Journal of the National Cancer Institute Advance Access originally published online on June 9, 2009
JNCI Journal of the National Cancer Institute 2009 101(12):846-847; doi:10.1093/jnci/djp171
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© Oxford University Press 2009.
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How Well Do Angiogenesis Inhibitors Work? Biomarkers of Response Prove Elusive
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In 2007, the late Judah Folkman noted "a major obstacle" to the development of drugs targeted at angiogenesis, or new blood vessel growth, in tumors: the lack of noninvasive biomarkers for identifying patients most likely to respond to the drugs. Now, with three approved angiogenesis inhibitors (AIs) on the market—bevacizumab, sunitinib, and sorafenib—and hundreds of trials for others under way, the need for accurate, inexpensive, and noninvasive biomarkers has become even more pressing.
"Among researchers, there is a consensus that we need to step back and better understand how angiogenesis inhibitors work, and dont work as well as wed hoped," said Curzio Ruegg, M.D., professor and head of experimental oncology at Switzerland's University of Lausanne. "Better biomarkers should also help us answer the nagging question why AIs often improve
Cytokine Markers
Platelet Proteome
Circulating Endothelial Cells