Some Problems of Trial Design for Anti-Angiogenic Agents in Cancer Therapy

Frank Arnold, H. Brem, G. Tamavokopulis, D. Tsakayannis, I. Gresser, A. Budson, J. Folkman, Tzafra Cohen, Hela Gitay-Goren, Gera Neufeld, Ben Zion Levi, George Cherry, Anne Eichman, Christophe Marcelle, Christiane Bréant, Nicole M. LeDouarin, Nam D. Tran, Vicky L. Y. Wong, James Bready, Judith BerlinerMark Fisher, O. Hadjiconti, S. Papaioannou, G. C. Haralabopoulos, I. Demopoulos, M. E. Maragoudakis, George C. Haralabopoulos, Nikos E. Tsopanoglou, Eva Pipili-Synetos, E. Keshet, D. Shweiki, E. Bacharach, A. Itin, S. Banai, M. A. Konerding, C. van Ackern, B. Klapthor, F. Steinberg, M. Lehmann, P. Koolwijk, W. J. A. de Vree, C. Zurcher, V. W. M. van Hinsbergh, Jerzy Krupinski, Jozef Kaluza, E. Missirli, M. Bastaki, G. Karakiulakis, D. E. Morales, D. S. Grant, S. Maheshwari, D. Bhartiya, M. C. Cid, H. K. Kleinman, W. H. Schnaper, E. Papadimitriou, B. R. Unsworth, P. I. Lelkes, P. Rooney, I. Smith, S. Kumar, Cliff Stevens, Suzanne Harley, Rajdip Marok, Tulin Sahinoglu, Stewart Abbot, David Blake, Maureen Dougher-Vermazen, Denis Gospodarowicz, Bruce I. Terman

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The propensity of tumours to generate resistant clones is a major barrier to cytotoxic and hormone therapy. The vasculature of malignancies is a more appealing target, since tumour endothelial cells are not known to be tranformed or subject to somatic mutation or random phenotypic variation. Thus an effective anti-angiogenic therapy need not be vitiated by the acquisition of resistance. Although several antiangiogenic agents have been described and used in experimental models, there remain severe problems about optimising their use and about setting up informative clinical trials. These difficulties arise predominantly because of the “invisible” nature of tumour angiogenesis.
Original languageAmerican English
Title of host publicationAngiogenesis: Molecular Biology, Clinical Aspects
EditorsMichael E. Maragoudakis, Pietro M. Gullino, Peter I. Lelkes
Place of PublicationBoston, MA
PublisherSpringer US; Imprint: Springer
Pages333-358
Number of pages26
ISBN (Print)978-1-4757-9188-4
DOIs
StatePublished - 1994

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