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Ixabepilone + bevacizumab is a combination regimen used primarily in the treatment of platinum-resistant or platinum-refractory ovarian, fallopian tube, and primary peritoneal cancers. Ixabepilone is a semi-synthetic epothilone B analogue that acts as a microtubule-stabilizing agent by binding to β-tubulin subunits, suppressing their dynamic instability, blocking mitosis, and inducing cell death. It retains activity in taxane-resistant tumors due to its distinct binding mode and resistance to P-glycoprotein-mediated efflux. Bevacizumab is a monoclonal antibody targeting vascular endothelial growth factor (VEGF), inhibiting angiogenesis required for tumor growth. The combination has demonstrated improved progression-free survival (PFS) and overall survival (OS) compared with ixabepilone alone in clinical trials for heavily pretreated patients with platinum-resistant ovarian cancer[1][3][4][5][8]. Ixabepilone was developed by Bristol Myers Squibb; bevacizumab was developed by Genentech/Roche.
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