Increased Hemoglobin Associated with VEGF Inhibitors in Advanced Renal Cell Carcinoma

被引:21
作者
Harshman, Lauren C. [1 ]
Kuo, Calvin J. [2 ]
Wong, Bryan Y. [3 ]
Vogelzang, Nicholas J.
Srinivas, Sandy
机构
[1] Stanford Univ, Div Oncol, Sch Med, CCSR, Stanford, CA 94305 USA
[2] Stanford Univ, Div Hematol, Sch Med, Stanford, CA 94305 USA
[3] Nevada Canc Inst, Div Hematol & Oncol, Las Vegas, NV USA
关键词
Bevacizumab; Erythropoiesis; Increased hemoglobin; Renal cell carcinoma; VEGF inhibition; GROWTH-FACTOR RECEPTOR; DOUBLE-BLIND; SUNITINIB; BEVACIZUMAB; SU11248; ALPHA; TRIAL; KIT;
D O I
10.1080/07357900902744528
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We retrospectively analyzed whether increased hemoglobin is a surrogate biomarker of efficacy for vascular endothelial growth factor (VEGF) inhibitors in advanced renal cell carcinoma (RCC) patients. Twelve patients were identified who had received bevacizumab alone or as combination therapy. Eleven patients experienced a rise in hemoglobin. Median change was 1.6 g/dL (0-4.0). Degree of peak increase correlated with longer progression-free survival (PFS) in metastatic patients: increase of 15% yielded a 3.1-month median PFS compared to 8.2 months with rises 15%. This study identifies increased hemoglobin as a possible consequence of VEGF inhibitors. The correlation with longer PFS suggests that rise in hemoglobin may be a surrogate biomarker of efficacy.
引用
收藏
页码:851 / 856
页数:6
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