Cardiovascular adverse effects of targeted antiangiogenic drugs: mechanisms and management

Future Oncol. 2016;12(8):1067-80. doi: 10.2217/fon.16.4. Epub 2016 Feb 22.

Abstract

Anticancer treatment has evolved enormously over the last decade. Drugs targeting receptor tyrosine kinases, VEGFR and EGFR have changed the treatment landscape of certain cancers and have shifted the theme of anticancer therapy toward personalized care. However, these newer agents also come with unique side-effect profiles not seen with conventional chemotherapy including serious cardiovascular adverse effects. Hence, meticulous understanding of the adverse effects is crucial in maximizing clinical benefits and minimizing detrimental effects of these newer drugs. We have reviewed the cardiovascular adverse effects of anti-VEGF therapy in this article.

Keywords: adverse effects; angiogenesis inhibitors; anti-VEGF therapy; cardiovascular; tyrosine kinase inhibitors.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inhibitors / adverse effects*
  • Antineoplastic Agents / adverse effects*
  • Cardiotoxicity
  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / etiology*
  • Cardiovascular Diseases / metabolism
  • Cardiovascular Diseases / therapy*
  • Disease Management
  • Homeostasis / drug effects
  • Humans
  • Molecular Targeted Therapy / adverse effects*
  • Neoplasms / complications
  • Neoplasms / drug therapy
  • Signal Transduction / drug effects
  • Vascular Endothelial Growth Factor A / antagonists & inhibitors
  • Vascular Endothelial Growth Factor A / metabolism

Substances

  • Angiogenesis Inhibitors
  • Antineoplastic Agents
  • Vascular Endothelial Growth Factor A