. 2008 | |
Prostate carcinoma (n = 10) | Androgen ablation | Pruning of immature vessels, ↑PVC coverage | Benjamin et al. 1999 | |
Metastatic disease | ||||
HER2+ breast cancer brain metastases (n = 22) | Lapatinib (indirect antiangiogenic) | ↓Vessel tortuosity | Bullitt et al. 2007 |