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New Directions in Anti-Angiogenic Therapy for Glioblastoma #MMPMID28083806
Wang N; Jain RK; Batchelor TT
Neurotherapeutics 2017[Apr]; 14 (2): 321-32 PMID28083806show ga
Anti-angiogenic therapy has become an important component in the treatment of many solid tumors given the importance of adequate blood supply for tumor growth and metastasis. Despite promising preclinical data and early clinical trials, anti-angiogenic agents have failed to show a survival benefit in randomized controlled trials of patients with glioblastoma. In particular, agents targeting vascular endothelial growth factor (VEGF) appear to prolong progression free survival, possibly improve quality of life, and decrease steroid usage, yet the trials to date have demonstrated no extension of overall survival. In order to improve duration of response and convey a survival benefit, additional research is still needed to explore alternative pro-angiogenic pathways, mechanisms of resistance, combination strategies, and biomarkers to predict therapeutic response.Electronic supplementary material: The online version of this article (doi:10.1007/s13311-016-0510-y) contains supplementary material, which is available to authorized users.