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Abstract
Bevacizumab, in combination with IFN, is approved in the EU as first-line therapy for advanced and/or metastatic renal cell carcinoma (mRCC). Data from Avastin and Roferon in Renal Cell Carcinoma [BO17705] (AVOREN), a Phase III trial, demonstrated that bevacizumab plus IFN significantly improves progression-free survival and response rate in patients with previously untreated mRCC compared with IFN plus placebo. Furthermore, bevacizumab plus IFN is well tolerated and has a predictable and well-established tolerability profile; reducing the dose of IFN, when necessary, can effectively manage IFN-related side effects without compromising efficacy. The rapid evolution of options for RCC therapy means that the optimal use of available agents to maximize patient benefit is not currently well defined. Combination regimens and sequencing of agents are both being investigated to maximize future outcomes, with bevacizumab playing a key role in first-line regimens. Trials over the next 5 years will guide clinical practice, but bevacizumab plus IFN is currently a standard first-line option for mRCC.
Financial & competing interests disclosure
Bernard Escudier has consulted and received honoraria from Antigenics, Bayer Healthcare, Genentech, Inc., GSK, Novartis, Pfizer, Inate Pharma, F Hoffman-La Roche Ltd and Wyeth. Jan Cosaert and Pavel Pisa are employees of F Hoffman-La Roche Ltd, and Pavel Pisa owns stocks of F Hoffman-La Roche Ltd.
The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.
The authors acknowledge the medical writing support of Stuart Langley of Gardiner-Caldwell Communications (Macclesfield, UK). The medical writing support was funded by F Hoffman-La Roche Ltd.