Table 2: FDA approved angiogenesis inhibitors as cancer therapeutics (adapted from multiple sources including Yang 2017, Rajabi and Mousa 2017, and Ye 2016) [80-82].
|
Mechanism of Action |
Specific targets |
Generic Name (Brand Name), Year of FDA approval |
Indication(s) |
|
Anti-VEGF antibody |
VEGF-A |
Bevacizumab (Avastin®), 2004 [83] |
Colorectal, non-small-cell lung cancer (NSCLC), glioblastoma multiforme, and epithelial ovarian cancer |
|
VEGF inhibitor (trap mechanism) |
VEGF-A, VEGF-B, PlGF |
Ziv-aflibercept (Zaltrap®), 2012 [84] |
Colorectal cancer |
|
VEGFR antibody |
VEGFR-2 |
Ramucirumab (Cyramza®), 2014 [85, 86] |
Stomach cancer, gastroesophageal junction adenocarcinoma, NSCLC, and hepatocellular carcinoma |
|
Tyrosine kinase inhibitor (TKI) |
VEGFRs, PDGFRs, cKIT |
Axitinib (Inlyta®), 2012 [87] |
Renal cell carcinoma |
|
TKI |
VEGFRs cKIT, DDR2, FGFRs, FLT3, FMS, MUSK, cRAF, PDGFRs, Ret, TAO2 |
Sorafenib (Nexavar®), 2005 [88] |
Renal cell carcinoma and hepatocellular carcinoma |
|
TKI |
VEGFRs ARK5, CaMKIIs, CHK2, cKIT, cRAF, FGFR1, Flt3, FMS, Mer, PDGFR, Ret, TrkA |
Sunitinib (Sutent®), 2006 [89] |
Renal cell carcinoma, gastrointestinal carcinoma and PNETs |
|
TKI |
VEGFRs, cKIT, FMS, FGFR2, FLT3, MLK1, PDGFR |
Pazopanib (Votrient®), 2009 [90, 91] |
Renal cell carcinoma and advanced soft tissue sarcoma |
|
TKI |
VEGFRs PDGFRs, FGFRs, Tie2, DDR2, Trk2A, Eph2A, RAF-1, STK5 |
Regorafenib (Stivarga®), 2012 [92] |
Colorectal cancer, gastrointestinal stromal tumor and hepatocellular carcinoma |
|
TKI |
VEGFRs, cMET, Ret, cKIT, Axl |
Cabozantinib (Cometriq®), 2012 [86, 93] |
Thyroid cancer, renal cell and hepatocellular carcinoma |
|
TKI |
VEGFRs EGFRs, Ret |
Vandetanib (Caprelsa®), 2011 [94] |
Thyroid cancer |
|
bFGF inhibitor |
FGF |
Lenalidomide (Revlimid®) [95, 96] |
Myeloma, mantle cell, follicular and marginal zone lymphoma |
|
bFGF inhibitor |
FGF |
Thalidomide (Synovir, Thalomid®) [95-98] |
Myeloma
|
|
mTOR inhibitor |
mTOR |
Everolimus (Afinitor®) [99] |
Renal cell carcinoma, advanced breast cancer, pancreatic neuroendocrine tumors (PNETs), renal angiomyolipoma, and subependymal giant cell astrocytoma |
|
mTOR inhibitor |
mTOR |
Temsirolimus (Torisel®) [99] |
Renal cell carcinoma |