Table 2.
Representative clinical trials of anti-angiogenic drug targets in GBM
| Clinical trial no. | Antiangiogenic drug targets | Clinical trial phase | Clinical trial institution | Brain tumor disease type | Number of patients enrolled (n) | Concentration | PFS-6 (%) | Median OS (months) | Reference |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Bevacizumab (BEV) | II | BRAIN | Recurrent GBM | 85 | 10 mg/kg every 2 weeks | 43 | 9.3 | [137] |
| Bevacizumab + Irinotecan | II | BRAIN | Recurrent GBM | 167 | 10 mg/kg of BEV + Irinotecan (340 mg/m2 or 125 mg/m2) every 2 weeks | 50.3 | 8.7 | [137] | |
| 2 | Bevacizumab (BEV) | II | NCI | Recurrent GBM | 48 | 10 mg/kg every 2 weeks | 29 | 7.8 | [134] |
| 3 | Bevacizumab (BEV) + Lomustine | II | BELOB | Recurrent GBM | 153 | 10 mg/kg every 2 weeks + 110 mg/m2 once every 6 weeks | 42 | 12 | [138] |
| 4 | Bevacizumab (BEV) + Lomustine | III | EORTC 26101 | Recurrent GBM | 437 | 10 mg/kg every 2 weeks +110 mg/m2 once every 6 weeks | Not recorded | 9.1 | [139] |
| 5 | Cediranib | III | REGAL | Recurrent GBM | 118 | 30 mg daily given one time | 16 | 8 | [168] |
| III | REGAL | Recurrent GBM | 325 | 30 mg daily + 110 mg/m2 once every 6 weeks | 35 | 9.4 | [168] | ||
| III | REGAL | Recurrent GBM | 325 | 30 mg daily + Cediranib matched placebo | 25 | 9.8 | [168] | ||
| 6 | Enzastaurin | III | Phase-III Enzastaurin Study | Recurrent GBM | 266 | 500 mg daily | 11.1 | 6.6 | [169] |
| Phase-III Enzastaurin Study | Recurrent GBM | 266 | 500 mg daily + 110 to 130 mg/m2 once every 6 weeks | 19 | 7.1 | [169] | |||
| 7 | Aflibercept | II | Phase-II Aflibercept Study | Recurrent GBM | 42 | 4 mg/kg every 2 weeks | 7.7 | 9.8 | [170] |
| 8 | Nintedanib | II | Phase-II Nintedanib Study | Recurrent GBM | 13 | 200 mg twice daily | 4 | 8.1 | [171] |
| 9 | Pazopanib | II | Phase-II Pazopanib Study | Recurrent GBM | 35 | 800 mg daily | 3 | 8.8 | [172] |
| 10 | Pazopanib | I/II | Phase I/II Pazopanib plus Lapatinib Study | Recurrent GBM | 41 | 400 mg daily plus 1000 mg/day Lapatinib | 7.5 | Not recorded | [173] |
| 11 | Sorafenib | II | Phase II study of Sorafenib Study | Recurrent GBM | 32 | 400 mg daily | 9.4 | 10.4 | [174] |
| II | Phase II study of Sorafenib Study | Recurrent GBM | 32 | 400 mg daily plus TMZ daily | 9.4 | 10.4 | [174] | ||
| 12 | Sunitinib | II | Phase II study of Sorafenib Study | Recurrent GBM | 32 | 37.5 mg daily | 10.4 | 9.4 | [175] |
| 13 | Vandetanib | I/II | Phase I/II Clinical Trial of Vandetanib | Recurrent GBM | 32 | 300 mg daily | 6.5 | 6.3 | [176] |
| 14 | Bevacizumab (BEV) + TMZ/XRT | III | RTOG 0825 Brain Committee | Newly diagnosed GBM | 637 | 10 mg/kg every 2 weeks + TMZ | Not recorded | 15.7 | [177] |
| 15 | Bevacizumab (BEV) + TMZ/XRT | III | AVAGlio | Newly diagnosed GBM | 921 | 10 mg/kg every 2 weeks + TMZ/XRT | Not recorded | 16.9 | [140] |
| 16 | Bevacizumab (BEV) + TMZ/XRT | III | AVAGlio | Newly diagnosed GBM | 463 | 10 mg/kg every 2 weeks + TMZ/XRT | Not recorded | 16.8 | [140] |
| 17 | Bevacizumab (BEV) + Irinotecan/XRT | II | GLARIUS | Newly diagnosed GBM (MGMT unmethylated) | 116 | 10 mg/kg every 2 weeks + IRI 125 mg/m2 every 2 weeks | 71.1 | 16.6 | [141] |
| II | GLARIUS | Newly diagnosed GBM | 54 | 75 mg/m2 TMZ daily/XRT | 26.2 | 17.3 | [141] | ||
| 18 | Cilengitide (CIL) | II | The CORE Study | Newly diagnosed GBM/negative MGMT | 265 | 2000 mg twice per weeks + TMZ/XRT | 5.6 | 16.3 | [178] |
| TMZ/XRT | 2000 mg five times per weeks + TMZ/XRT | 5.9 | 14.5 | ||||||
| 19 | Cilengitide (CIL) + TMZ/XRT | III | The CENTRIC Study | Newly diagnosed GBM/positive MGMT | 545 | 2000 mg twice per weeks + TMZ/XRT | 13.5 | 26.3 | [179] |
| 20 | Cilengitide (CIL) + TMZ plus Procarbazine/XRT | II | The ExCentric Study | Newly diagnosed GBM/negative MGMT | 48 | 2000 mg twice per weeks + TMZ plus Procarbazine/XRT | 30 weeks | 58 weeks | [139] |
IRI irinotecan, MGMT O6-methylguanine-DNA methyltransferase, OS overall survival, PFS progression-free survival, TMZ temozolomide, XRT radiation therapy]