Table 1.
Treatment options for HIV-associated Kaposi's Sarcoma
| Treatment option | Reference | |
| HAART alone | Krown SE. J Clin Oncol 2004;22:399–402. | |
| Local Therapy | Excision surgery | No convincing evidence [Simonart T. J Eur Acad Dermatol Venereol. 2007; 21(4):573] |
| Cryotherapy (surgery) | Tappero JW et al. J Acquir Immune Defic Syndr 1991;4:839–846. | |
| Radiation | Kigula-Mugambe JB et al. Radiother Oncol. 2005;76:59–62. | |
| Alitretinoin gel | Walmsley S et al. J Acquir Immune Defic Syndr 1999;22:235–246 | |
| Intralesional chemotherapy | Ramirez-Amador V et al. Oral Oncol. 2002;38:460–467 | |
| Laser therapy (surgery) | Abels C et al. Br J Cancer. 1998;77(6):1021–4 | |
| Photodynamic treatment (experimental) |
Bernstein ZP et al. Aids 1999;13:1697–1704 | |
| Immunotherapy | Interferon-alpha | Lane HC et al. Lancet 1988;2:1218–1222 |
| Cytotoxic chemotherapy | Liposomal doxorubicin | Osoba D et al. Cancer Invest 2001;19:573–580 |
| Liposomal daunorubicin | Gill PS et al. J Clin Oncol 1996;14:2353–2364 | |
| Paclitaxel | Welles L et al. J Clin Oncol 1998;16:1112–1121 | |
| Etoposide | Paredes J et al. J Acquir Immune Defic Syndr Hum Retrovirol 1995;9:138–144 | |
| Vincristine alone | Mintzer DM et al. Annals of Internal Medicine 1985;102(2):200–202. [poor results, however HAART was not used] |
|
| Vinblastine alone | Volberding PA et al. Ann Intern Med 1985;103:335–338 | |
| Bleomycin alone | Lassoued K et al. Cancer 1990;66:1869–72. | |
| Vincristine/Vinblastine | Kaplan L et al. Cancer Treat Rep 1986;70(9):1121–2. | |
| Vincristine/Bleomycin (BV) | Gill P et al. Am J Clin Oncol. 1990;13(4):315–9. | |
| Vincristine/Bleomycin/Doxorubicin (ABV) | Gill PS et al. Am J Med 1991;90:427–433 | |
| Gemcitabine | Brambilla L et al. Dermatology 2001;202(2):119–22. | |
| Vinorelbine | Nasti G et al. J Clin Oncol. 2000;18(7):1550–7. | |
| Molecularly targeted therapy examples (mainly experimental) |
Angiogenesis inhibitors : imatinib or sunitinib (tyrosine kinase inhibitors) |
Koon HB et al. J Clin Oncol 2005;23:982–989 |
| Angiogenesis inhibitors: thalidomide, fumagillin (TNP-470) or bevacizumab |
Soler RA et al. Clin Infect Dis 1996;23:501–505 | |
| Angiogenesis inhibitors : COL-3 (matrix metalloproteinase inhibitor) |
Dezube BJ et al. J Clin Oncol 2006;24:1389–1394 | |
| Inhibitors of the PI3K/AKT/mTOR pathway (rapamycin or sirolimus) |
Stallone G et al. N Engl J Med 2005;352:1317–1323 | |
| Nuclear factor κB inhibitors (bortezomib) |
Keller SA et al. Blood 2000; 96:2537–2542 | |
| KSHV/HHV8 therapy | Ganciclovir or Foscarnet (theoretical benefit) |
Robles R et al. J Acquir Immune Defic Syndr Hum Retrovirol 1999;20:34–38 |