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. 2020 Jan 16;51(6):377–383. doi: 10.4103/ijp.IJP_413_19

Table 1.

Differences between Bevacizumab and Ranibizumab (per approved labels)

Characteristic Bevacizumab Ranibizumab
Structure Recombinant full monoclonal antibody which is humanized Recombinant fragment (Fab) monoclonal antibody which is humanized - IgG1 kappa isotype
Source Produced in Chinese Hamster Ovary cells Produced by an Escherichia coli expression system
Molecular Weight 149 kD 48 kD
Formulation Trehalose dihydrate; sodium phosphate; polysorbate 20; water for injection α,α-trehalose dehydrate; histidine hydrochloride, monohydrate; histidine; polysorbate 20; water for injection
Route of administration Intravenous Intravitreal
Formulation and strength 25 mg per mL100 mg in 4 mL and 400 mg in 16 mL in vial 10 mg per mL and 6 mg per mL0.3 mg in 0.05 mL and 0.5 mg in 0.05 mL in vial and prefilled syringe
Dosage 5-15 mg per kg 0.3 mg or 0.5 mg
Method of administration Diluted in saline and administered intravenously Injected intravitreally, no dilution required
Development plan Developed only for systemic administration and nonclinical and clinical development tuned for that Developed only for eye administration and nonclinical and clinical development tuned for that
Nonclinical studies No testing done for eye toxicity intravitreally. Systemic studies done in animals Tested for eye toxicity intravitreally
Developmental clinical studies Not tested for effects in eye intravitreally. Systemic studies done in cancers Tested for effects in the eye intravitreally
Therapeutic indications Different cancer diseases Different eye diseases

Lucentis Summary of Product Characteristics[1] and Avastin Summary of Product Characteristics[10]