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Will bevacizumab biosimilars impact the value of systemic therapy in gynecologic cancers?
Bradley J Monk1, Warner K Huh2, Julie Ann Rosenberg3
1Arizona Oncology (US Oncology Network), University of Arizona College of Medicine, Creighton University School of Medicine at St. Joseph's Hospital, Phoenix, AZ USA.
Objective:
Bevacizumab is an important component in the treatment of various cancers, and despite guidelines recommending its use in both ovarian and cervical cancer, patient access to bevacizumab and other angiogenesis inhibitors is limited. Biosimilars are large, structurally complex molecules that are intended to be highly similar to, and treat the same condition(s) as, an existing licensed or approved (reference) biologic, with no clinically meaningful differences in purity, potency and safety. This article summarizes the role of bevacizumab in the treatment paradigm of ovarian and cervical cancer. We also discuss the potential role of biosimilars to bevacizumab, which may offer more affordable options in the future treatment of gynecologic cancers.
Methods:
Literature searches of PubMed and ClinicalTrials.gov databases were conducted. Regulatory and individual pharmaceutical company web pages were also reviewed. Search terms included "biosimilar" and "bevacizumab," and these were used to identify information regarding biosimilar development, reporting results of biosimilar studies or biosimilars in development.
Results:
At present, four bevacizumab biosimilar candidates are undergoing comparative clinical assessment, with the potential to increase access and offer efficiencies across healthcare systems.
Conclusions:
It is anticipated that biologics such as bevacizumab will continue to play a key role in the treatment of an array of gynecologic cancers. Biosimilars to bevacizumab are currently in development and have the potential to increase access to medicines in a variety of settings, including gynecologic cancers.
Insights
Bevacizumab biosimilars are in development and may improve patient access to gynecologic cancer treatments. These biosimilars offer potential cost efficiencies for healthcare systems.
Area of Science:
- Oncology
- Pharmacology
- Biotechnology
Background:
- Bevacizumab is a key treatment for ovarian and cervical cancers.
- Patient access to bevacizumab is currently limited.
- Biosimilars offer similar efficacy and safety to reference biologics.
Purpose of the Study:
- To review bevacizumab's role in gynecologic cancer treatment.
- To explore the potential of bevacizumab biosimilars.
- To discuss increased access to cancer therapies.
Main Methods:
- Searched PubMed and ClinicalTrials.gov for relevant studies.
- Reviewed regulatory and pharmaceutical company information.
- Identified bevacizumab biosimilars in development.
Main Results:
- Four bevacizumab biosimilar candidates are in clinical assessment.
- Biosimilars have the potential to increase access to treatment.
- These candidates may improve healthcare system efficiencies.
Conclusions:
- Bevacizumab will remain crucial for gynecologic cancer treatment.
- Bevacizumab biosimilars are under development.
- Biosimilars may enhance patient access to gynecologic cancer therapies.
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