Methods for Monitoring of the Anti-Angiogenic Activity of Agents in Patients: Novel Trial Design

Shannon Smiley, Michael K.K. Wong, Shaker A. Mousa

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The field of angiogenesis modulation is at a major crossroad. Tremendous advancement in basic science in this field is providing several novel targets and strategies, which is in contrast to the limited clinical support, resulting in a large gap between experimental and clinical data. This gap might be helped through the selection of clinically relevant surrogate biomarkers that correlate with clinical outcome. Additionally, in the design of clinical trials, hard endpoints (such as mortality, quality of life, and cost-effectiveness of the anti-angiogenesis strategy) in addition to surrogate biomarkers and non-invasive imaging of tumour and its micro-vascular environment should be used. Furthermore, adjunct therapies that maximize the efficacy and minimize complications associated with cancer and its current standard therapy should also be used.

Original languageEnglish (US)
Title of host publicationAngiogenesis Assays
Subtitle of host publicationA Critical Appraisal of Current Techniques
PublisherJohn Wiley & Sons, Ltd
Pages341-359
Number of pages19
ISBN (Print)0470016000, 9780470016008
DOIs
StatePublished - Sep 27 2007
Externally publishedYes

Keywords

  • Angiogenesis modulation
  • Anti-angiogenesis
  • Dynamic contrast enhanced MRI (DCE-MRI)
  • Microvessel density
  • Monitoring clinical trials
  • Platelets and angiogenesis
  • Tumour angiogenesis target in anticancer therapy
  • Tumour micro-environmental factors

ASJC Scopus subject areas

  • General Biochemistry, Genetics and Molecular Biology

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