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Bevacizumab nasal spray is an intranasal formulation of the humanized monoclonal antibody bevacizumab, specifically developed by Hospices Civils de Lyon for the treatment of epistaxis (nosebleeds) in patients with Hereditary Hemorrhagic Telangiectasia (HHT). As an anti-angiogenic agent, bevacizumab binds to and neutralizes human vascular endothelial growth factor (VEGF), thereby inhibiting the interaction with its receptors and suppressing the abnormal angiogenesis and telangiectasia formation characteristic of HHT. The ELLIPSE Phase 1 study demonstrated that the nasal spray was well-tolerated with no detectable systemic absorption; however, subsequent Phase 2/3 clinical trials failed to show a significant reduction in monthly epistaxis duration compared to placebo.
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