Krämer Irene, Lipp Hans-Peter
Apotheke des Klinikums der Johannes Gutenberg-Universität Mainz, Langenbeckstrasse 1, 55131 Mainz.
Med Monatsschr Pharm. 2006 Jul;29(7):249-54; quiz 255-6.
Bevacizumab represents the first humanized monoclonal antibody with antiangiogenic properties which has been introduced in clinical oncology. The VEGF antagonist is used for the treatment of advanced colorectal cancer based on significant survivial benefits. Besides hypertension, proteinuria, wound healing disorders, bleeding and thromboembolic events appear to be related to bevacizumab. Optimization of combination therapy, new potential indications as well as pharmacoeconomic considerations represent the topics of current discussion regarding the novel monoclonal antibody.
贝伐单抗是首个被引入临床肿瘤学的具有抗血管生成特性的人源化单克隆抗体。基于显著的生存获益,这种血管内皮生长因子(VEGF)拮抗剂被用于治疗晚期结直肠癌。除高血压外,蛋白尿、伤口愈合障碍、出血和血栓栓塞事件似乎都与贝伐单抗有关。联合治疗的优化、新的潜在适应证以及药物经济学考量是目前关于这种新型单克隆抗体讨论的主题。