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Vascular endothelial growth factor activity after switching of bisphosphonate treatment for metastatic breast cancer
  1. E Amir,
  2. M Trinkaus,
  3. C E Simmons,
  4. G Dranitsaris,
  5. M J Clemons
  1. Division of Medical Oncology, Princess Margaret Hospital, Toronto, Ontario, Canada
  1. Dr M Clemons, Medical Oncology, Princess Margaret Hospital (5-205), 610 University Avenue, Toronto, ON M5G 2M9, Canada; mark.clemons{at}uhn.on.ca

Abstract

Background: Recent data have shown a fall in vascular endothelial growth factor (VEGF) concentrations after bisphosphonate (BP) treatment in BP-naïve patients. It has therefore been proposed that BPs may have in vivo anti-VEGF effects.

Aims: To explore whether VEGF concentrations change after administration of a more potent BP in patients receiving long-term BP treatment.

Methods: 31 patients with breast cancer who had progressive metastatic bone disease despite treatment with early-generation BPs were switched to zoledronic acid. Serum VEGF concentrations were measured at baseline, and weeks 1, 2, 3, 4, 8 and 12.

Results: VEGF concentration per platelet count did not change significantly at any time during the 12 weeks after treatment with zoledronic acid.

Conclusions: Switching to zoledronic acid did not suppress circulating serum VEGF concentrations in BP-pretreated patients. Novel approaches to assess the effect of BPs on the bone milieu may provide further insight into the possible antiangiogenic properties of BPs.

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Footnotes

  • Competing interests: None.

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