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Published on: October 27, 2014
Bevacizumab in advanced lung cancer: state of the art
Sandra Assoun1, Solenn Brosseau1,2, Christelle Steinmetz3
1Department of Thoracic Oncology & CIC 1425/CLIP2 Paris-Nord, Bichat-Claude Bernard Hospital, APHP, Paris, France.
Abstract:
Despite recent advances in metastatic lung cancer treatment with the advent of immune checkpoint inhibitors and molecules targeting addictive genomic abnormalities, prognosis of most of the patients remains unfavorable. Combination approaches with older drugs, such as bevacizumab, should be thus envisioned. Bevacizumab is a monoclonal anti-VEGF antibody, approved by the US FDA and the EMA in first-line and maintenance settings of advanced nonsquamous non-small-cell lung cancer (NSCLC) treatment, in association with platinum-based chemotherapy. In the years to come, bevacizumab might be associated with new molecular therapies or immuno-oncology drugs, in order to optimize response rates and overcome resistances. This review summarizes the pharmacologic properties, clinical efficacy and safety of bevacizumab in advanced lung cancer treatment, with a focus on NSCLC, EGFR-mutant NSCLC and small-cell lung cancer.
Insights
Bevacizumab, an anti-VEGF antibody, offers a valuable combination approach for advanced lung cancer. This review details its efficacy and safety in non-small cell lung cancer (NSCLC) and small cell lung cancer.
Area of Science:
- Oncology
- Pharmacology
Background:
- Despite advances in lung cancer treatment, patient prognosis remains poor.
- Combination therapies involving established drugs like bevacizumab are crucial.
Purpose of the Study:
- To review the pharmacologic properties, clinical efficacy, and safety of bevacizumab in advanced lung cancer.
- To explore bevacizumab's potential in combination with novel therapies for improved outcomes.
Main Methods:
- Literature review of bevacizumab's use in advanced non-small cell lung cancer (NSCLC), EGFR-mutant NSCLC, and small-cell lung cancer.
- Analysis of clinical trial data and pharmacologic properties.
Main Results:
- Bevacizumab is approved for advanced non-squamous NSCLC in combination with chemotherapy.
- The review synthesizes data on its efficacy and safety profile.
Conclusions:
- Bevacizumab remains a relevant therapeutic option for advanced lung cancer.
- Future research should focus on combining bevacizumab with newer molecular and immuno-oncology agents to enhance treatment efficacy and overcome resistance.
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