Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Bevacizumab
Drug ID BADD_D00268
Description There is a great deal of evidence indicating that vascular endothelial growth factor (VEGF) is important for the survival and proliferation of cancer cells.[A192939,A192837,A192891,A193275] VEGF plays an important role in angiogenesis, lymphangiogenesis, and tumor growth, which are all factors that contribute to its attractiveness as a therapeutic target for anti-cancer therapies.[A192834,A192888,A192837,A192891,A192894] In 2004, bevacizumab (Avastin) gained FDA approval for specific types of cancer, and became the first antiangiogenic agent introduced to the market.[A193272,A193275] It is a humanized monoclonal IgG antibody, and inhibits angiogenesis by binding and neutralizing VEGF-A.[A192888,A192939] Bevacizumab is generally indicated for use in combination with different chemotherapy regimens which are specific to the type, severity, and stage of cancer.[L12648] Interestingly, researchers have identified higher VEGF expression in patients with COVID-19, which may contribute to lung pathologies including acute respiratory syndrome (ARDS) and acute lung injury (ALI).[L12699] As such, bevacizumab is being investigated for the treatment of lung complications associated with severe cases of COVID-19.[L12699]
Indications and Usage As a vascular endothelial growth factor (VEGF) inhibitor, bevacizumab is used in several chemotherapy regimens to treat metastatic colorectal cancer; metastatic, unresectable, locally advanced or recurrent non-squamous non-small cell lung cancer; metastatic renal cell carcinoma; metastatic, persistent, or recurrent cervical cancer; primary peritoneal cancer; epithelial ovarian cancer; and fallopian tube cancer.[L12648] It can also be used to treat recurrent glioblastoma.[L12648] Interestingly, bevacizumab is currently under investigation for the treatment of COVID-19 complications including acute respiratory distress syndrome (ARDS) and acute lung injury (ALI).[L12699]
Marketing Status approved; investigational
ATC Code L01FG01; S01LA08
DrugBank ID DB00112
KEGG ID D06409
MeSH ID D000068258
PubChem ID Not Available
TTD Drug ID D04KBL
NDC Product Code 50242-061; 58394-095; 63552-113; 63552-114; 50242-060; 50242-059; 50242-160
UNII 2S9ZZM9Q9V
Synonyms Bevacizumab | Mvasi | Bevacizumab-awwb | Bevacizumab awwb | Avastin
Chemical Information
Molecular Formula Not Available
CAS Registry Number 216974-75-3
SMILES Not Available
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice.
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal pain07.01.05.002--
Acne23.02.01.001---
Albuminuria20.02.01.001---
Alopecia23.02.02.001--
Anastomotic ulcer07.04.04.003; 12.02.03.001--
Asthenia08.01.01.001---
Back pain15.03.04.005--
Bone pain15.02.01.001--
Cardiac failure congestive02.05.01.002---
Cerebral ischaemia17.08.01.005; 24.04.06.003--
Colitis07.08.01.001--
Constipation07.02.02.001--
Deafness04.02.01.001---
Dehydration14.05.05.001--
Dermatitis exfoliative10.01.01.004; 23.03.07.001--
Diarrhoea07.02.01.001--
Dizziness02.11.04.006; 17.02.05.003; 24.06.02.007--
Dry mouth07.06.01.002--
Dry skin23.03.03.001--
Dysgeusia07.14.03.001; 17.02.07.003--
Dyspepsia07.01.02.001--
Dysphonia17.02.08.004; 19.19.03.002; 22.12.03.006--
Dyspnoea02.11.05.003; 22.02.01.004--
Embolism arterial24.01.01.014--
Embolism venous24.01.01.003---
Epistaxis22.04.03.001; 24.07.01.005--
Fatigue08.01.01.002--
Febrile neutropenia01.02.03.002; 08.05.02.004--
Gastritis07.08.02.001--
Gastrooesophageal reflux disease07.02.02.003--
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ADReCS-Target
Drug Name ADR Term Target
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