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Expected pharmacological effect
Causality assessment · Expected pharmacological effect
Bevacizumab and Hypertension: is the FAERS signal real?
A written Bradford Hill assessment of one drug–event pair. The grade is a judgement about the signal, not a statement that this drug causes this event in any one person; FAERS counts are reports, not rates.
Bevacizumab ↔ Hypertension
n=5,851 co-reports · PRR 4.8 · ROR 5.0
Bevacizumab, a VEGF inhibitor, commonly raises blood pressure and can cause severe hypertension through reduced nitric-oxide signalling; 5,851 co-reports give PRR 4.8. The label advises blood-pressure monitoring and management.
Regulatory basis: bevacizumab (Avastin) prescribing information — hypertension including hypertensive crisis; BP monitoring.
| Bradford Hill viewpoint | Status | Note |
|---|---|---|
| Temporality (necessary) | met | Weeks of therapy |
| Strength | met | PRR 4.8 with 5,851 co-reports |
| Consistency | met | Consistent across cohorts |
| Specificity | not established | Hypertension is common generally |
| Biological gradient | met | Dose-related |
| Plausibility | met | Known VEGF-inhibition mechanism |
| Coherence | met | Fits bevacizumab's vascular effect |
| Experiment | n/a | Often monitored in trials |
| Analogy | met | Analogous to other VEGF-inhibitor hypertension |
This table is this page's own qualitative read of the literature cited above, not an automated or citation-gated assessment — see the note at the bottom of this page.
✓ Trial evidence found — A Comparative Study Of PF-06439535 Plus Paclitaxel-Carboplatin And Bevacizumab Plus Paclitaxel-Carboplatin Patients With Advanced Non-Squamous NSCLC (NCT02364999)
| Adverse event | PF-06439535 (n=356) · Bevacizumab-EU (n=358) · Total (n=714) | ||
|---|---|---|---|
| Hypertension | 60/356 | 62/358 | 122/714 |
Post-marketing signal terms appear in this trial's posted adverse-event tables; per-arm counts shown as affected/at-risk. View on ClinicalTrials.gov →