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New Drug OK For Colorectal Cancer Patients With Avastin History

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According to Carmen Joseph Allegra, MD and colleagues of the University of Florida in Gainesville, Fla., a potentially promising treatment regimen for metastatic colorectal cancer is safe for patients who have previously received bevacizumab therapy, also known as Avastin.

The Florida researchers are presenting their findings at the American Society of Clinical Oncology's annual meeting in Chicago.

The findings come from the placebo-controlled, phase III VELOUR trial of aflibercept (Zaltrap) along with FOLFIRI combination chemotherapy. The VELOUR trial involved 1,226 patients with metastatic colorectal cancer, 373 of whom had a history of Avastin treatment.

Researchers sought to determine whether the Avastin history would have any effect among that specified subgroup. What they found was that median overall survival time with the combination was slightly shorter in patients with a history of Avastin compared to those that didn't (12.5 months versus 13.9 months).

Additionally, aflibercept plus FOLFIRI seems to prolong progression-free survival whether the patient had a history of Avastin or not. On top of that, the safety and adverse effect profile was the same, regardless of any Avastin history.

Aflibercept targets vascular endothelial growth factor (VEGF) like Avastin does, but unlike Avastin, aflibercept is a "synthetic fusion protein that acts as a decoy receptor for VEGF." In doing so it does not allow proteins and placental growth factor from triggering angiogenic signalling and vascular development in the tumor.

Source: Medpage Today

 

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