Acceptable Safety of Bevacizumab Therapy in Combination with Chemotherapy in Patients with Advanced Lung Cancer

Background and objective Bevacizumab is a recombinant humanized monoclonal IgG1 antibody that selectively binds to and neutralizes the biologic activity of human vascular endothelial growth factor (VEGF). Bevacizumab was approved by the U.S. Food and Drug Administration (FDA) in October 2006 for use...

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Main Authors: Wei WU, Liyan XU, Zhe LIU, Yunzhong ZHU, Heling SHI, Junfang TANG, Zan LIU, Qiyi MENG, Lili GUO, Hong TAO, Mingzhi LI
Format: Article
Language:zho
Published: Chinese Anti-Cancer Association; Chinese Antituberculosis Association 2009-03-01
Series:Chinese Journal of Lung Cancer
Subjects:
Online Access:http://www.lungca.org/index.php?journal=01&page=article&op=view&path%5B%5D=10.3779%2Fj.issn.1009-3419.2009.03.006&path%5B%5D=250
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author Wei WU
Liyan XU
Zhe LIU
Yunzhong ZHU
Heling SHI
Junfang TANG
Zan LIU
Qiyi MENG
Lili GUO
Hong TAO
Mingzhi LI
author_facet Wei WU
Liyan XU
Zhe LIU
Yunzhong ZHU
Heling SHI
Junfang TANG
Zan LIU
Qiyi MENG
Lili GUO
Hong TAO
Mingzhi LI
author_sort Wei WU
collection DOAJ
description Background and objective Bevacizumab is a recombinant humanized monoclonal IgG1 antibody that selectively binds to and neutralizes the biologic activity of human vascular endothelial growth factor (VEGF). Bevacizumab was approved by the U.S. Food and Drug Administration (FDA) in October 2006 for use in combination withcarboplatin and paclitaxel for the initial treatment of patients with unresectable, locally advanced, recurrent, or metastatic,nonsquamous, non-small cell lung cancer (NSCLC). The aim of this study is to observe the safety of bevacizumab therapy in combination with chemotherapy in Chinese patients with NSCLC. Methods Patients with advanced non-squamous NSCLC were treated with Bevacizumab 15 mg/kg, d1, repeated every 21 days until PD; Plus paclitaxel 175 mg/m2, on dl and carboplatin AUC=6 on dl. The cycle was repeated every 21 days. Results One grade 3 epistaxis was observed in onepatient. One grade 4 thrombosis was observed in one patient. 3/4-grade epistaxis and thrombosis was the most significant adverse events. Other adverse effects, such as hemoptysis, hypertension and proteinuria, were not severe and could be well tolerated. Conclusion Most chemotherapy-naive patients with advanced non-squamous NSCLC treated with bevacizumab in combination with paclitaxel and carboplatin have little adverse effects that can be well tolerated.
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spelling doaj.art-844b5409074c44e7a8668aecfc07b81f2022-12-22T03:53:08ZzhoChinese Anti-Cancer Association; Chinese Antituberculosis AssociationChinese Journal of Lung Cancer1009-34191999-61872009-03-01123231235Acceptable Safety of Bevacizumab Therapy in Combination with Chemotherapy in Patients with Advanced Lung CancerWei WULiyan XUZhe LIUYunzhong ZHUHeling SHIJunfang TANGZan LIUQiyi MENGLili GUOHong TAOMingzhi LIBackground and objective Bevacizumab is a recombinant humanized monoclonal IgG1 antibody that selectively binds to and neutralizes the biologic activity of human vascular endothelial growth factor (VEGF). Bevacizumab was approved by the U.S. Food and Drug Administration (FDA) in October 2006 for use in combination withcarboplatin and paclitaxel for the initial treatment of patients with unresectable, locally advanced, recurrent, or metastatic,nonsquamous, non-small cell lung cancer (NSCLC). The aim of this study is to observe the safety of bevacizumab therapy in combination with chemotherapy in Chinese patients with NSCLC. Methods Patients with advanced non-squamous NSCLC were treated with Bevacizumab 15 mg/kg, d1, repeated every 21 days until PD; Plus paclitaxel 175 mg/m2, on dl and carboplatin AUC=6 on dl. The cycle was repeated every 21 days. Results One grade 3 epistaxis was observed in onepatient. One grade 4 thrombosis was observed in one patient. 3/4-grade epistaxis and thrombosis was the most significant adverse events. Other adverse effects, such as hemoptysis, hypertension and proteinuria, were not severe and could be well tolerated. Conclusion Most chemotherapy-naive patients with advanced non-squamous NSCLC treated with bevacizumab in combination with paclitaxel and carboplatin have little adverse effects that can be well tolerated.http://www.lungca.org/index.php?journal=01&page=article&op=view&path%5B%5D=10.3779%2Fj.issn.1009-3419.2009.03.006&path%5B%5D=250BevacizumabLung neoplasmsSafety
spellingShingle Wei WU
Liyan XU
Zhe LIU
Yunzhong ZHU
Heling SHI
Junfang TANG
Zan LIU
Qiyi MENG
Lili GUO
Hong TAO
Mingzhi LI
Acceptable Safety of Bevacizumab Therapy in Combination with Chemotherapy in Patients with Advanced Lung Cancer
Chinese Journal of Lung Cancer
Bevacizumab
Lung neoplasms
Safety
title Acceptable Safety of Bevacizumab Therapy in Combination with Chemotherapy in Patients with Advanced Lung Cancer
title_full Acceptable Safety of Bevacizumab Therapy in Combination with Chemotherapy in Patients with Advanced Lung Cancer
title_fullStr Acceptable Safety of Bevacizumab Therapy in Combination with Chemotherapy in Patients with Advanced Lung Cancer
title_full_unstemmed Acceptable Safety of Bevacizumab Therapy in Combination with Chemotherapy in Patients with Advanced Lung Cancer
title_short Acceptable Safety of Bevacizumab Therapy in Combination with Chemotherapy in Patients with Advanced Lung Cancer
title_sort acceptable safety of bevacizumab therapy in combination with chemotherapy in patients with advanced lung cancer
topic Bevacizumab
Lung neoplasms
Safety
url http://www.lungca.org/index.php?journal=01&page=article&op=view&path%5B%5D=10.3779%2Fj.issn.1009-3419.2009.03.006&path%5B%5D=250
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AT zheliu acceptablesafetyofbevacizumabtherapyincombinationwithchemotherapyinpatientswithadvancedlungcancer
AT yunzhongzhu acceptablesafetyofbevacizumabtherapyincombinationwithchemotherapyinpatientswithadvancedlungcancer
AT helingshi acceptablesafetyofbevacizumabtherapyincombinationwithchemotherapyinpatientswithadvancedlungcancer
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AT zanliu acceptablesafetyofbevacizumabtherapyincombinationwithchemotherapyinpatientswithadvancedlungcancer
AT qiyimeng acceptablesafetyofbevacizumabtherapyincombinationwithchemotherapyinpatientswithadvancedlungcancer
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AT mingzhili acceptablesafetyofbevacizumabtherapyincombinationwithchemotherapyinpatientswithadvancedlungcancer