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 |