Real-World Safety and Effectiveness of a Bevacizumab Biosimilar (ABP 215) in Metastatic Colorectal Cancer Patients in Canada

Clin Colorectal Cancer. 2024 Mar;23(1):46-57.e4. doi: 10.1016/j.clcc.2023.10.007. Epub 2023 Oct 28.

Abstract

Background: ABP 215 is a biosimilar to the reference product, bevacizumab, and was one of the first biosimilars approved by Health Canada for the first-line treatment of metastatic colorectal cancer (mCRC). This study aimed to address gaps in real-world evidence (RWE) including patient characteristics, treatment safety (primary objective), and effectiveness (secondary objective) for first-line ABP 215 therapy in Canadian patients with mCRC.

Materials and methods: Retrospective data were collected in 2 waves, at least 1 year (Wave 1) or 2 years (Wave 2) after commercial availability of ABP 215 at each participating site.

Results: A total of 75 patients from Wave 1 and 164 patients from Wave 2 treated with a minimum of 1 cycle of ABP 215 were included. At least one safety event of interest (EOI) was recorded for 34.7% of Wave 1 and 42.7% of Wave 2 patients. The median progression free survival (PFS) for Wave 1 and 2 patients were 9.47 (95% confidence interval [CI]: 6.71, 11.90) and 21.38 (95% CI: 15.82, not estimable) months, respectively. Median overall survival was not estimable for Wave 1 and was 26.45 months for Wave 2.

Conclusion: The safety and effectiveness of ABP 215 observed in this real-world study were comparable to clinical trial findings and to other RWE with longer PFS in the current study.

Keywords: Anti-angiogenesis; Events of interest; First-line; Real-world evidence; Retrospective data.

MeSH terms

  • Bevacizumab
  • Biosimilar Pharmaceuticals* / adverse effects
  • Canada / epidemiology
  • Colonic Neoplasms* / drug therapy
  • Colorectal Neoplasms* / pathology
  • Humans
  • Rectal Neoplasms* / drug therapy
  • Retrospective Studies

Substances

  • Bevacizumab
  • Biosimilar Pharmaceuticals