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Data updated: Jun 28, 2026

VEGZELMA (bevacizumab-adcd) · CELLTRION INC

Vascular Endothelial Growth Factor-directed Antibody Interactions Genetically Validated
Oncology Approved 2022-09-27

VEGZELMA is a vascular endothelial growth factor inhibitor indicated for the treatment of several types of metastatic, recurrent, or advanced malignancies. It is used in the management of colorectal, non-squamous non-small cell lung, renal cell, and cervical cancers, as well as glioblastoma and certain gynecological cancers. Depending on the specific indication, the drug is administered as a first-line or subsequent therapy, often in combination with various chemotherapy regimens. Its therapeutic role focuses on inhibiting tumor-related vascular growth in patients with advanced disease.

Source: FDA Label • Vascular Endothelial Growth Factor Inhibitor

How VEGZELMA Works

VEGZELMA works by binding to vascular endothelial growth factor (VEGF), preventing it from interacting with its receptors on the surface of endothelial cells. Under normal conditions, the interaction between VEGF and its receptors stimulates the proliferation of these cells and the formation of new blood vessels. By blocking this pathway, the drug inhibits the process of angiogenesis, which reduces microvascular growth. This mechanism serves to limit the progression of metastatic disease by restricting the blood supply required for tumor growth.

BLA
Biologic
1
Indication
--
Phase 3 Trials
3
Years on Market

Details

Status
Prescription
First Approved
2022-09-27
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: BEVACIZUMAB-ADCD

VEGZELMA Approval History

2023
2024
2025
2026
Original
New Indication
New Form
Label Update
2 FDA actions from 2022 to 2022
Sep 2022 ORIGINAL
Update

What VEGZELMA Treats

8 indications

VEGZELMA is approved for 8 conditions since its original approval in 2022. These indications span multiple therapeutic areas including oncology, immunology, and more.

Source: FDA Label

VEGZELMA Target & Pathway

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Target

VEGF (Vascular Endothelial Growth Factor) Growth Factor

A signaling protein that stimulates the formation of new blood vessels (angiogenesis). Tumors need blood supply to grow, so they secrete VEGF to create new vessels. Blocking VEGF starves tumors of oxygen and nutrients, inhibiting their growth.

Pathway Context

VEGF binds to VEGFR on blood vessel cells to stimulate new vessel formation

VEGFR (Vascular Endothelial Growth Factor Receptor) receptor

Receptors on blood vessel cells that respond to VEGF signals to form new blood vessels. Cancer cells exploit this pathway to ensure blood supply for tumor growth. Blocking VEGFRs prevents tumor angiogenesis and limits cancer progression.

Biosimilar for Avastin

VEGZELMA is a lower-cost alternative to Avastin with no clinically meaningful differences. Requires prescriber approval to substitute.

VEGZELMA Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to VEGZELMA

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FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

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BEVACIZUMAB-NWGD
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BIOCON BIOLOGICS INC
Shared indications:
Metastatic Colorectal CancerNon-Small Cell Lung CancerGlioblastoma +5 more
MVASI
BEVACIZUMAB-AWWB
7 shared
Amgen
Shared indications:
Metastatic Colorectal CancerNon-Small Cell Lung CancerGlioblastoma +4 more
ZIRABEV
BEVACIZUMAB-BVZR
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Pfizer
Shared indications:
Metastatic Colorectal CancerNon-Small Cell Lung CancerGlioblastoma +4 more
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

VEGZELMA FDA Label Details

Indications & Usage

FDA Label (PDF)

VEGZELMA is a vascular endothelial growth factor inhibitor indicated for the treatment of: Metastatic colorectal cancer, in combination with intravenous fluorouracil-based chemotherapy for first- or second-line treatment. Metastatic colorectal cancer, in combination with fluoropyrimidine-irinotecan- or fluoropyrimidine-oxaliplatin-based chemotherapy for second-line treatment in patients who have progressed on a first-line bevacizumab product-containing regimen. Limitations of Use : VEGZELMA is not indicated for adjuvant treatment of colon cancer. Unresectable, locally advanced, recurrent or me...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.