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Avastin

Bevacizumab

An anti-angiogenesis antibody used in colorectal, lung and other cancers.

VEGF inhibitor
Generic name
Bevacizumab
Brand name
Avastin
Route
Intravenous
Marketed by
Genentech (Roche)
FDA pharmacologic class
Vascular Endothelial Growth Factor Inhibitor; Vascular Endothelial Growth Factor-directed Antibody Interactions; Vascular Endothelial Growth Factor Inhibitors
First FDA approval
26 Feb 2004

Where Bevacizumab is approved

All regulators →

Of the three regulators tracked here, the first to approve Bevacizumab was the US, on 26 Feb 2004. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
26 Feb 2004
Avastin
BLA125085 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
12 Jan 2005
Avastin
EMA product page
First centralised authorisation
CACanada (Health Canada)
9 Sep 2005
Avastin
Notice of Compliance 7357
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Bevacizumab

All medicines →
ENNHS England
Not dispensed in the community in England in the last 12 months under this name
Net ingredient cost, community prescriptions
USUS Medicaid
$124.3m
331,677 prescriptions in 2025 · Avastin, Mvasi, Zirabev
-11% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Bevacizumab works

All drug targets →
  • Vascular endothelial growth factor A inhibitor Inhibitor
    Target: VEGFA vascular endothelial growth factor A
    ChEMBL only
Other medicines acting on VEGFA
Diseases it has been tested for in clinical trials, by furthest phase
  • COVID-19Phase 3
  • Coats diseasePhase 3
  • NauseaPhase 3
  • Pleural effusionPhase 3
  • Progressive visual lossPhase 3
  • Venous thrombosisPhase 3
  • Acute lung injuryPhase 3
  • Acute respiratory distress syndromePhase 3
  • Age-related macular degenerationPhase 3
  • AnemiaPhase 3
242 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL1201583, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 6771, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Bevacizumab

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 14 technology appraisals of Bevacizumab. 14 are current, and 1 of these recommend it for at least some patients.

AppraisalNICE recommendationPublishedStatus
Bevacizumab (originator and biosimilars) with fluoropyrimidine-based chemotherapy for metastatic colorectal cancer
NICE TA1136
Optimised25 Feb 2026Current
Bevacizumab with carboplatin, gemcitabine and paclitaxel for treating the first recurrence of platinum-sensitive advanced ovarian cancer (terminated appraisal)
NICE TA560
Terminated (no company submission)20 Feb 2019Current
Bevacizumab for treating EGFR mutation-positive non-small-cell lung cancer (terminated appraisal)
NICE TA436
Terminated (no company submission)22 Mar 2017Current
Bevacizumab for treating relapsed, platinum‑resistant epithelial ovarian, fallopian tube or primary peritoneal cancer (terminated appraisal)
NICE TA353
Terminated (no company submission)26 Aug 2015Current
Bevacizumab in combination with paclitaxel and carboplatin for first-line treatment of advanced ovarian cancer
NICE TA284
Not recommended22 May 2013Current
Bevacizumab in combination with gemcitabine and carboplatin for treating the first recurrence of platinum-sensitive advanced ovarian cancer
NICE TA285
Not recommended22 May 2013Current
Bevacizumab in combination with capecitabine for the first-line treatment of metastatic breast cancer
NICE TA263
Not recommended22 Aug 2012Current
Cetuximab, bevacizumab and panitumumab for the treatment of metastatic colorectal cancer after first-line chemotherapy
NICE TA242
Not recommended25 Jan 2012Current

See all 14 appraisals →

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Bevacizumab

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 11 products on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Avastin, Lytenava, Abevmy (biosimilar), Alymsys (biosimilar), Avzivi (biosimilar), Aybintio (biosimilar), Mvasi (biosimilar), Oyavas (biosimilar) and 2 more
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Bevacizumab

ATC code
L01XC07
ChEMBL
CHEMBL1201583
DrugBank
DB00112
CAS number
216974-75-3
FDA UNII
2S9ZZM9Q9V
Wikidata
Q413299
Wikipedia
Bevacizumab

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Avastin is used for

Avastin is a vascular endothelial growth factor inhibitor indicated for the treatment of: Metastatic colorectal cancer, in combination with intravenous fluorouracil-based chemotherapy for first- or second-line treatment. ( 1.1 ) Metastatic colorectal cancer, in combination with fluoropyrimidine-irinotecan- or fluoropyrimidine-oxaliplatin-based chemotherapy for second-line treatment in patients who have progressed on a first-line bevacizumab product-containing regimen. ( 1.1 ) Limitations of Use : Avastin is not indicated for adjuvant treatment of colon cancer. ( 1.1 ) Unresectable, locally advanced, recurrent or metastatic non-squamous non-small cell lung cancer, in combination with carboplatin and paclitaxel for first-line treatment. ( 1.2 ) Recurrent glioblastoma in adults. ( 1.3 ) Metastatic renal cell carcinoma in combination with interferon alfa. ( 1.4 ) Persistent, recurrent, or m…

How it works

12.1 Mechanism of Action Bevacizumab binds VEGF and prevents the interaction of VEGF to its receptors (Flt-1 and KDR) on the surface of endothelial cells. The interaction of VEGF with its receptors leads to endothelial cell proliferation and new blood vessel formation in in vitro models of angiogenesis. Administration of bevacizumab to xenotransplant models of colon cancer in nude (athymic) mice caused reduction of microvascular growth and inhibition of metastatic disease progression.

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 8 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.