Fumagillin, an unstable anti-angiogenesis mycotoxin, was synthesized into a stable lipase-labile prodrug and incorporated into integrin-targeted lipid-encapsulated nanoparticles (αvβ3-Fum-PD NP). Dual anti-angiogenic therapy combining αvβ3-Fum-PD NP with zoledronic acid (ZA), a long-acting osteoclast inhibitor with proposed anti-angiogenic effects, was evaluated. In vitro, αvβ3-Fum-PD NP reduced (p<0.05) endothelial cell viability and tube formation without impacting macrophage viability. ZA suppressed (p<0.05) macrophage viability at high dosages in vitro but not endothelial cell proliferation. 3D MRI neovascular imaging of 17d rabbit Vx2 tumors showed no effect with ZA, whereas αvβ3-Fum-PD NP alone and with ZA decreased angiogenesis (p<0.05). Immunohistochemistry revealed decreased (p<0.05) microvascularity with αvβ3-Fum-PD NP and ZA and further microvascular reduction (p<0.05) with the dual-therapy. However, in vivo, ZA did not decrease tumor macrophage numbers nor cancer cell proliferation, whereas αvβ3-Fum-PD-NPs reduced both measures. Dual-therapy with ZA and αvβ3-Fum-PD-NP may provide enhanced neo-adjuvant utility if macrophage ZA uptake is increased.