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Table 2 Studies on VEGF antibodies.

From: Radiotherapy and "new" drugs-new side effects?

Substance

Author(s)

Year

Study type

N

tumour

RT dose/ChTx/technique

Toxicity

Bevacizumab

Vredenburgh et al. [147]

2010

 

125

Glioblastoma

59,4 Gy/Temozolomide

Grade III Thromboembolic events: 2%

 

Crane et al. [63]

2009

Phase II

82

Pancreatic Cancer

50,4 Gy/Capecitabine

Toxicities possibly attributable to bevacizumab: GI bleeding: 6%. (d83,127,179, 180, 316); grade III, IV, V GI perforation: 4%. (d195,231,286)

DVT grade III + IV: 4%; grade III hypertension: 2%;

 

Lai et al. [72]

2010

Phase II

70

Glioblastoma

60 Gy/Temozolomide

Grade IV cerebrovascular ischemia: 9%; Grade III+IV CNS hemorrhage: 3%; Grade III+IV GI bleeding/perforation 6%; grade IIII Optic neuropathy: 1%. Grade III+IV venous Thrombosis/PE: 19%.

 

Crane et al. [62]

2006

Phase I

48

Pancreatic Cancer

50,4 Gy/Capecitabine

Toxicities possibly attributable to bevacizumab: grade III+V ulceration with bleeding in RT field: 8%. (retrospectively fistulous connection identified in 4%)

Grade III GI perforation: 4%; bleeding outside field): 4%; grade III hypertension: 2%.

 

Seiwert et al. [148]

2008

Phase I

43

Head & Neck

63-72 Gy/5-FU and Hydroxyurea

Grade V bleeding events: 5%; grade V infection/sepsis: 7%, 2% unknown cause of death; grade III+ Thromboembolic events: 5% DVT, 2% stroke (leading to fatal sepsis, see above); fistula (due to radionecrosis or residual tumour): 12%. Tissue necrosis 9%.

 

Spigel et al. [149]

2009

Phase II

A 29 B 5

SCLC

61,2 Gy/Carboplatin/Irinotecan (A-limited stage B-locally advanced)

A Grade IV+V tracheoesophageal fistula: 7%. Grade V aerodigestive hemorrhage. B Grade III tracheoesophageal fistula: 40%. Both studies closed due to toxicity.

 

Willet et al. [58]

2009

Phase II

32

Rectal Cancer

50,4 Gy//5-FU

Grade III toxicities: GI abscess 3%, Hypertension 9%, radiation dermatitis: 6%; wound separation 3%. No grade IV.

 

Dipetrillo et al. [55]

2012

Phase I

26

Rectal Cancer

50,4 Gy/FOLFOX

Grade III + IV Diarrhea: 42%; Bleeding (g3): 4%; g3 neuropathy: 4%; Radiation dermatitis G3: 8%; postoperative wound complications: 35%-the study was discontinued due to this toxicity.

 

Crane et al. [53]

2010

Phase II

25

Rectal Cancer

50,4 Gy/Capecitabine

grade III perianal desquamation: 4%; 12% major surgical complications such as anastomotic dehiscence (4%), wound dehiscence (8%)

 

Gutin et al. [68]

2009

Phase I

25

Glioblastoma/Anaplastic Gliomas

30 Gy/5 × 6 Gy

Grade IV Gastrointestinal bleeding: 4%, bowel perforation: 4%, wound healing complication: 4%. Grade III CNS hemorrhage: 4%.

 

Koukourakis et al. [59]

2009

Phase I/II

22

Rectal Cancer

15 × 3,4 Gy/amifostine, capecitabine

Fistula: 9%, grade IV skin necrosis 5%.

 

Niyazi et al. [69]

2010

Retrospective

20

Recurrent Glioblastoma

36 Gy

Grade IV wound healing complication: 5%. grade III DVT: 5%.

 

Koukourakis et al. [150]

2011

Phase II

19

Rectal cancer

10 × 3, 4 Gy Amifostine/Capecitabine

Grade III diarrhea: 11%.

 

Goyal et al. [65]

2010

Retrospective

14

Breast cancer

50 Gy + 10 Gy

No Grade III/IV toxicity (only acute toxicity assessed)

 

Czito et al. [61]

2007

Phase I

11

Rectal Cancer

50,4 Gy/Oxaliplatin + Capecitabine

No grade III + toxicities attributable to bevacizumab: grade III-IV diarrhea: 27%,

 

Resch et al. [151]

2011

Phase II

8

Rectal cancer

45 Gy/Capecitabine

Discontinued due to tox after 8 Pt., Grade III GI bleeding: 25%, Grade III diarrhea: 25%

 

Kelly et al. [71]

2010

Case reports

3

Glioblastoma

 

Optic neuropathy

 

Vargo et al. [152]

2011

Case report

1

Glioblastoma

 

Dural venous thrombosis

  1. N-number of patients