Table 1.
Clinical Trial Reference | Intervention | Mechanism of Action | Patient Population | Design | Primary Endpoint | PFS | Conclusion |
---|---|---|---|---|---|---|---|
Sharma et al. 2019 [74] | Dovitinib | Tyrosine-kinase receptor inhibitor | Recurrent or Progressive GBM | Phase II, non-randomized, parallel | PFS 6 months | PFS-6 12% in anti-angiogenic naïve and 0% in anti-angiogenic exposed | Dovitinib was not efficacious in recurrent GBM |
Bota et al. 2021 [75] | Marizomib | Panproteanoma inhibitor + monoclonal antibody anti-VEGF | Recurrent or Progressive GBM | Phase II, non-randomized, intra-patient dose escalation | PFS 6 months | PFS-6 29.8% OS 9.1 months |
No benefit of the addition of marizomib to bevacizumab |
Cloughesy et al. 2020 [76] | VB-111 + bevacizumab | Oncolytic virus + anti-VEGF | Recurrent GBM | Phase III | OS | OS 6.8 months | No benefit and higher rates of adverse events |
Brenner et al. 2021 [77] | Evofosfamide + bevacizumab | hypoxia activated pro-drug + anti-VEGF | Recurrent GBM | Phase II single-arm | Safety | PFS-4 31% OS 4.6 months |
Deserves further investigation |
Lee et al. 2021 [78] | Trebananib + bevacizumab | Sequester Ang1/Ang2 + anti-VEGF | Recurrent GBM | Phase II randomized | PFS 6 months | PFS-6 22.6% | Detrimental (lower PFS than bevacizumab alone) |
STELLAR NCT03025893 [79] |
Sunitinib | Tyrosine-kinase receptor inhibitor | Recurrent GBM | Phase II/III randomized, against lomustine | PFS | Ongoing | - |
NCT04952571 [80] | Camrelizumab + Bevacizumab | Anti-PD1 + anti-VEGF monoclonal antibodies | Recurrent GBM | Phase II non-randomized, parallel | PFS | Ongoing | - |
GBM, glioblastoma; OS, overall survival; PFS, period of free survival.