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Targeted therapies in the management of renal cell carcinoma: role of bevacizumab

Authors Escudier B, Cosaert J, Jethwa S

Published 12 September 2008 Volume 2008:2(3) Pages 517—530


Review by Single anonymous peer review

Peer reviewer comments 1

Bernard Escudier1, Jan Cosaert2, Sangeeta Jethwa2

1Unité Immunothérapie, Institut Gustave Roussy, Villejuif, France; 2F. Hoffmann-La Roche Ltd, Basel, Switzerland

Abstract: Bevacizumab (10 mg/kg every 2 weeks), in combination with interferon alpha-2a (IFN), is an effective option for first-line therapy for advanced and/or metastatic renal cell carcinoma (RCC). Two phase III trials clearly show significant improvements in progression-free survival and response rate in patients with treatment-naïve metastatic RCC receiving bevacizumab combined with IFN compared with IFN. The dose of IFN, which was initiated at 9 MIU 3 times a week in these trials, can be reduced to effectively manage IFN-related side effects without compromising the efficacy of bevacizumab plus IFN. Bevacizumab has good tolerability with manageable side effects, both alone and in combination with other agents; the tolerability profile of bevacizumab in combination with IFN is consistent with the well-characterized and well-established profiles of these therapies. The tolerability of bevacizumab combined with IFN and the flexibility to manage IFN-related side effects are important considerations when selecting first-line therapy. With a number of options now available for RCC therapy, optimizing their use is a key consideration in improving patient benefit.

Keywords: bevacizumab (Avastin®), interferon alpha, efficacy, tolerability, renal cell carcinoma (RCC), low-dose interferon

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