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