Evidence map›Paper›PMID 30649744›Full record

ReviewDrug safety2019

Safety and Tolerability of Anti-Angiogenic Protein Kinase Inhibitors and Vascular-Disrupting Agents in Cancer: Focus on Gastrointestinal Malignancies.

Letizia Procaccio, Vera Damuzzo, Francesca Di Sarra, Alberto Russi, Federica Todino, Vincenzo Dadduzio, Francesca Bergamo, Alessandra Anna Prete, Sara Lonardi, Hans Prenen and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Drug safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 28 citations in OpenAlex.

  1. Translational cancer research · 2026
    Article
  2. Exploring the potential role of miR-124 in angiogenesis in colorectal cancer.Journal of cancer research and clinical oncology · 2026
    Article
  3. A Promising Paradigm Shift in Cancer Treatment with FGFR Inhibitors.Anti-cancer agents in medicinal chemistry · 2025
    Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Immune evasion by cancer stem cells.Regenerative therapy · 2021
    Review
  10. Anti-Angiogenic Therapy: Current Challenges and Future Perspectives.International journal of molecular sciences · 2021
    Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Letizia ProcaccioUnit of Medical Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Vera DamuzzoDepartment of Pharmaceutical and Pharmacological Sciences, School of Hospital Pharmacy, University of Padua, Padua, Italy.
Francesca Di SarraPharmacy, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Alberto RussiDepartment of Pharmaceutical and Pharmacological Sciences, School of Hospital Pharmacy, University of Padua, Padua, Italy.
Federica TodinoPharmacy, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Vincenzo DadduzioUnit of Medical Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Francesca BergamoUnit of Medical Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Alessandra Anna PreteUnit of Medical Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Sara LonardiUnit of Medical Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Hans PrenenOncology Department, University Hospital Antwerp, Edegem, Belgium.
Angelo Claudio PalozzoPharmacy, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Fotios LoupakisUnit of Medical Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy. fotios.loupakis@iov.veneto.it.ORCID http://orcid.org/0000-0001-9651-0395
Istituto Oncologico Veneto · ITUniversity of Padua · ITAntwerp University Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Angiogenesis is an essential process for tumor growth and metastasis. Inhibition of angiogenesis as an anticancer strategy has shown significant results in a plethora of tumors. Anti-angiogenic agents are currently part of many standard-of-care options for several metastatic gastrointestinal cancers. Bevacizumab, aflibercept, ramucirumab, and regorafenib have significantly improved both progression-free and overall survival in different lines of treatment in metastatic colorectal cancer. Second-line ramucirumab and third-line apatinib are effective anti-angiogenic treatments for patients with metastatic gastric cancer. Unfortunately, the anti-angiogenic strategy has major practical limitations: resistance inevitably develops through redundancy of signaling pathways and selection for subclonal populations adapted for hypoxic conditions. Anti-angiogenic agents may be more effective in combination therapies, with not only cytotoxics but also other emerging compounds in the anti-angiogenic class or in the separate class of the so-called vascular-disrupting agents. This review aims to provide an overview of the approved and "under development" anti-angiogenic compounds as well as the vascular-disrupting agents in the treatment of gastrointestinal cancers, focusing on the actual body of knowledge available on therapy challenges, pharmacodynamic and pharmacokinetic mechanisms, safety profiles, promising predictive biomarkers, and future perspectives.

Indexed as

Angiogenesis InhibitorsAnimalsAntineoplastic AgentsDrug DevelopmentGastrointestinal NeoplasmsHumansNeovascularization, PathologicProtein BindingProtein Kinase InhibitorsVascular Endothelial Growth Factor AAngiogenesis InhibitorsAntineoplastic AgentsProtein Kinase InhibitorsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID30649744
OpenAlexW2909160537

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.