Use of bevacizumab as a first-line treatment for metastatic breast cancer

  • L. Manso Hospital Universitario 12 de Octubre
  • F. Moreno Hospital Universitario Clínico San Carlos
  • R. Márquez MD Anderson Cancer Center
  • B. Castelo Hospital Universitario La Paz
  • A. Arcediano
  • M. Arroyo
  • A.I. Ballesteros
  • I. Calvo
  • M.J. Echarri
  • S. Enrech
  • A. Gómez
  • R. González del Val
  • E. López-Miranda
  • M. Martín-Angulo
  • N. Martínez-Jañez
  • C. Olier
  • P. Zamora
Keywords: bevacizumab, metastatic breast cancer, clinical practice

Abstract

Objective

During clinical practice, it can be challenging, given the lack of response biomarkers, to identify the patients with metastatic breast cancer (mbca) who would benefit most from the addition of bevacizumab to first-line standard chemotherapy. The aim of the present review was to summarize the relevant scientific evidence and to discuss the experience of a group of experts in using bevacizumab to treat mbca.

Methods

A panel of 17 Spanish oncology experts met to discuss the literature and their experience in the use of bevacizumab as first-line treatment for mbca. During the meeting, discussions focused on three main issues: the profile of the patients who could benefit most from bevacizumab, the optimal bevacizumab treatment duration, and the safety profile of bevacizumab.

Results

The subset of mbca patients who would benefit the most from the addition of bevacizumab to first-line standard chemotherapy are those with clinically defined aggressive disease. Treatment with bevacizumab should be maintained until disease progression or the appearance of unacceptable toxicity. In the mbca setting, the toxicity profile of bevacizumab is well known and can be managed in clinical practice after adequate training.

Conclusions

This expert group recommends administering bevacizumab as first-line treatment in patients with clinically aggressive disease.


Published
2015-01-08
How to Cite
Manso, L., Moreno, F., Márquez, R., Castelo, B., Arcediano, A., Arroyo, M., Ballesteros, A., Calvo, I., Echarri, M., Enrech, S., Gómez, A., González del Val, R., López-Miranda, E., Martín-Angulo, M., Martínez-Jañez, N., Olier, C., & Zamora, P. (2015). Use of bevacizumab as a first-line treatment for metastatic breast cancer. Current Oncology, 22(2), e51-e60. https://doi.org/10.3747/co.22.2210
Section
Medical Oncology