Why search for a biomarker for Avastin?
- Biomarkers can generally be characterised as one or both of the following11
- prognostic markers: indicative of the natural course of disease, regardless of therapy
- predictive markers: determine likely efficacy of a particular therapy.
- Many agents that are widely used for the treatment of cancer (e.g. chemotherapy, immunotherapy) only elicit a response in a proportion of patients, yet are administered to unselected populations.
- The identification of a predictive biomarker that can be used to select patients who may benefit from therapy with Avastin is of considerable interest
- However, such a biomarker may be very difficult, if not impossible, to find
- there is considerable heterogeneity between the tumour types in which Avastin is used; finding a marker that will predict benefit in all indications is unlikely
- clinical trial data currently support the use of Avastin in unselected patients in the absence of a predictive biomarker.5,7–10,12–14