Although the number of enrolled selleckchem 17-AAG patients with other histologic Inhibitors,Modulators,Libraries subtypes was small, clinical benefits among these patients Inhibitors,Modulators,Libraries appeared more limited than among those with adenocarcinoma. Current multidisciplinary recom mendations for changes in NSCLC classification support the potential value of histologic subtype in influ encing treatment decisions in NSCLC. In addition to histology, research has revealed the importance of driver mutations in NSCLC, which are particularly prevalent among adenocarcinomas, presenting at different inci dence rates in specific patient groups. Preclinical and clinical evidence has shown that these mutations may affect response to targeted therapy, suggesting that a further division of NSCLC into clinically relevant cisplatin.
Immunohistochemical staining of NCI H358 and NCI H1650 tumors Inhibitors,Modulators,Libraries at the end of the experiments demonstrated that the vessel area percentage was significantly decreased after treatment with the suboptimal dose of motesanib alone or in combination with cisplatin at 5 mg/kg or 4 mg/kg, compared with vehicle or cisplatin monotherapy. Inhibitors,Modulators,Libraries Inhibitors,Modulators,Libraries In addition, tumor burden was significantly decreased in both the NCI H358 and the NCI H1650 xenograft mod els when motesanib plus cisplatin was administered in combination, compared with either vehicle or cisplatin monotherapy. In contrast, at the doses tested tumor burden was not decreased in either xenograft model when motesanib or cisplatin were given as monotherapy, presumably because both agents were used at suboptimal doses.
Discussion Recently, there has been increased recognition of histo logic subtype as a potential predictor of efficacy with first line treatment of advanced NSCLC. A retro spective analysis of the pivotal E4599 trial of first line bevacizumab combined with carboplatin/paclitaxel normally in nonsquamous NSCLC showed that patients with adeno carcinoma who mutational subgroups may allow for a more tailored treatment approach. Targeted treatments that may be ef fective regardless of mutational status may be even more desirable. Hence, it appears critical that preclinical studies asses sing investigational agents should be designed to test ac tivity in models that represent more than one NSCLC subtype. The antitumor activity of a number of VEGFR inhibitors either as single agents or combined with chemotherapy has been demonstrated in a variety of NSCLC xenograft models. However, few of these studies have assessed activity in more than one or two different models. The present study aimed to assess the antitumor activity of motesanib as a single agent or combined with chemotherapy in human NSCLC xeno graft models with varying genetic backgrounds and hist ology.