Alternate sunitinib schedules in patients with metastatic renal cell carcinoma

被引:41
作者
Kalra, S. [1 ]
Rini, B. I. [2 ]
Jonasch, E. [1 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Dept Genitourinary Med Oncol, Houston, TX 77030 USA
[2] Cleveland Clin, Taussig Canc Inst, Dept Solid Tumor Oncol, Cleveland, OH 44106 USA
关键词
sunitinib; renal cell carcinoma; drug administration schedule; alternate schedule; PHASE-II TRIAL; INTERFERON-ALPHA; DOSING SCHEDULE; CANCER; TOXICITY; SURVIVAL; EFFICACY; OUTCOMES; THERAPY; REGIMEN;
D O I
10.1093/annonc/mdv030
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Sunitinib malate is an oral multitargeted tyrosine kinase inhibitor exhibiting antiangiogenic activity. Sunitinib demonstrated improved outcomes in comparison to interferon- a in a large phase III study of treatment naive patients with metastatic renal cell carcinoma. Maintaining patients on sunitinib treatment is essential for a sustained disease control as higher exposure to sunitinib has been associated with an improved overall response rate, progression- free survival and overall survival. Various studies have compared the outcomes of patients undergoing sunitinib therapy based on modifications from their standard dose and schedule. Several studies have shown that switching to an alternate schedule with more frequent dose interruptions without affecting dose density over a 6- week cycle is associated with improved outcomes and increased tolerability.
引用
收藏
页码:1300 / 1304
页数:5
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