Rapid Decrease in Delivery of Chemotherapy to Tumors after Anti-VEGF Therapy: Implications for Scheduling of Anti-Angiogenic Drugs

被引:269
作者
Van der Veldt, Astrid A. M. [1 ]
Lubberink, Mark [1 ,6 ]
Bahce, Idris [2 ]
Walraven, Maudy [3 ]
de Boer, Michiel P. [4 ]
Greuter, Henri N. J. M. [1 ]
Hendrikse, N. Harry [1 ,5 ]
Eriksson, Jonas [1 ]
Windhorst, Albert D. [1 ]
Postmus, Pieter E. [2 ]
Verheul, Henk M. [3 ]
Serne, Erik H. [4 ]
Lammertsma, Adriaan A. [1 ]
Smit, Egbert F. [2 ]
机构
[1] Vrije Univ Amsterdam Med Ctr, Dept Nucl Med & PET Res, NL-1007 MB Amsterdam, Netherlands
[2] Vrije Univ Amsterdam Med Ctr, Dept Pulmonol, NL-1007 MB Amsterdam, Netherlands
[3] Vrije Univ Amsterdam Med Ctr, Dept Med Oncol, NL-1007 MB Amsterdam, Netherlands
[4] Vrije Univ Amsterdam Med Ctr, Dept Internal Med, NL-1007 MB Amsterdam, Netherlands
[5] Vrije Univ Amsterdam Med Ctr, Dept Clin Pharmacol & Pharm, NL-1007 MB Amsterdam, Netherlands
[6] Univ Uppsala Hosp, PET Ctr, S-75185 Uppsala, Sweden
关键词
POSITRON-EMISSION-TOMOGRAPHY; MYOCARDIAL BLOOD-FLOW; CELL LUNG-CANCER; CAPILLARY RECRUITMENT; PET/CT SCANNER; BEVACIZUMAB; BREAST; HYPERTENSION; VASCULATURE; DOCETAXEL;
D O I
10.1016/j.ccr.2011.11.023
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
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 ([C-11]docetaxel). In NSCLC, bevacizumab reduced both perfusion and net influx rate of [C-11]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.
引用
收藏
页码:82 / 91
页数:10
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