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Updated: Aug 18, 2026

Detection of a Circulating MicroRNA Custom Panel in Patients with Metastatic Colorectal Cancer
Published on: March 14, 2019
The horizon of antiangiogenic therapy for colorectal cancer
Adam J Olszewski1, Michael L Grossbard, Peter S Kozuch
1St. Luke's-Roosevelt Hospital Center, USA.
Abstract:
Vascular endothelial growth factor (VEGF) plays a crucial role in the growth and metastatic spread of cancer. Bevacizumab (Avastin) is the first commercially available VEGF inhibitor, earning U.S. Food and Drug Administration (FDA) approval in February 2004. In combination with fluorouracil (5-FU)-based chemotherapy, this agent significantly prolongs overall and progression-free survival of patients with metastatic colorectal cancer. This review details the emerging role of the drug, its unique side effects, and other practical considerations related to bevacizumab therapy. Ongoing trials attempting to define additional indications for bevacizumab as well as the development of other promising angiogenesis inhibitors are also reviewed.
Insights
Bevacizumab (Avastin), a vascular endothelial growth factor (VEGF) inhibitor, significantly improves survival for metastatic colorectal cancer patients. This review covers its role, side effects, and future applications in cancer therapy.
Area of Science:
- Oncology
- Pharmacology
- Cancer Biology
Background:
- Vascular endothelial growth factor (VEGF) is critical for tumor growth and metastasis.
- Bevacizumab (Avastin) is a pioneering anti-VEGF therapy approved by the FDA.
- Metastatic colorectal cancer (mCRC) poses significant treatment challenges.
Purpose of the Study:
- To review the clinical role of Bevacizumab in cancer treatment.
- To discuss Bevacizumab's efficacy, side effects, and practical administration.
- To explore ongoing research and future directions for anti-angiogenic therapies.
Main Methods:
- Review of clinical trial data and scientific literature.
- Analysis of Bevacizumab's mechanism of action and therapeutic outcomes.
- Synthesis of information on side effect profiles and patient management.
Main Results:
- Bevacizumab combined with fluorouracil (5-FU) chemotherapy significantly improves overall and progression-free survival in mCRC.
- The review details Bevacizumab's unique side effect profile.
- Ongoing trials are investigating new indications and other angiogenesis inhibitors.
Conclusions:
- Bevacizumab is an established therapy for metastatic colorectal cancer.
- Understanding its side effects and practical use is crucial for effective patient care.
- Further research promises expanded applications for anti-angiogenic agents.
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