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The safety profile of Avastin does not generally overlap with those of concomitant therapies

Chemotherapy

Chemotherapy-related AEs occurred at similar incidences with or without Avastin in a phase III study in NSCLC11


 
  • Anticancer agents such as cytotoxic chemotherapy and immunotherapy also have toxicity profiles related to their MoA.
 
  • Depending on the specific therapy, AEs may include
    • myelosuppression
    • diarrhoea, nausea and vomiting
    • mucositis/stomatitis
    • hand-foot syndrome
    • alopecia
    • fatigue.
 
  • Due to its precise action against VEGF, the side effects associated with the use of Avastin do not generally overlap with those of concomitant agents
    • some such toxicities have been reported at higher frequencies in Avastin-treated patients in randomised trials; this is likely to result from increased exposure to concomitant therapy in patients receiving efficacy benefit from Avastin.9,10
 
  • Non-specific VEGF targeting by anti-angiogenic agents of different design to Avastin (e.g. TKIs) can produce AEs typically observed with chemotherapy, such as myelosuppression, hand-foot syndrome and fatigue, potentially making the combination of these agents with other therapies problematic.12