Sorafenib and Everolimus in Advanced Clear Cell Renal Carcinoma: A Phase I/II Trial of the SCRI Oncology Research Consortium

被引:24
作者
Hainsworth, John D. [1 ,2 ]
Waterhouse, David M. [1 ,3 ]
Penley, William C. [1 ,2 ]
Shipley, Dianna L. [1 ,2 ]
Thompson, Dana S. [1 ,2 ]
Webb, Charles D. [4 ]
Greco, F. Anthony [1 ,2 ]
机构
[1] Sarah Cannon Res Inst, Nashville, TN 37203 USA
[2] Tennessee Oncol PLLC, Nashville, TN USA
[3] Oncol Hematol Care Inc, Cincinnati, OH USA
[4] Baptist Hosp East, Louisville, KY USA
关键词
Angiogenesis; Clinical trials; Kidney; Ureter; Urethra & Penis Cancer; INTERFERON-ALPHA; MAMMALIAN TARGET; BEVACIZUMAB; SUNITINIB;
D O I
10.3109/07357907.2013.789900
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: To evaluate the feasibility and efficacy of sorafenib and everolimus in renal cell carcinoma (RCC). Methods: Patients with advanced RCC and <= 1 previous targeted therapy were treated. Results: Maximum tolerated doses were sorafenib 200 mg PO BID, everolimus 35 mg PO once weekly. Dose-limiting toxicity was hand-foot syndrome. The response rate was 13%; median PFS was 5.45 months (95% CI: 3.8-7.6). Skin toxicity, fatigue, hypertension, proteinuria, and mucositis (usually Grade 2) were common. Conclusions: Fifty percent doses of sorafenib and everolimus were required when these drugs were combined. No increase in efficacy was suggested; toxicity was modestly increased.
引用
收藏
页码:323 / 329
页数:7
相关论文
共 16 条
[1]   Benefits of targeting both pericytes and endothelial cells in the tumor vasculature with kinase inhibitors [J].
Bergers, G ;
Song, S ;
Meyer-Morse, N ;
Bergsland, E ;
Hanahan, D .
JOURNAL OF CLINICAL INVESTIGATION, 2003, 111 (09) :1287-1295
[2]   Can the combination of temsirolimus and bevacizumab improve the treatment of metastatic renal cell carcinoma (mRCC)? Results of the randomized TORAVA phase II trial [J].
Escudier, B. J. ;
Negrier, S. ;
Gravis, G. ;
Chevreau, C. ;
Delva, R. ;
Bay, J. ;
Geoffrois, L. ;
Lagouffe, E. ;
Blanc, E. ;
Ferlay, C. .
JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (15)
[3]   Sorafenib in advanced clear-cell renal-cell carcinoma [J].
Escudier, Bernard ;
Eisen, Tim ;
Stadler, Walter M. ;
Szczylik, Cezary ;
Oudard, Stephane ;
Siebels, Michael ;
Negrier, Sylvie ;
Chevreau, Christine ;
Solska, Ewa ;
Desai, Apurva A. ;
Rolland, Frederic ;
Demkow, Tomasz ;
Hutson, Thomas E. ;
Gore, Martin ;
Freeman, Scott ;
Schwartz, Brian ;
Shan, Minghua ;
Simantov, Ronit ;
Bukowski, Ronald M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 356 (02) :125-134
[4]   Phase III Trial of Bevacizumab Plus Interferon Alfa-2a in Patients With Metastatic Renal Cell Carcinoma (AVOREN): Final Analysis of Overall Survival [J].
Escudier, Bernard ;
Bellmunt, Joaquim ;
Negrier, Sylvie ;
Bajetta, Emilio ;
Melichar, Bohuslav ;
Bracarda, Sergio ;
Ravaud, Alain ;
Golding, Sophie ;
Jethwa, Sangeeta ;
Sneller, Vesna .
JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (13) :2144-2150
[5]   Phase I Trial of Bevacizumab Plus Escalated Doses of Sunitinib in Patients With Metastatic Renal Cell Carcinoma [J].
Feldman, Darren R. ;
Baum, Michael S. ;
Ginsberg, Michelle S. ;
Hassoun, Hani ;
Flombaum, Carlos D. ;
Velasco, Susanne ;
Fischer, Patricia ;
Ronnen, Ellen ;
Ishill, Nicole ;
Patil, Sujata ;
Motzer, Robert J. .
JOURNAL OF CLINICAL ONCOLOGY, 2009, 27 (09) :1432-1439
[6]   Phase II Trial of Bevacizumab and Everolimus in Patients With Advanced Renal Cell Carcinoma [J].
Hainsworth, John D. ;
Spigel, David R. ;
Burris, Howard A., III ;
Waterhouse, David ;
Clark, Bobby L. ;
Whorf, Robert .
JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (13) :2131-2136
[7]   Temsirolimus, interferon alfa, or both for advanced renal-cell carcinoma [J].
Hudes, Gary ;
Carducci, Michael ;
Tomczak, Piotr ;
Dutcher, Janice ;
Figlin, Robert ;
Kapoor, Anil ;
Staroslawska, Elzbieta ;
Sosman, Jeffrey ;
McDermott, David ;
Bodrogi, Istvan ;
Kovacevic, Zoran ;
Lesovoy, Vladimir ;
Schmidt-Wolf, Ingo G. H. ;
Barbarash, Olga ;
Gokmen, Erhan ;
O'Toole, Timothy ;
Lustgarten, Stephanie ;
Moore, Laurence ;
Motzer, Robert J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 356 (22) :2271-2281
[8]   NONPARAMETRIC-ESTIMATION FROM INCOMPLETE OBSERVATIONS [J].
KAPLAN, EL ;
MEIER, P .
JOURNAL OF THE AMERICAN STATISTICAL ASSOCIATION, 1958, 53 (282) :457-481
[9]   Hypoxia-inducible factor 1α is regulated by the mammalian target of rapamycin (mTOR) via an mTOR signaling motif [J].
Land, Stephen C. ;
Tee, Andrew R. .
JOURNAL OF BIOLOGICAL CHEMISTRY, 2007, 282 (28) :20534-20543
[10]   Prognostic factors for survival in previously treated patients with metastatic renal cell carcinoma [J].
Motzer, RJ ;
Bacik, J ;
Schwartz, LH ;
Reuter, V ;
Russo, P ;
Marion, S ;
Mazumdar, M .
JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (03) :454-463