Platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer

Active Ingredient: Bevacizumab

Indication for Bevacizumab

Population group: only adults (18 years old or older)
Therapeutic intent: Adjunct intent

Bevacizumab, in combination with topotecan, or pegylated liposomal doxorubicin is indicated for the treatment of adult patients with platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who received no more than two prior chemotherapy regimens and who have not received prior therapy with bevacizumab or other VEGF inhibitors or VEGF receptor-targeted agents.

For this indication, competent medicine agencies globally authorize below treatments:

10 mg/kg of body weight once every 2 weeks or 15 mg/kg of body weight once every 3 weeks

For:

Dosage regimens

Regimen A: Intravenous, 10 milligrams bevacizumab, once every 2 weeks.

Regimen B: Intravenous, 15 milligrams bevacizumab, once every 3 weeks.

Detailed description

Treatment of platinum-resistant recurrent disease

Bevacizumab is administered in combination with one of the following agents – topotecan (given weekly) or pegylated liposomal doxorubicin.

The recommended dose of bevacizumab is 10 mg/kg of body weight given once every 2 weeks as an intravenous infusion.

When bevacizumab is administered in combination with topotecan (given on days 1-5, every 3 weeks), the recommended dose of bevacizumab is 15 mg/kg of body weight given once every 3 weeks as an intravenous infusion.

It is recommended that treatment be continued until disease progression or unacceptable toxicity.

Dosage considerations

It should not be administered as an intravenous push or bolus.

Dose reduction for adverse reactions is not recommended. If indicated, therapy should either be permanently discontinued or temporarily suspended.

Active ingredient

Bevacizumab

Bevacizumab binds to vascular endothelial growth factor (VEGF), the key driver of vasculogenesis and angiogenesis, and thereby inhibits the binding of VEGF to its receptors, Flt-1 (VEGFR-1) and KDR (VEGFR-2), on the surface of endothelial cells. Neutralising the biological activity of VEGF regresses the vascularisation of tumours, normalises remaining tumour vasculature, and inhibits the formation of new tumour vasculature, thereby inhibiting tumour growth.

Read more about Bevacizumab

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