Literature DB >> 20656473

Long-term safety of sorafenib in advanced renal cell carcinoma: follow-up of patients from phase III TARGET.

Thomas E Hutson1, Joaquim Bellmunt, Camillo Porta, Cezary Szczylik, Michael Staehler, Andrea Nadel, Sibyl Anderson, Ronald Bukowski, Tim Eisen, Bernard Escudier.   

Abstract

BACKGROUND: The phase III Treatment Approaches in Renal cancer Global Evaluation Trial (TARGET) indicated that sorafenib is effective and well tolerated in advanced renal cell carcinoma patients. However, few data have been published on the safety of long-term sorafenib treatment. A retrospective subgroup analysis was performed to evaluate the efficacy and safety of sorafenib in patients in TARGET who received treatment for >1 year.
METHODS: The present subgroup analysis (based on the September 2006 database with updated safety analysis) evaluated the efficacy and safety of sorafenib in all patients in the sorafenib arm of TARGET who were treated for >1 year. The assessments included the overall survival, progression-free survival (PFS), disease control rate (DCR), and safety. The patients remained on therapy post-progression at the discretion of the investigator.
RESULTS: In TARGET, 169 patients received treatment with sorafenib for >1 year. The median PFS of patients in this subpopulation was 10.9 months from the date of randomisation, with a DCR of 92%. The most commonly reported treatment-related adverse events of any grade were diarrhoea (74%), rash/desquamation (51%), hand-foot skin reaction (49%), alopecia (39%), and fatigue (38%). Adverse events were mild to moderate, and presented early in the course of the treatment; there were no unexpected toxicities associated with the long-term administration of sorafenib.
CONCLUSIONS: Results of this subgroup analysis of patients enrolled in TARGET who received treatment for >1 year indicate that long-term treatment with sorafenib is associated with continued efficacy and a well-tolerated safety profile. Copyright 2010. Published by Elsevier Ltd.

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Year:  2010        PMID: 20656473     DOI: 10.1016/j.ejca.2010.06.121

Source DB:  PubMed          Journal:  Eur J Cancer        ISSN: 0959-8049            Impact factor:   9.162


  28 in total

1.  Long-term follow-up of complete remission of advanced hepatocellular carcinoma following sorafenib therapy: A case report.

Authors:  Jung Gil Park; Won Young Tak; Soo Young Park; Young Oh Kweon; Se Young Jang; Soo Hyun Lee; Yu Rim Lee; Sun Kyung Jang; Keun Hur; Heon Ju Lee
Journal:  Oncol Lett       Date:  2017-08-22       Impact factor: 2.967

2.  Efficacy and safety of sorafenib in advanced renal cell carcinoma patients: Results from a long-term study.

Authors:  Lin Yang; Lei Shi; Qiang Fu; Huihua Xiong; Mengxian Zhang; Shiying Yu
Journal:  Oncol Lett       Date:  2012-01-31       Impact factor: 2.967

Review 3.  [Side effect management of tyrosine kinase inhibitors in urology : Fatigue and hypothyroidism].

Authors:  D Sikic; G Lüdecke; V Lieb; B Keck
Journal:  Urologe A       Date:  2016-05       Impact factor: 0.639

Review 4.  Treatment-associated adverse event management in the advanced renal cell carcinoma patient treated with targeted therapies.

Authors:  Alain Ravaud
Journal:  Oncologist       Date:  2011

5.  Sorafenib exposure decreases over time in patients with hepatocellular carcinoma.

Authors:  Jennifer Arrondeau; Olivier Mir; Pascaline Boudou-Rouquette; Romain Coriat; Stanislas Ropert; Guillaume Dumas; Manuel J Rodrigues; Benoit Rousseau; Benoit Blanchet; François Goldwasser
Journal:  Invest New Drugs       Date:  2011-10-29       Impact factor: 3.850

6.  The experience of an Endocrinology Division on the use of tyrosine multikinase inhibitor therapy in patients with radioiodine-resistant differentiated thyroid cancer.

Authors:  Fernando Jerkovich; María Gabriela García Falcone; Fabián Pitoia
Journal:  Endocrine       Date:  2019-02-28       Impact factor: 3.633

7.  Efficacy and safety of sorafenib for treatment of Japanese metastatic renal cell carcinoma patients undergoing hemodialysis.

Authors:  Kenji Omae; Tsunenori Kondo; Takafumi Kennoki; Toshio Takagi; Junpei Iizuka; Hirohito Kobayashi; Yasunobu Hashimoto; Kazunari Tanabe
Journal:  Int J Clin Oncol       Date:  2015-07-11       Impact factor: 3.402

8.  Variability of sorafenib toxicity and exposure over time: a pharmacokinetic/pharmacodynamic analysis.

Authors:  Pascaline Boudou-Rouquette; Stanislas Ropert; Olivier Mir; Romain Coriat; Bertrand Billemont; Michel Tod; Laure Cabanes; Nathalie Franck; Benoit Blanchet; François Goldwasser
Journal:  Oncologist       Date:  2012-07-02

Review 9.  [Side effect management of tyrosine kinase inhibitors in urology : Hypertension].

Authors:  D Sikic; N Meidenbauer; V Lieb; B Keck
Journal:  Urologe A       Date:  2016-07       Impact factor: 0.639

Review 10.  Small molecule targeted therapies for the second-line treatment for metastatic renal cell carcinoma: a systematic review and indirect comparison of safety and efficacy.

Authors:  George Dranitsaris; Susanne Schmitz; Reuben J Broom
Journal:  J Cancer Res Clin Oncol       Date:  2013-09-14       Impact factor: 4.553

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