Table 2. Antiangiogenic agents trialed in soft tissue sarcoma.
Antiangiogenic agents divided by their mode of action. Their targets are reported. In addition, the results of completed clinical trials or the presence of ongoing clinical trials are reported. (+) positive results, (−) negative results, (=) not properly clear results and (X) no results published. VEGF, vascular endothelial growth factor; PDGFR, platelet-derived growth factor receptor; IGF-1R, insulin growth factor receptor; DR, death receptor; VEGFR, vascular endothelial growth factor receptor; FGFR, fibroblast growth factor receptor; EGFR, epidermal growth factor receptor; FKBP12, FK506 binding protein; FGF, fibroblast growth factor; HGF, hepatocyte growth factor; IL, interleukin.
Mode of action | Drug | Target | Response | Comments | Reference(s) |
---|---|---|---|---|---|
Monoclonal antibody | Bevacizumab | VEGF | + | Bevacizumab in combination with other drugs; often the benefit of adding bevacizumab remains unclear | [66–70] |
IMC-3G3 | PDGFRα | + | Only Phase I studies results available. A Phase Ib/II study is ongoing (NCT01185964) | [71] | |
TRC105 | CD105 | X | A Phase 1B Dose-escalation Study of TRC105 in Combination With Pazopanib is ongoing (NCT0197551) | [72] | |
Cixutumumab | IGF-1R | + | [73–77] | ||
Figitumumab | IGF-1R | + | Only Phase I studies results available | [78,79] | |
AMG 479 | IGF-1R | + | Open Label Extension Study (Phase II) of AMG 479 and AMG 479 (NCT01327612) | [80,81] | |
AMG 655 | DR 5 | + | Open Label Extension Study (Phase II) of AMG 479 and AMG 479 (NCT01327612) | [82] | |
Vitaxin | Integrin αVβ3 | = | Safe and potentially active Only few cases of soft tissue sarcoma analysed | [83–85] | |
Tyrosine kinase inhibitor | Sunitinib | VEGFR-1, VEGFR-2,VEGFR-3,PDGFR-α/β, KIT | + | Sunitinib demonstrated notable evidence of metabolic response in several patients with non-GIST sarcoma but a deeper subtypes stratification is needed | [86–89] |
Sorafenib | VEGFR-2,VEGFR-3,PDGFR,c-RAS, b-RAF,KIT | + | [90–93] | ||
Pazopanib | VEGFR-1, VEGFR-2,VEGFR-3,PDGFR-α/β, KIT | + | [94–97] | ||
Dasatinib | VEGFR-2, PDGFR, BCR/ABL, Src and KIT | X | Three active clinical trials (NCT00464620, NCT01643278 and NCT00788125 | ||
Brivanib | VEGF-R2 and FGF-R1 and -2 | X | Clinical trial NCT00633789, completed | ||
Cediranib | VEGFR-1,VEGFR-2, VEGFR-3 | + | Single-agent activity on alveolar soft part sarcoma. A phase II trial (NCT01391962) is currently being conducted for patients with alveolar soft part sarcoma comparing cediranib with sunitinib | [98,99] | |
Tivantinib | c-Met | X | Phase Ib Study of the Combination of Pazopanib, and Tivantinib, in Patients With Refractory Advanced Solid Tumours (NCT01468922) | [100] | |
Axitinib | VEGFR-1,VEGFR-2,VEGFR-3,PDGFR and c-KIT | X | Phase II study (NCT01140737) | ||
Semaxanib | VEGFR-2, KIT | − | No other ongoing clinical studies | [101] | |
Cabozantinib | MET,VEGFR-2, RET | X | One Phase II ongoing clinical study (NCT01755195) | ||
Saracatinib | src | X | One Phase II clinical trial completed (NCT00659360) | ||
Gefitinib | EGFR, HER1 | − | Gefitinib did not demonstrate sufficient activity | [102,103] | |
Regorafenib | VEGFR and Tie-2 | X | Three Phase II clinical trials ongoing (NCT01900743 NCT02048371 NCT02048722) | ||
Rapalogues (mTORC1 tyrosine kinase inhibitors) | Temsirolimus | FKBP12 | + | Temsirolimus has limited clinical activity. The oucomes can be improved by a combinatorial therapy | [74,76,104,105] |
Sirolimus | FKBP12 | − | Objective tumour response was infrequent | [106] | |
Ridaforolimus | FKBP12 | + | [107–109] | ||
Everolimus | FKBP12 | + | Phase II clinical study in combination with Imatinib (NCT01281865) Phase II clinical study ongoing in Children and Adolescents (NCT01216839) | [78] | |
Other | ABT-510 | VEGF, bFGF, HGF, IL8 | + | Thrombospondin analogue; Strong single-agent activity need to be more clarify. | [110–112] |
Aflibercept (VEGF Trap) | VEGF | + | Soluble decoy receptor. Modest activity Active a Phase II clinical trial (NCT00390234) | [113,114] |