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The Bevacizumab Experience in Advanced Renal Cell Carcinoma

Overview
Publisher Dove Medical Press
Specialty Oncology
Date 2010 Nov 5
PMID 21049084
Citations 8
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Abstract

Bevacizumab in combination with interferon alfa is now approved for treatment-naïve advanced renal cell carcinoma (RCC) in both the US and Europe. Its objective response rates of 30% and progression-free survival rates of 9-10 months are comparable to the other approved first-line multityrosine kinase inhibitors, sunitinib and pazopanib. Its advantages include a different toxicity profile and assurance of administration compliance given its intravenous formulation. Enthusiasm for its use is blunted by the increased costs, the potential infusion-related reactions, the associated interferon-related toxicities, and the inconvenience of its nonoral formulation. Further study is warranted to assess its efficacy both as a single agent and in combination with the targeted agents and other immunotherapies. With multiple agents now available for the treatment of advanced RCC, identification of patient and tumor-specific biomarkers to inform our choice of first-line therapy and the proper sequence of subsequent therapies is imperative.

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References
1.
Maxwell P, Wiesener M, Chang G, Clifford S, Vaux E, Cockman M . The tumour suppressor protein VHL targets hypoxia-inducible factors for oxygen-dependent proteolysis. Nature. 1999; 399(6733):271-5. DOI: 10.1038/20459. View

2.
Sternberg C, Davis I, Mardiak J, Szczylik C, Lee E, Wagstaff J . Pazopanib in locally advanced or metastatic renal cell carcinoma: results of a randomized phase III trial. J Clin Oncol. 2010; 28(6):1061-8. DOI: 10.1200/JCO.2009.23.9764. View

3.
Dudek A, Zolnierek J, Dham A, Lindgren B, Szczylik C . Sequential therapy with sorafenib and sunitinib in renal cell carcinoma. Cancer. 2008; 115(1):61-7. DOI: 10.1002/cncr.24009. View

4.
Hainsworth J, Sosman J, Spigel D, Edwards D, Baughman C, Greco A . Treatment of metastatic renal cell carcinoma with a combination of bevacizumab and erlotinib. J Clin Oncol. 2005; 23(31):7889-96. DOI: 10.1200/JCO.2005.01.8234. View

5.
Jonasch E, Wood C, Matin S, Tu S, Pagliaro L, Corn P . Phase II presurgical feasibility study of bevacizumab in untreated patients with metastatic renal cell carcinoma. J Clin Oncol. 2009; 27(25):4076-81. PMC: 4371138. DOI: 10.1200/JCO.2008.21.3660. View