Table 1. Examples of integrin-inhibiting agents used in cancer therapy.
Integrin-inhibiting agent | Target | Clinical phase |
Type of cancer | Effect | Outcome | References | |
---|---|---|---|---|---|---|---|
Monoclonal antibodies |
Intetumumab | αv | I and II | Melanoma, sarcoma, prostate, and colorectal cancer |
Inhibits the contact between extracellular matrix (ECM) and tumor cells and inhibits angiogenesis |
Improved overall survival with high doses or no benefits |
118,119 |
Abituzumab | αv | I and II | Melanoma, sarcoma, prostate, and colorectal cancer |
Inhibits the contact between ECM and tumor cells and inhibits angiogenesis |
No benefits or trials ongoing | 120 | |
Vitaxin | αvβ3 | I and II | Metastatic cancers | Inhibits cell adhesion, blocks apoptotic pathway, and upregulates matrix degradation inhibitors |
Short half-life and inefficient interaction. No tumor regression |
121,122 | |
Etaracizumab | αvβ3 | I and II | Melanoma | Inhibits the contact between ECM and tumor cells and inhibits angiogenesis |
Good tolerability and no anti-angiogenic or immunomodulatory effects |
123 | |
Volociximab | α5β1 | I and II | Ovarian, pancreatic and renal cancer, melanoma, and non-small-cell lung cancer |
Inhibits interaction with ECM, induces apoptosis in cancer cells, and inhibits angiogenesis |
Good tolerability, anti-angiogenic effects, or no benefits |
124 | |
Peptides | Cilengitide | αvβ3 αvβ5 | I, II, and III | Multiple cancer, including glioblastoma |
Compete with ligand binding and inhibit angiogenesis and cancer cell invasion |
No therapeutic benefits | 125–131 |
ATN-161 | α5β1 | I and II | Lung, colon | Anti-tumor, anti-adhesive, and anti- metastatic activities and inhibits angiogenesis |
No therapeutic benefits | 132 | |
Small-molecule inhibitors |
GIPG0187 | Arg-Gly-Asp (RGD)-binding integrins |
I | Advanced cancers | RGD antagonist | Ongoing, reduced liver metastasis |
133 |