Feasibility of Apatinib in Radioiodine-Refractory Differentiated Thyroid Carcinoma

被引:6
作者
Du, Wei [1 ]
Shi, Xiangyu [2 ]
Fang, Qigen [1 ]
Zhang, Xu [1 ]
Liu, Shanting [1 ]
机构
[1] Zhengzhou Univ, Henan Canc Hosp, Affiliated Canc Hosp, Dept Head Neck & Thyroid, Zhengzhou, Peoples R China
[2] Peoples Hosp Changshou Dist, Dept Breast & Thyroid Surg, Chongqing, Peoples R China
关键词
differentiated thyroid carcinoma; apatinib; radioiodine refractory differentiated thyroid carcinoma; targeted treatment; drug efficacy; DOUBLE-BLIND; PHASE-III; CANCER; LENVATINIB; PLACEBO;
D O I
10.3389/fendo.2022.768028
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
ObjectivesOur aim was to describe our experience in using apatinib as treatment for radioiodine-refractory differentiated thyroid carcinoma (RAIR-DTC). MethodsForty-seven patients undergoing apatinib treatment for RAIR-DTC were prospectively enrolled in this study. The study endpoints were objective response rate (ORR), disease control rate (DCR), progression-free survival (PFS), overall survival (OS), and rate of adverse events. ResultsNo patients achieved complete response, while 36 (76.6%) and 8 (17.0%) patients achieved partial response and stable disease, respectively. The ORR and DCR were 76.6% and 93.6%, respectively. The median PFS and OS were 18 and 59 months, respectively. A total of 91 adverse events occurred, of which 21 were graded as grade 3 or higher. There were no drug-related deaths. ConclusionsApatinib has distinct anti-RAIR-DTC efficacy in terms of ORR, PFS, and OS and has a favorable safety profile. It is a feasible treatment option for RAIR-DTC.
引用
收藏
页数:6
相关论文
共 25 条
[1]   Prognostic role of the lymphocyte-to-monocyte ratio for clinical outcomes of patients with progressive radioiodine-refractory differentiated thyroid carcinoma treated by sorafenib [J].
Ahn, Jonghwa ;
Song, Eyun ;
Kim, Won Gu ;
Kim, Tae Yong ;
Kim, Won Bae ;
Shong, Young Kee ;
Jeon, Min Ji .
CLINICAL ENDOCRINOLOGY, 2020, 92 (01) :71-76
[2]   Sorafenib in radioactive iodine-refractory, locally advanced or metastatic differentiated thyroid cancer: a randomised, double-blind, phase 3 trial [J].
Brose, Marcia S. ;
Nutting, Christopher M. ;
Jarzab, Barbara ;
Elisei, Rossella ;
Siena, Salvatore ;
Bastholt, Lars ;
de la Fouchardiere, Christelle ;
Pacini, Furio ;
Paschke, Ralf ;
Shong, Young Kee ;
Sherman, Steven I. ;
Smit, Johannes W. A. ;
Chung, John ;
Kappeler, Christian ;
Pena, Carol ;
Molnar, Istvan ;
Schlumberger, Martin J. .
LANCET, 2014, 384 (9940) :319-328
[3]   The medical treatment of radioiodine-refractory differentiated thyroid cancers in 2019. A TUTHYREF® network review [J].
de la Fouchardiere, Christelle ;
Alghuzlan, Abir ;
Bardet, Stephane ;
Borget, Isabelle ;
Chazot, Francoise Borson ;
Do Cao, Christine ;
Godbert, Yann ;
Leenhardt, Laurence ;
Zerdoud, Slimane ;
Leboulleux, Sophie .
BULLETIN DU CANCER, 2019, 106 (09) :812-819
[4]   Human Papillomavirus Testing in Head and Neck Carcinomas: ASCO Clinical Practice Guideline Endorsement of the College of American Pathologists Guideline [J].
Fakhry, Carole ;
Lacchetti, Christina ;
Rooper, Lisa M. ;
Jordan, Richard C. ;
Rischin, Danny ;
Sturgis, Erich M. ;
Bell, Diana ;
Lingen, Mark W. ;
Harichand-Herdt, Seema ;
Thibo, John ;
Zevallos, Jose ;
Perez-Ordonez, Bayardo .
JOURNAL OF CLINICAL ONCOLOGY, 2018, 36 (31) :3152-+
[5]   2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer [J].
Haugen, Bryan R. ;
Alexander, Erik K. ;
Bible, Keith C. ;
Doherty, Gerard M. ;
Mandel, Susan J. ;
Nikiforov, Yuri E. ;
Pacini, Furio ;
Randolph, Gregory W. ;
Sawka, Anna M. ;
Schlumberger, Martin ;
Schuff, Kathryn G. ;
Sherman, Steven I. ;
Sosa, Julie Ann ;
Steward, David L. ;
Tuttle, R. Michael ;
Wartofsky, Leonard .
THYROID, 2016, 26 (01) :1-133
[6]  
Hussen Bashdar Mahmud, 2021, FRONTIERS IN CELL AND DEVELOPMENTAL BIOLOGY, V9, DOI [DOI 10.3389/FCELL.2021.689992, 10.3389/fcell.2021.689992]
[7]   Current understanding of nonsurgical interventions for refractory differentiated thyroid cancer: a systematic review [J].
Jones, Heidi ;
Green, Victoria ;
England, James ;
Greenman, John .
FUTURE SCIENCE OA, 2021, 7 (07)
[8]   Contemporary considerations in adjuvant radioiodine treatment of adults with differentiated thyroid cancer [J].
Juweid, Malik E. ;
Tulchinsky, Mark ;
Mismar, Ayman ;
Momani, Munther ;
Zayed, Ayman A. ;
Al Hawari, Hussam ;
Albsoul, Nader ;
Mottaghy, Felix M. .
INTERNATIONAL JOURNAL OF CANCER, 2020, 147 (09) :2345-2354
[9]   Real-World Efficacy and Safety of Multi-Tyrosine Kinase Inhibitors in Radioiodine Refractory Thyroid Cancer [J].
Koehler, Viktoria Florentine ;
Berg, Elke ;
Adam, Pia ;
Weber, Gian-Luca ;
Pfestroff, Andreas ;
Luster, Markus ;
Kutsch, Jana Maria ;
Lapa, Constantin ;
Sandner, Benjamin ;
Rayes, Nada ;
Fuss, Carmina Teresa ;
Kreissl, Michael C. ;
Hoster, Eva ;
Allelein, Stephanie ;
Schott, Matthias ;
Todica, Andrei ;
Fassnacht, Martin ;
Kroiss, Matthias ;
Spitzweg, Christine .
THYROID, 2021, 31 (10) :1531-1541
[10]   Radioiodine refractoriness score: A multivariable prediction model for postoperative radioiodine-refractory differentiated thyroid carcinomas [J].
Li, Genpeng ;
Lei, Jianyong ;
Song, Linlin ;
Jiang, Ke ;
Wei, Tao ;
Li, Zhihui ;
Gong, Rixiang ;
Zhu, Jingqiang .
CANCER MEDICINE, 2018, 7 (11) :5448-5456