[PDF][PDF] Rapid decrease in delivery of chemotherapy to tumors after anti-VEGF therapy: implications for scheduling of anti-angiogenic drugs

AAM Van der Veldt, M Lubberink, I Bahce, M Walraven… - Cancer cell, 2012 - cell.com
AAM Van der Veldt, M Lubberink, I Bahce, M Walraven, MP de Boer, HNJM Greuter…
Cancer cell, 2012cell.com
Current strategies combining anti-angiogenic drugs with chemotherapy provide clinical
benefit in cancer patients. It is assumed that anti-angiogenic drugs, such as bevacizumab,
transiently normalize abnormal tumor vasculature and contribute to improved delivery of
subsequent chemotherapy. To investigate this concept, a study was performed in non-small
cell lung cancer (NSCLC) patients using positron emission tomography (PET) and
radiolabeled docetaxel ([11 C] docetaxel). In NSCLC, bevacizumab reduced both perfusion …
Summary
Current strategies combining anti-angiogenic drugs with chemotherapy provide clinical benefit in cancer patients. It is assumed that anti-angiogenic drugs, such as bevacizumab, transiently normalize abnormal tumor vasculature and contribute to improved delivery of subsequent chemotherapy. To investigate this concept, a study was performed in non-small cell lung cancer (NSCLC) patients using positron emission tomography (PET) and radiolabeled docetaxel ([11C]docetaxel). In NSCLC, bevacizumab reduced both perfusion and net influx rate of [11C]docetaxel within 5 hr. These effects persisted after 4 days. The clinical relevance of these findings is notable, as there was no evidence for a substantial improvement in drug delivery to tumors. These findings highlight the importance of drug scheduling and advocate further studies to optimize scheduling of anti-angiogenic drugs.
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