Bevacizumab

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Bevacizumab, also known as Avastin

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Better Known as: Avastin

  • Marketed By: Genentech & Roche
  • Major Indication: Colorectal Cancer
  • Drug Class: Vascular Endothelial Growth Factor Inhibitor - Monoclonal Antibody
  • Date of FDA Approval (Patent Expiration): 2004 (2019)
  • 2009 Sales: $4.8 Billion
  • Importance: It is one of the best selling cancer treatments in history. Despite being effective against colorectal cancer, post-approval studies after accelerated approval revealed that Avastin was ineffective in treating breast cancer. Many question the $90,000/year bill to take Avastin when it extends life on average only 10 months.
  • The following is a list of Pharmacokinetic Parameters. See: Pharmaceutical Drugs for more information

Mechanism of Action

Pharmacokinetics

VEGF Inhibitor Pharmacokinetics[1]
Parameter Bevacizumab
Tmax (hr) 5.17
Cmax (ng/ml) 284000
Bioavailability (%) 100
T1/2 (days) 20
AUC (ug/ml/hr) 97488
IC50 (nM) .9
Clearance (L/h) .0096
Dosage (mg/kg) 10


References

  1. Garnier-Viougeat N, Rixe O, Paintaud G, Ternant D, Degenne D, Mouawad R, Deray G, Izzedine H. Pharmacokinetics of bevacizumab in haemodialysis. Nephrol Dial Transplant. 2007 Mar;22(3):975. Epub 2006 Nov 8. PMID:17093010 doi:10.1093/ndt/gfl664


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David Canner, Joel L. Sussman, Michal Harel, Alexander Berchansky