PMID- 28210135 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240324 IS - 1179-2728 (Print) IS - 1179-2728 (Electronic) IS - 1179-2728 (Linking) VI - 4 DP - 2013 TI - Practical management of NSCLC patients with long-term bevacizumab treatment: a report of four cases. PG - 55-59 LID - 10.2147/LCTT.S45309 [doi] AB - INTRODUCTION: Previous research showed that the addition of bevacizumab (a monoclonal antibody against vascular endothelial growth factor [VEGF]) to chemotherapy resulted in a significant efficacy benefit in the treatment of selected patients with advanced nonsquamous non-small cell lung cancer (NSCLC). However, the occurrence and management of adverse events (AEs) during long-term maintenance treatment with bevacizumab is not well known. METHODS: This report presents a descriptive analysis, including the management of AEs, of four patients with advanced NSCLC, who received a relatively long period of bevacizumab maintenance treatment. RESULTS: In patient 1, a 72-year-old retired man with stage cT2N2M1b NSCLC, the only AE related to bevacizumab was a grade 1 rhinorrhea. Treatment resulted in a stable disease, with duration of response of 38 months. Patient 2 had NSCLC stage cT4N3M1b and developed a cavitation and infection after the first cycle of chemotherapy and bevacizumab, which caused a temporary decrease of her quality of life. Bevacizumab therapy resulted in a partial response, with duration of response of 15 months. A 52-year-old female (patient 3) with stage T2bN2M1a NSCLC is currently under treatment and has so far received 42 cycles of maintenance bevacizumab, with stabilized response (duration of response of 29 months) and no noteworthy AEs. The last patient is a 74-year-old male farmer with NSCLC T1N0M1, whose response has lasted for more than 3 years, with until now, no AEs. CONCLUSION: Our retrospective findings of these four patients show the long-term efficacy and safety of bevacizumab treatment in a real-life setting. FAU - Herder, Gjm AU - Herder G AD - St Antonius Hospital, Nieuwegein, The Netherlands. FAU - Codrington, H AU - Codrington H AD - Haga Hospital, The Hague, The Netherlands. FAU - Colder, C D AU - Colder CD AD - St Jansdal Hospital, Harderwijk, The Netherlands. FAU - Aerts, J G AU - Aerts JG AD - Amphia Hospital, Breda; Erasmus MC Rotterdam, The Netherlands. LA - eng PT - Case Reports DEP - 20131010 PL - New Zealand TA - Lung Cancer (Auckl) JT - Lung Cancer (Auckland, N.Z.) JID - 101632521 PMC - PMC5217443 OTO - NOTNLM OT - lung cancer OT - maintenance treatment OT - non-small cell lung cancer OT - safety management COIS- Disclosure The authors report no conflicts of interest in this work. EDAT- 2013/10/10 00:00 MHDA- 2013/10/10 00:01 PMCR- 2013/10/10 CRDT- 2017/02/18 06:00 PHST- 2017/02/18 06:00 [entrez] PHST- 2013/10/10 00:00 [pubmed] PHST- 2013/10/10 00:01 [medline] PHST- 2013/10/10 00:00 [pmc-release] AID - lctt-4-055 [pii] AID - 10.2147/LCTT.S45309 [doi] PST - epublish SO - Lung Cancer (Auckl). 2013 Oct 10;4:55-59. doi: 10.2147/LCTT.S45309. eCollection 2013.