In patients with low VEGF-A165b expression, the addition of bevacizumab to standard platinum-based chemotherapy significantly improved progression-free (HR: 0.727, 95%CI=0.538 - 0.984; p=0.039) and overall survival (HR: 0.662, 95%CI=0.458 - 0.958; p=0.029). Multivariate analysis showed that the addition of bevacizumab in low VEGF-A165b expressing patients conferred significant improvements in progression-free survival (HR: 0.610, 95%CI=0.446 - 0.834; p=0.002) and overall survival (HR: 0.527, 95%CI=0.359 - 0.775; p=0.001), independently from established risk factors.