2011
DOI: 10.1007/s10637-011-9671-z
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Reappraisal of treatment-induced renal dysfunction in patients receiving antiangiogenic agents in phase I trials

Abstract: The incidence of renal toxicity in phase I pts treated with antiangiogenic compounds was much higher than expected. Simple screening of Cr levels appears to be insufficient and careful nephrologic monitoring at baseline and during treatment should be implemented in early clinical trials assessing the risk/benefit ratio of new antiangiogenic compounds.

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Cited by 6 publications
(2 citation statements)
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References 25 publications
(28 reference statements)
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“…In addition, we observed a median reduction in creatinine clearance of 9 mL/mn during maintenance bevacizumab. An equivalent reduction in creatinine clearance (9.8 to 11.6 mL/min/1.73 m2) was also observed by Levy et al, in a series of 72 patients with solid tumors who had been included in four Phase-I trials testing antiangiogenics [23].…”
Section: Discussionsupporting
confidence: 69%
“…In addition, we observed a median reduction in creatinine clearance of 9 mL/mn during maintenance bevacizumab. An equivalent reduction in creatinine clearance (9.8 to 11.6 mL/min/1.73 m2) was also observed by Levy et al, in a series of 72 patients with solid tumors who had been included in four Phase-I trials testing antiangiogenics [23].…”
Section: Discussionsupporting
confidence: 69%
“…At these doses, a renal thrombotic microangiopathy develops, leading to hypertension. 6,7 The absence of hypertension in CATT and IVAN suggests that systemic tissue VEGF suppression with bevacizumab is minimal at ocular doses.…”
mentioning
confidence: 99%