Safety of bevacizumab in clinical practice for recurrent ovarian cancer: A retrospective cohort study.

Abstract:

:The poor outcome of patients with recurrent ovarian cancer constitutes a continuous challenge for decision-making in clinical practice. In this setting, molecular targets have recently been identified, and novel compounds are now available. Bevacizumab has been introduced for the treatment of patients with ovarian cancer and is, to date, the most extensively investigated targeted therapy in this setting. However, potential toxicities are associated with the use of this monoclonal antibody. These toxicities have been reported in clinical trials, and can also be observed outside of trials. As limited data is currently available regarding the safety of bevacizumab treatment in daily clinical practice, the current retrospective study was designed to evaluate this. Data from 156 patients with recurrent ovarian cancer who had received bevacizumab treatment between January 2006 and June 2009 were retrospectively identified from the institutional records of five French centers. In contrast to clinical trials, the patients in the present study were not selected and had a heterogeneous profile according to their prior medical history, lines of treatment prior to bevacizumab introduction and number of relapses. The results first confirm the effect of heavy pretreatment on the occurrence of serious and fatal adverse events in clinical practice, as previously reported for clinical trials and for other retrospective cohort studies. Importantly, the data also demonstrates, for the first time, that medical history of hypertension is an independent predictive risk factor for the development of high-grade hypertension during bevacizumab treatment. These results thus suggest that treating physicians must consider all risk factors for managing bevacizumab toxicity prior to its introduction. Such risk factors include the time of bevacizumab introduction, a patient's history of hypertension and a low incidence of pre-existing obstructive disease.

journal_name

Oncol Lett

journal_title

Oncology letters

authors

Selle F,Emile G,Pautier P,Asmane I,Soares DG,Khalil A,Alexandre J,Lhommé C,Ray-Coquard I,Lotz JP,Goldwasser F,Tazi Y,Heudel P,Pujade-Lauraine E,Gouy S,Tredan O,Barbaza MO,Ady-Vago N,Dubot C

doi

10.3892/ol.2016.4146

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

1859-1865

issue

3

eissn

1792-1074

issn

1792-1082

pii

OL-0-0-4146

journal_volume

11

pub_type

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