Antiangiogenic Therapy for Patients with Recurrent and Newly Diagnosed Malignant Gliomas英文文献资料.docVIP
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Antiangiogenic Therapy for Patients with Recurrent and Newly Diagnosed Malignant Gliomas英文文献资料
HindawiPublishingCorporation
JournalofOncology
Volume2012,ArticleID193436,12pages
doi:10.1155/2012/193436
ReviewArticle
AntiangiogenicTherapyforPatientswithRecurrentandNewly
DiagnosedMalignantGliomas
KatsuyukiShirai,MichaelR.Siedow,andArnabChakravarti
DepartmentofRadiationOncology,TheOhioStateUniversityComprehensiveCancerCenter,Columbus,OH43210,USA
CorrespondenceshouldbeaddressedtoArnabChakravarti,arnab.chakravarti@
Received1May2011;Accepted24May2011
AcademicEditor:ArkadiuszDudek
Copyright?2012KatsuyukiShiraietal. This is an open access article distributed under the Creative Commons Attribution
License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly
cited.
Malignantgliomashaveapoorprognosisdespiteadvancesindiagnosisandtherapy.Althoughpostoperativetemozolomideand
radiotherapyimproveoverallsurvivalinglioblastomapatients,mostpatientsexperiencearecurrence.Theprognosisofrecurrent
malignantgliomasisdismal,andmoree?ectivetherapeuticstrategiesareclearlyneeded.Antiangiogenesisiscurrentlyconsidered
anattractivetargetingtherapyformalignantgliomasduetoitsimportantroleintumorgrowth.Clinicaltrialsusingbevacizumab
havebeenperformedforrecurrentglioblastoma,andthesestudieshaveshownpromisingresponseratesalongwithprogression-
freesurvival.Basedontheencouragingresults,bevacizumabwasapprovedbytheFDAforthetreatmentofrecurrentglioblastoma.
Inaddition,bevacizumabhasshowntobee?ectiveforrecurrentanaplasticgliomas.LargephaseIIIstudiesarecurrentlyongoing
todemonstratethee?cacyandsafetyoftheadditionofbevacizumabtotemozolomideandradiotherapyfornewlydiagnosed
glioblastoma. In contrast, several other antiangiogenic drugs have also been used in clinical trials. However, previous studies
havenotshownwhetherantiangiogenesisimprovestheoverallsurvivalofmalignantgliomas.Speci?cseveresidee?ects,di?cult
assessmentofresponse,andlackofrationalpredictivemarkersarechallengingproblems.Furtherstudiesarewarrantedtoestablish
theoptimizedantiangiogenesisthe
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