BEST study: one-year descriptive follow-up of bevacizumab treatment in hereditary haemorrhagic telangiectasia post-BABH interventional study

Background: Hereditary haemorrhagic telangiectasia (HHT) is a genetic vascular disorder characterised by telangiectases, which cause nasal and gastrointestinal (GI) bleeding, and visceral arteriovenous malformations. Since 2012 bevacizumab, a monoclonal antibody targeting vascular endothelial growth...

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Main Authors: Sophie Dupuis-Girod, Evelyne Decullier, Sophie Rivière, Christian Lavigne, Vincent Grobost, Vanessa Leguy-Seguin, Hélène Maillard, Thierry Chinet, Anne-Emmanuelle Fargeton, Alexandre Guilhem, Ruben Hermann
Format: Article
Language:English
Published: SAGE Publishing 2025-04-01
Series:Therapeutic Advances in Hematology
Online Access:https://doi.org/10.1177/20406207241300828
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author Sophie Dupuis-Girod
Evelyne Decullier
Sophie Rivière
Christian Lavigne
Vincent Grobost
Vanessa Leguy-Seguin
Hélène Maillard
Thierry Chinet
Anne-Emmanuelle Fargeton
Alexandre Guilhem
Ruben Hermann
author_facet Sophie Dupuis-Girod
Evelyne Decullier
Sophie Rivière
Christian Lavigne
Vincent Grobost
Vanessa Leguy-Seguin
Hélène Maillard
Thierry Chinet
Anne-Emmanuelle Fargeton
Alexandre Guilhem
Ruben Hermann
author_sort Sophie Dupuis-Girod
collection DOAJ
description Background: Hereditary haemorrhagic telangiectasia (HHT) is a genetic vascular disorder characterised by telangiectases, which cause nasal and gastrointestinal (GI) bleeding, and visceral arteriovenous malformations. Since 2012 bevacizumab, a monoclonal antibody targeting vascular endothelial growth factor, has been a promising treatment for HHT-related bleeding and was evaluated in the phase II BABH study. Objective: To follow and describe evolution and treatments of patients with HHT post-BABH study. Design: This study is a 1-year, multi-centre descriptive study. Methods: We collected clinical (nose and GI bleeding, red blood cell transfusions) and biological (haemoglobin and ferritin levels) data and treatment information. Results: Of 22 patients included across 4 centers, 15 received bevacizumab. Among them, 12 (86%) had a >50% decrease in the number of RBC units transfused 3 months post-treatment. Mean haemoglobin levels increased from 83.08 to 105.98 g/L. Conclusion: Bevacizumab effectively reduces RBC transfusions and is efficient for treating severe bleeding in patients with HHT. Trial registration: This trial was registered with the ClinicalTrials.gov Identifier #NCT06039124.
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spelling doaj-art-0672b0282f404707aa997e6aba9240192025-08-20T02:20:25ZengSAGE PublishingTherapeutic Advances in Hematology2040-62152025-04-011610.1177/20406207241300828BEST study: one-year descriptive follow-up of bevacizumab treatment in hereditary haemorrhagic telangiectasia post-BABH interventional studySophie Dupuis-GirodEvelyne DecullierSophie RivièreChristian LavigneVincent GrobostVanessa Leguy-SeguinHélène MaillardThierry ChinetAnne-Emmanuelle FargetonAlexandre GuilhemRuben HermannBackground: Hereditary haemorrhagic telangiectasia (HHT) is a genetic vascular disorder characterised by telangiectases, which cause nasal and gastrointestinal (GI) bleeding, and visceral arteriovenous malformations. Since 2012 bevacizumab, a monoclonal antibody targeting vascular endothelial growth factor, has been a promising treatment for HHT-related bleeding and was evaluated in the phase II BABH study. Objective: To follow and describe evolution and treatments of patients with HHT post-BABH study. Design: This study is a 1-year, multi-centre descriptive study. Methods: We collected clinical (nose and GI bleeding, red blood cell transfusions) and biological (haemoglobin and ferritin levels) data and treatment information. Results: Of 22 patients included across 4 centers, 15 received bevacizumab. Among them, 12 (86%) had a >50% decrease in the number of RBC units transfused 3 months post-treatment. Mean haemoglobin levels increased from 83.08 to 105.98 g/L. Conclusion: Bevacizumab effectively reduces RBC transfusions and is efficient for treating severe bleeding in patients with HHT. Trial registration: This trial was registered with the ClinicalTrials.gov Identifier #NCT06039124.https://doi.org/10.1177/20406207241300828
spellingShingle Sophie Dupuis-Girod
Evelyne Decullier
Sophie Rivière
Christian Lavigne
Vincent Grobost
Vanessa Leguy-Seguin
Hélène Maillard
Thierry Chinet
Anne-Emmanuelle Fargeton
Alexandre Guilhem
Ruben Hermann
BEST study: one-year descriptive follow-up of bevacizumab treatment in hereditary haemorrhagic telangiectasia post-BABH interventional study
Therapeutic Advances in Hematology
title BEST study: one-year descriptive follow-up of bevacizumab treatment in hereditary haemorrhagic telangiectasia post-BABH interventional study
title_full BEST study: one-year descriptive follow-up of bevacizumab treatment in hereditary haemorrhagic telangiectasia post-BABH interventional study
title_fullStr BEST study: one-year descriptive follow-up of bevacizumab treatment in hereditary haemorrhagic telangiectasia post-BABH interventional study
title_full_unstemmed BEST study: one-year descriptive follow-up of bevacizumab treatment in hereditary haemorrhagic telangiectasia post-BABH interventional study
title_short BEST study: one-year descriptive follow-up of bevacizumab treatment in hereditary haemorrhagic telangiectasia post-BABH interventional study
title_sort best study one year descriptive follow up of bevacizumab treatment in hereditary haemorrhagic telangiectasia post babh interventional study
url https://doi.org/10.1177/20406207241300828
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