Review Article

Vascular Endothelial Growth Factor Inhibitor-Induced Hypertension: Basics for Primary Care Providers

Table 1

Current VEGF kinase inhibitors in use in the United States [1015].

Name
(proprietary name)
Bevacizumab
(Avastin)
Sorafenib
(Nexavar)
Sunitinib
(Sutent)
Nilotinib
(Tasigna)
Pazopanib
(Votrient)
Dasatinib
(Sprycel)

Mechanism of actionAnti-VEGF monoclonal antibodyTyrosine kinase inhibitor; VEGF inhibitorTyrosine kinase inhibitor; VEGF inhibitorTyrosine kinase inhibitorTyrosine kinase inhibitor; VEGF inhibitorTyrosine kinase inhibitor
Hypertension (%)any grade23–679–1715–301–10401–10
Hypertension (%)
grade 3 or more
5–18Grade 3: 3–4
grade 4: <1
4–10Not reportedGrade 3: 4Not reported
FDA-labeled indicationGBM
Metastatic breast cancer
Metastatic colorectal cancer
Non-small cell lung cancer
Liver carcinoma
Renal cell carcinoma
GI stromal tumor
Renal cell carcinoma
CMLAdvanced renal cell carcinomaCML

Abbreviations: VEGF, vascular endothelial growth factor; FDA, Food and Drug Administration; GBM, glioblastoma multiforme; CML, chronic myelogenous leukemia; GI, gastrointestinal.