Bevacizumab

Chemical formula: C₆₆₃₈H₁₀₁₆₀N₁₇₂₀O₂₁₀₈S₄₄  Molecular mass: 149,000 g/mol 

Therapeutic indications

Bevacizumab is indicated for:

Metastatic carcinoma of the colon or rectum

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

Bevacizumab in combination with fluoropyrimidine-based chemotherapy is indicated for treatment of adult patients with metastatic carcinoma of the colon or rectum.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Metastatic breast cancer

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

Bevacizumab in combination with paclitaxel is indicated for first-line treatment of adult patients with metastatic breast cancer.

Bevacizumab in combination with capecitabine is indicated for first-line treatment of adult patients with metastatic breast cancer in whom treatment with other chemotherapy options including taxanes or anthracyclines is not considered appropriate. Patients who have received taxane and anthracycline-containing regimens in the adjuvant setting within the last 12 months should be excluded from treatment with bevacizumab in combination with capecitabine.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Non-small cell lung cancer

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

Bevacizumab, in addition to platinum-based chemotherapy, is indicated for first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-small cell lung cancer other than predominantly squamous cell histology.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Advanced and/or metastatic renal cell cancer

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

Bevacizumab in combination with interferon alfa-2a is indicated for first-line treatment of adult patients with advanced and/or metastatic renal cell cancer.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Epithelial ovarian, fallopian tube and primary peritoneal cancer

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

Bevacizumab, in combination with carboplatin and paclitaxel is indicated for the front-line treatment of adult patients with advanced (International Federation of Gynecology and Obstetrics (FIGO) stages III B, III C and IV) epithelial ovarian, fallopian tube, or primary peritoneal cancer.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Cervical cancer

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

Bevacizumab, in combination with paclitaxel and cisplatin or, alternatively, paclitaxel and topotecan in patients who cannot receive platinum therapy, is indicated for the treatment of adult patients with persistent, recurrent, or metastatic carcinoma of the cervix.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Non-small cell lung cancer with Epidermal Growth Factor Receptor (EGFR) activating mutations

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

Bevacizumab, in combination with erlotinib, is indicated for first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-squamous non-small cell lung cancer with Epidermal Growth Factor Receptor (EGFR) activating mutations.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

First recurrence of platinum-sensitive epithelial ovarian, fallopian tube or primary peritoneal cancer

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

Bevacizumab, in combination with carboplatin and gemcitabine or in combination with carboplatin and paclitaxel, is indicated for treatment of adult patients with first recurrence of platinum-sensitive epithelial ovarian, fallopian tube or primary peritoneal cancer 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 (click for details):

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

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

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 (click for details):

Neovascular age-related macular degeneration

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

Bevacizumab is indicated in adults for treatment of neovascular (wet) age-related macular degeneration (nAMD).

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Contraindications

Bevacizumab is contraindicated in the following cases:

Pregnancy

Pregnancy

Lactation

Lactation

Major surgery

Surgical procedure

Recent pulmonary haemorrhage/haemoptysis

at least one of
Pulmonary hemorrhage
Hemoptysis

Patients with active or suspected ocular or periocular infections

at least one of
Eye infection
Infection of skin of eyelid and periocular region

Active intraocular inflammation

Uveitis

Anti-vascular endothelial growth factor medicinal products

Anti-angiogenic medicinal products

Rhegmatogenous retinal detachment, macular holes

at least one of
Rhegmatogenous retinal detachment
Full thickness macular hole stage III
Full thickness macular hole stage IV

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