Literature DB >> 20733337

Safety and efficacy of sorafenib in elderly patients treated in the North American advanced renal cell carcinoma sorafenib expanded access program.

Ronald M Bukowski1, Walter M Stadler, David F McDermott, Janice P Dutcher, Jennifer J Knox, Wilson H Miller, John D Hainsworth, Charles A Henderson, Julio Hajdenberg, Tamila L Kindwall-Keller, Marc S Ernstoff, Harry A Drabkin, Brendan D Curti, Luis Chu, Christopher W Ryan, Sebastien J Hotte, Chenghua Xia, Lisa Cupit, Robert A Figlin.   

Abstract

OBJECTIVE: In this retrospective analysis of the Advanced Renal Cell Carcinoma Sorafenib (ARCCS) program in North America, we compared the safety and efficacy of sorafenib in patients aged ≥70 with those aged <70 years.
METHODS: Patients were treated with oral sorafenib twice daily until the occurrence of disease progression or treatment intolerance. The primary objective of the ARCCS program was making sorafenib available to patients with advanced renal cell carcinoma (RCC) in the USA and Canada before marketing approval was obtained; the secondary objective was the evaluation of its safety and efficacy.
RESULTS: Of the 2,504 patients enrolled in the ARCCS program who received at least 1 dose of sorafenib, 736 (29%) were aged ≥70 years. The most common grade ≥3 adverse events included rash/desquamation (5% in both groups), hand-foot skin reaction (8% in those aged ≥70 years vs. 10% in those <70 years of age), hypertension (5 vs. 4%) and fatigue (7 vs. 4%). Partial response was seen in 4% of the patients in both age groups. The median overall survival for the ≥70-year versus <70-year groups was also similar (46 vs. 50 weeks).
CONCLUSIONS: There were no substantial differences in safety and efficacy between patients aged ≥70 and <70 years with advanced RCC treated with sorafenib. Copyright 2010 S. Karger AG, Basel.

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Year:  2010        PMID: 20733337     DOI: 10.1159/000320223

Source DB:  PubMed          Journal:  Oncology        ISSN: 0030-2414            Impact factor:   2.935


  11 in total

1.  Senior adult oncology.

Authors:  Arti Hurria; Ilene S Browner; Harvey Jay Cohen; Crystal S Denlinger; Mollie deShazo; Martine Extermann; Apar Kishor P Ganti; Jimmie C Holland; Holly M Holmes; Mohana B Karlekar; Nancy L Keating; June McKoy; Bruno C Medeiros; Ewa Mrozek; Tracey O'Connor; Stephen H Petersdorf; Hope S Rugo; Rebecca A Silliman; William P Tew; Louise C Walter; Alva B Weir; Tanya Wildes
Journal:  J Natl Compr Canc Netw       Date:  2012-02       Impact factor: 11.908

Review 2.  Systemic therapies for metastatic renal cell carcinoma in older adults.

Authors:  Sumanta K Pal; Ari Vanderwalde; Arti Hurria; Robert A Figlin
Journal:  Drugs Aging       Date:  2011-08-01       Impact factor: 3.923

3.  Experience with sorafenib in the treatment of advanced renal cell carcinoma.

Authors:  Giuseppe Procopio; Elena Verzoni; Isabella Testa; Nicola Nicolai; Roberto Salvioni; Filippo Debraud
Journal:  Ther Adv Urol       Date:  2012-12

Review 4.  Expert Recommendations for First-Line Management of Metastatic Renal Cell Carcinoma in Special Subpopulations.

Authors:  Javier Puente; Xavier García Del Muro; Álvaro Pinto; Nuria Láinez; Emilio Esteban; José Ángel Arranz; Enrique Gallardo; María José Méndez; Pablo Maroto; Enrique Grande; Cristina Suárez
Journal:  Target Oncol       Date:  2016-04       Impact factor: 4.493

5.  Impact of age on toxicity and efficacy of sorafenib-targeted therapy in cirrhotic patients with hepatocellular carcinoma.

Authors:  Giovan Giuseppe Di Costanzo; Raffaella Tortora; Massimo De Luca; Alfonso Galeota Lanza; Filippo Lampasi; Maria Teresa Tartaglione; Francesco Paolo Picciotto; Michele Imparato; Silvana Mattera; Gabriella Cordone; Antonio Ascione
Journal:  Med Oncol       Date:  2013-01-10       Impact factor: 3.064

6.  A gap in disease-specific survival between younger and older adults with de novo metastatic renal cell carcinoma: results of a SEER database analysis.

Authors:  Rebecca A Nelson; Nicholas Vogelzang; Sumanta K Pal
Journal:  Clin Genitourin Cancer       Date:  2013-05-04       Impact factor: 2.872

Review 7.  Prognostic Factors and Current Treatment Strategies for Renal Cell Carcinoma Metastatic to the Brain: An Overview.

Authors:  Valeria Internò; Pierluigi De Santis; Luigia Stefania Stucci; Roberta Rudà; Marco Tucci; Riccardo Soffietti; Camillo Porta
Journal:  Cancers (Basel)       Date:  2021-04-27       Impact factor: 6.639

Review 8.  A systematic review of the efficacy and safety experience reported for sorafenib in advanced renal cell carcinoma (RCC) in the post-approval setting.

Authors:  Mayer N Fishman; Jin Tomshine; William J Fulp; Pamela K Foreman
Journal:  PLoS One       Date:  2015-04-01       Impact factor: 3.240

9.  Efficacy and safety of anti-vascular endothelial growth factor therapies in older patients for first line treatment of metastatic renal cell carcinoma.

Authors:  Hugo Georges Arthur Dupuis; Ala Chebbi; Louis Surlemont; Olivier Rigal; Frédéric Di Fiore; Christian Pfister; François-Xavier Nouhaud
Journal:  Transl Androl Urol       Date:  2021-06

10.  Sorafenib tolerability in elderly patients with advanced renal cell carcinoma: results from a large pooled analysis.

Authors:  G Procopio; J Bellmunt; J Dutcher; S Bracarda; J Knox; A Brueckner; I Molnar; B Escudier; T E Hutson
Journal:  Br J Cancer       Date:  2013-01-15       Impact factor: 7.640

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