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Evaluating antiangiogenesis agents in the clinic: the Eastern Cooperative Oncology Group Portfolio of Clinical Trials.

Abstract
Recent evidence indicates that treatment with a humanized monoclonal antibody (bevacizumab) directed at vascular endothelial growth factor improves response and survival in metastatic colorectal cancer when added to standard chemotherapy, validating angiogenesis as a therapeutic target. Investigators from the Eastern Cooperative Oncology Group (ECOG) have initiated a number of Phase III studies that will help further define the role of antiangiogenic agents for the treatment of breast, colon, lung, renal, and head and neck cancer, as well as melanoma and myeloma. The agents being evaluated target various biological functions involved in angiogenesis, including vascular endothelial growth factor (bevacizumab), endothelial cell proliferation (thalidomide, IFN-alpha), and matrix metalloproteinases (marimastat). These clinical trials include correlative laboratory studies aimed at elucidating how these agents may exert their clinical effects. The portfolio of Eastern Cooperative Oncology Group studies will serve to further define the role of this therapeutic strategy for patients with advanced cancer.
AuthorsJoseph A Sparano, Robert Gray, Bruce Giantonio, Peter O'Dwyer, Robert L Comis, Eastern Cooperative Oncology Group Portfolio of Clinical Trials
JournalClinical cancer research : an official journal of the American Association for Cancer Research (Clin Cancer Res) Vol. 10 Issue 4 Pg. 1206-11 (Feb 15 2004) ISSN: 1078-0432 [Print] United States
PMID14977816 (Publication Type: Journal Article)
Chemical References
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Interferon-alpha
  • Matrix Metalloproteinase Inhibitors
  • Bevacizumab
  • Thalidomide
Topics
  • Antibodies, Monoclonal (therapeutic use)
  • Antibodies, Monoclonal, Humanized
  • Bevacizumab
  • Clinical Trials as Topic
  • Colorectal Neoplasms (therapy)
  • Humans
  • Interferon-alpha (therapeutic use)
  • Matrix Metalloproteinase Inhibitors
  • Neoplasm Metastasis
  • Neovascularization, Pathologic
  • Random Allocation
  • Thalidomide (therapeutic use)

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