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Table 6 Inhibitors and antibodies targeting tumor vasculature in the TME for cancer therapy used in clinical trials or approved by the FDA. Data has been collected from http://www.fda.gov, and http://www.clinicaltrials.gov accessed in November 2023

From: Harnessing the tumor microenvironment: targeted cancer therapies through modulation of epithelial-mesenchymal transition

Drugs targeting tumor vasculature in the TME

Targeting Tumor Vasculature

 

Targeted Molecule

Drug Name

Type of Agent/s

Mechanism of Action

Status

Cancer Type/s

NCTs

References

VEGF/VEGFR

Cediranib

Neutralizing antibodies, fusion proteins (VEGF-TRAP)

Antiangiogenic therapy

Phase 2

ASTs (GLI)

NCT00777153

PMID: 23,940,216

Bevacizumab

  

Approved

ASTs (BC, CC, CRC, FTC, GLI, HCC, NSCLC, OC, PPC, RCC)

NCT03829410

PMID: 38,231,047

Aflibercept

  

Approved

ASTs (CRC)

NCT00561470

PMID: 24,368,879

Ramucirumab

  

Approved

ASTs (CRC, GC, HCC, NSCLC)

NCT00917384

PMID: 24,094,768

uPAR

WX-671

Small-molecule inhibitor

Antiangiogenic therapy

Phase 2

BC

NCT00615940

PMID: 35,158,766

RTKs

Axitinib

Small-molecule inhibitors

Antiangiogenic therapy

Phase 3

ASTs (RCC)

NCT00678392

PMID: 23,598,172

 

Sorafenib

  

Approved

ASTs (HCC, RCC, TC)

NCT00073307

PMID: 17,215,530

 

Sunitinib

  

Approved

ASTs (GIST, PC, RCC)

NCT00428597

PMID: 27,836,885

 

Pazopanib

  

Approved

ASTs (RCC, STS)

NCT00720941

PMID: 23,964,934

ANG2–TIE2

MEDI3617

Neutralizing antibodies/

     

peptibodies, small-molecule

       

inhibitors

Antiangiogenic therapy

Phase 1

ASTs

NCT01248949

PMID: 29,559,563

  
 

Rebastinib

  

Phase 2

ASTs

NCT03601897

PMID: 34,440,616

 

Trebananib

  

Phase 3

ASTs

NCT01493505

PMID: 31,076,365

  1. Targeted Molecules: ANG2-TIE2: Angiopoietin-2-TIE2; RTK: Receptor tyrosine kinase; uPAR: Urokinase-type plasminogen activator receptor; VEGF: Vascular endothelial growth factor; VEGFR: Vascular endothelial growth factor receptor. Cancer Types: ASTs: Advanced Solid Tumors; BC: Breast Cancer; CC: Cervical Cancer; CRC: Colorectal Cancer; FTC: Fallopian Tube Cancer; GC: Gastric Cancer; GIST: Gastrointestinal stromal tumor; GLI: Glioblastoma; HCC: Hepatocellular Carcinoma; NSCLC: Non-Small Cell Lung Cancer; OC: Ovarian Cancer; PC: Pancreatic Cancer; PPC: Primary Peritoneal Cancer; RCC: Renal Cell Carcinoma; STS: Soft Tissue Sarcoma; TC: Thyroid Cancer. In case drugs targeting tumor vasculature in the TME for cancer therapy are being used in several ASTs, only a representative clinical trial (NCT) and its related reference (PMID) have been selected for (a) specific AST(s)