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Treatment
overview > Emerging &
Investigational >
Antiangiogenesis
and Lymphoma Last update:
04/19/2010
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Topics
Investigational
Agents | Angiogenesis and
Lymphoma? | Related Abstracts
The
goal of antiangiogenic therapies is to stop or inhibit blood supply to
the tumors. This is an experimental approach, for which
the potential for clinical benefit is not proven and is likely to vary among lymphoma subtypes.
See Investigational Agents below for information
on experimental agents, which ncludes links to clinical trials.
TOPIC
SEARCH: ASCO
| ASH
| ClinicalTrials.gov
| PubMed
"The tumor
is meaner if it’s hypoxic," Okunieff says. "Oxygen is by far
the most powerful molecule for making cells vulnerable to radiation.
Tumor cells that survive hypoxic conditions are often the cells that are
most aggressive, most hardy, and most likely to go out and start new
cancer colonies," he says. They’re also the tumor cells most
likely to have mutations that make them prone to spreading."
NOTE: At least one study has shown an association between high
density microvessel and an improved response to treatment in follicular
lymphoma. abstracts2view.com/
Some papers on blood vessel formation and lymphoma:
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Microvessel density has been measured in various types of lymphoma tissue
48, 49.
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Angiogenic growth factors (such as bFGF, VEGF), associated with
angiogenesis,
rise when
lymphoma progresses 7.
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Also see related articles
below.
Possible mechanisms of antiangiogenic drugs:
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Slow or stop tumor growth indefinitely.
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Slow growth and enhance the efficacy of other treatments.
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Directly attack tumor vascular targets to kill existing tumors.
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INVESTIGATIONAL
AGENTS:
You can click AGENT
SEARCH items to locate more information about it. The
ClinicalTrials.gov search will show trials for the agent that are
recruiting for lymphoma.
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ABT-510 AGENT
SEARCH: ASCO
| ClinicalTrials.gov
"an investigational angiogenesis inhibitor, that belongs to a class of drugs that works by cutting off the blood supply that feeds tumors. Mimicking the behavior of a natural
anti-angiogenic protein, thrombospondin-1 (TSP-1), ABT-510 is being evaluated to determine its potential to block multiple
pro-angiogenic growth factors including VEGF, bFGF and IL-8. ABT-510 currently is being studied in Phase II clinical trials in various cancers including sarcoma, lymphoma, and kidney cancer."
- yahoo.c
Report on favorable safety profile and early signals of
activity in a randomized phase IB trial - ASCO
2003
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Alpha interferon AGENT
SEARCH: ASCO
| ASH
| ClinicalTrials.gov
| PubMed
"IFN-alpha confers its antitumor activity, at least in part, by its
antiangiogenic activity, which results from Sp1- and/or Sp3-mediated
inhibition of VEGF gene transcription.." - NCI
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Bevacizumab AGENT
SEARCH: ASCO
| ASH
| ClinicalTrials.gov
| PubMed
"Bevacizumab is a humanized monoclonal antibody directed against
vascular endothelial growth factor (VEGF). Non-Hodgkin’s lymphoma
(NHL) patients with a high serum VEGF levels have an inferior overall
survival compared to patients with low VEGF levels." - ASH
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CC-5013 (Revlimid, lenalidomide)
AGENT SEARCH: ASH |
ASCO
|
Medscape
|
ClinicalTrials.gov
|
Web
Thalidomide appears to stop endothelial cells from forming new blood
vessels and is a treatment for multiple myeloma and other types of
cancer. However, it is harmful to fetuses, so women who are pregnant or
plan to become pregnant should not take thalidomide. Lenalidomide (Revlimid),
a drug that is similar to thalidomide, is potentially more active than
thalidomide and is being tested in clinical trials -
http://www.plwc.org
Cilengitide (EMD 121974) AGENT
SEARCH: ASCO
| ASH
| ClinicalTrials.gov
| PubMed
Cilengitide (EMD 121974) inhibits two receptor proteins (proteins on
cell surface), called integrins αvβ3 and αvβ5, which
appear to be important in the process of angiogenesis. Cilengitide has
been shown to inhibit angiogenesis and growth of several different
experimental tumors in animals. - Clinicaltrials.gov
Combretastatin AGENT
SEARCH: PubMed
Combretastatin A-4 disodium phosphate (CA4DP), the lead compound in this
series, has shown potent antivascular and antitumor effects in a wide
variety of preclinical tumor models.[77] Three phase I
clinical trials of CA4DP involving a total of 96 patients with advanced
cancers have been reported.[78-80] Tumor pain was a unique
side effect of combretastatin in these studies. In one study, 1 patient
with anaplastic thyroid cancer had a complete response.[78]
Dose dependent reductions in tumor blood flow have been shown by dynamic
contrast-enhanced magnetic resonance imaging (DCE-MRI) and PET at doses
that were reasonably well tolerated by patients.[78,81-82] - http://www.medscape.com/viewprogram/3667_pnt
Combretastatin
A-4 prodrug and lymphoma: In vivo antitumor and
antiangiogenic activity. Sanaa M. et.al.
LY317615 TOPIC
SEARCH: ASCO.org
| ClinicalTrials.gov
| Web
"LY317615 is a selective inhibitor of protein kinase Cβ
with antiangiogenic activity as confirmed by its ability to inhibit
VEGF-stimulated microvessel formation in rat corneal micropocket
assays." - ASCO
MS-275 and Isotretinoin
AGENT SEARCH: ClinicalTrials.gov
| Web
MS-275 and isotretinoin may also stop the growth of solid tumors
or lymphomas by stopping blood flow to the cancer.
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Related Abstracts
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