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PubChem Substance
Name: bevacizumab
PubChem Substance ID: 3820205
Synonyms:
216974-75-3; Anti-VEGF monoclonal antibody; Bevacizumab [USAN:INN]; Immunoglobulin G1, anti-(human vascular endothelial growth factor) (human-mouse monoclonal rhuMAb-VEGF gamma1-chain), disulfide with human-mouse monoclonal rhuMAb-VEGF light chain, dimer; rhuMAb-VEGF; Avastin; Bevacizumab
DrugBank
Identification
Name: bevacizumab
Name (isomeric): DB00112
Drug Type: biotech
Synonyms:
antiVEGF; R-435; Avastin
Brand: Avastin (Genentech Inc), Avastin
Category: Antineoplastic Agents, Antiangiogenesis Agents
CAS number: 216974-75-3
Pharmacology
Indication: As part of combination therapy for metastatic colorectal cancer and HER2-negative metastatic breast cancer.
Pharmacology: Bevacizumab prevents or reduces the formation of blood vessels (angiogenesis) thereby preventing or reducing metatstatic disease progressing. Bevacizumab binds VEGF and prevents vascular endothelial growth and endothelial cell proliferation.
Mechanism of Action: Bevacizumab binds VEGF and prevents the interaction of VEGF to its receptors (Flt-1 and KDR) on the surface of endothelial cells. This prevents blood vessel proliferation and tumour metastasis.
Biotransformation: Most likely removed by opsonization via the reticuloendothelial system when bound to endothelial cells, or by human antimurine antibody production
Clearance: 0.26 L/day [Male patients who received 1 to 20 mg/kg of Avastin weekly, every 2 weeks, or every 3 weeks] 0.21 L/day [Female patients who received 1 to 20 mg/kg of Avastin weekly, every 2 weeks, or every 3 weeks] 0.25 L/day [Patients with higher tumor burden who received 1 to 20 mg/kg of Avastin weekly, every 2 weeks, or every 3 weeks] 0.2 L/day [patients with tumor burdens below the median who received 1 to 20 mg/kg of Avastin weekly, every 2 weeks, or every 3 weeks]
Affected organisms: Humans and other mammals
Interactions
Drug interaction:
SunitinibSunitinib may enhance the adverse/toxic effect of bevacizumab. Specifically, the risk for a specific form of anemia, microangiopathic hemolytic anemia (MAHA), may be increased. Bevacizumab may enhance the hypertensive effect of sunitinib. This combination is contraindicated.

Targets