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Avastin, Genentech/Roche

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The angiogenesis inhibitor bevacizumab (Avastin, Genentech/Roche) significantly increases the risk for venous thromboembolism (VTE), a new meta-analysis concludes. Because the drug is being increasingly used in the routine treatment of cancer patients, the authors suggest that this new finding might merit a black-box warning.

Currently, the product information includes only arterial thromboembolic events in its warnings section. That finding comes from a meta-analysis of 5 clinical trials involving 1745 patients, which did not find an increase in the risk for VTE (J Natl Cancer Inst. 2007;99:1232-1239).

However, many more trials have been conducted since then, and this new, much larger, meta-analysis found a significant increase in the risk for VTE. The finding is reported in the November 19 issue of the Journal of the American Medical Association.

KATHY

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