Pazopanib a tyrosine kinase inhibitor with strong anti-angiogenetic activity: A new treatment for metastatic soft tissue sarcoma

Girolamo Ranieri, Maria Mammì, Eugenio Donato Di Paola, Emilio Russo, Luca Gallelli, Rita Citraro, Cosmo Damiano Gadaleta, Ilaria Marech, Michele Ammendola, Giovambattista De Sarro

Research output: Contribution to journalArticle


Soft tissue sarcomas (STS) are rare tumors with mesenchymal origin, accounting for 1% of all human cancer. Local control of STS can be obtained through the use of surgery and radiotherapy. In about 40% of these patients, disease will recur at distant sites, and of these more than 90% will die because of this aggressive malignancy. In advanced and/or metastatic STS patients treated with anthracycline-based regimen the median overall survival is about 12 months, and it has remained unchanged during the last 20 years. Clearly, this strongly suggests the need for discover more active compounds in STS, such as imatinib in GIST or dermatofibrosarcoma patients. In this paper we describe the crucial role of angiogenesis mechanisms in sarcomas development and progression. Consequentially, we focus on pazopanib, a novel multitargeted tyrosine kinase inhibitor with anti-angiogenic activity, mainly due to VEGFR2 pathway interference. We also analyze principal completed trials leading pazopanib approval in sarcomas pretreated patients.

Original languageEnglish
Pages (from-to)322-329
Number of pages8
JournalCritical Reviews in Oncology/Hematology
Issue number2
Publication statusPublished - Feb 2014



  • Angiogenesis
  • Pazopanib
  • Soft tissue sarcoma
  • Targeted therapy
  • Tyrosine kinase inhibitor (TKI)
  • Vascular endothelial growth factor (VEGF)

ASJC Scopus subject areas

  • Oncology
  • Hematology
  • Geriatrics and Gerontology

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