دورية أكاديمية

Phase II study of pazopanib with oral topotecan in patients with metastatic and non-resectable soft tissue and bone sarcomas.

التفاصيل البيبلوغرافية
العنوان: Phase II study of pazopanib with oral topotecan in patients with metastatic and non-resectable soft tissue and bone sarcomas.
المؤلفون: Schulte, Brian, Mohindra, Nisha, Milhem, Mohammed, Attia, Steven, Robinson, Steven, Monga, Varun, Hirbe, Angela C., Oppelt, Peter, Charlson, John, Helenowski, Irene, Abbinanti, Susan, Cehic, Rasima, Okuno, Scott, Van Tine, Brian A., Agulnik, Mark
المصدر: British Journal of Cancer; Aug2021, Vol. 125 Issue 4, p528-533, 6p
مصطلحات موضوعية: RESEARCH, TOPOTECAN, CLINICAL trials, HETEROCYCLIC compounds, OSTEOSARCOMA, ORAL drug administration, RESEARCH methodology, ANTINEOPLASTIC agents, PROGNOSIS, METASTASIS, MEDICAL cooperation, EVALUATION research, TREATMENT effectiveness, DRUG administration, COMPARATIVE studies, SULFONAMIDES, SARCOMA, LONGITUDINAL method
مستخلص: Background: Pazopanib is active in refractory soft-tissue sarcoma (STS) and significantly prolongs PFS. Prior studies of combinations of metronomic topotecan with pazopanib have indicated preclinical evidence of response in patients with sarcoma.Methods: This prospective, single arm, phase II study evaluated the efficacy of the combination of pazopanib with topotecan in patients with metastatic or unresectable non-adipocytic STS. Furthermore, it incorporated exploratory arms for osteosarcoma and liposarcoma. The primary endpoint was progression-free rate at 12 weeks in the non-adipocytic STS cohort.Results: 57.5% of patients in the non-adipocytic STS cohort were progression free at 12 weeks, which did not meet the primary endpoint of the study (66%). The exploratory osteosarcoma cohort exceeded previously established phase II trial comparator data benchmark of 12% with a PFR at 12 weeks of 69.55%. Treatment with the combination of pazopanib and topotecan was accompanied by a grade 3 or 4 toxicities in most patients.Conclusions: In this prospective trial in refractory metastatic or unresectable STS and osteosarcoma, the combination of pazopanib with topotecan did not meet its primary endpoint of progression-free rate at 12 weeks. The combination of pazopanib with topotecan was associated with a high degree of toxicity. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:00070920
DOI:10.1038/s41416-021-01448-0