Salvage Therapy with Bevacizumab-Sunitinib Combination after Failure of Sunitinib Alone for Metastatic Renal Cell Carcinoma: A Case Series

被引:18
作者
Medioni, Jacques [1 ,7 ]
Banu, Eugeniu [1 ]
Helley, Dominique [2 ,7 ,8 ]
Scotte, Florian [1 ]
Fournier, Laure [3 ]
Mejean, Arnaud [4 ]
Chedid, Antoine [5 ]
Azizi, Michel [6 ,7 ]
Andrieu, Jean-Marie [1 ,7 ]
Oudard, Stephane [1 ,7 ]
机构
[1] Hop Europeen Georges Pompidou, AP HP, Dept Oncol, F-75015 Paris, France
[2] Hop Europeen Georges Pompidou, AP HP, Dept Biol, F-75015 Paris, France
[3] Hop Europeen Georges Pompidou, AP HP, Dept Radiol, F-75015 Paris, France
[4] Hop Europeen Georges Pompidou, AP HP, Dept Urol, F-75015 Paris, France
[5] Hop Europeen Georges Pompidou, AP HP, Dept Vasc Med, F-75015 Paris, France
[6] Hop Europeen Georges Pompidou, AP HP, Clin Res Ctr, F-75015 Paris, France
[7] Paris Descartes Univ, Paris, France
[8] INSERM, U765, Paris, France
关键词
Bevacizumab; Renal cell carcinoma; Salvage therapy; Sunitinib; ENDOTHELIAL GROWTH-FACTOR; INTERFERON-ALPHA; CANCER; INHIBITOR; ANTIBODY; SU11248;
D O I
10.1016/j.eururo.2009.01.001
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We present a case series of seven patients with metastatic renal cell carcinoma treated with bevacizumab (10 mg/kg) in combination with sunitinib 25-50 mg as salvage therapy after disease progression under sunitinib monotherapy. Two patients had a partial response, four had stable disease, and one patient had disease progression. After a median follow-up of 17.2 mo, median progression-free survival and overall survival were 8.5 and 15.1 mo, respectively. Two patients experienced exacerbation of their preexisting hypertension; there were no grade 4 toxicities. The bevacizumab-sunitinib combination in sunitinib-refractory patients seems active and has a tolerable toxicity profile. Crown Copyright (C) 2009 Published by Elsevier B.V. on behalf of European Association of Urology. All rights reserved.
引用
收藏
页码:207 / 211
页数:5
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