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Vemurafenib in metastatic melanoma patients with brain metastases: an open-label, single-arm, phase 2, multicentre study.

Identifieur interne : 004058 ( Ncbi/Merge ); précédent : 004057; suivant : 004059

Vemurafenib in metastatic melanoma patients with brain metastases: an open-label, single-arm, phase 2, multicentre study.

Auteurs : G A Mcarthur [Australie] ; M. Maio [Italie] ; A. Arance [Espagne] ; P. Nathan [Royaume-Uni] ; C. Blank [Pays-Bas] ; M-F Avril [France] ; C. Garbe ; A. Hauschild ; D. Schadendorf [Allemagne] ; O. Hamid [États-Unis] ; M. Fluck [Allemagne] ; M. Thebeau [États-Unis] ; J. Schachter [Israël] ; R. Kefford [Australie] ; M. Chamberlain [États-Unis] ; M. Makrutzki [Suisse] ; S. Robson [Suisse] ; R. Gonzalez ; K. Margolin [États-Unis]

Source :

RBID : pubmed:27993793

Abstract

Vemurafenib has shown activity in patients with BRAFV600 mutated melanoma with brain metastases (BM). This phase 2 study evaluated vemurafenib in patients with/without prior treatment for BM.

DOI: 10.1093/annonc/mdw641
PubMed: 27993793

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pubmed:27993793

Le document en format XML

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<name sortKey="Chamberlain, M" sort="Chamberlain, M" uniqKey="Chamberlain M" first="M" last="Chamberlain">M. Chamberlain</name>
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<name sortKey="Makrutzki, M" sort="Makrutzki, M" uniqKey="Makrutzki M" first="M" last="Makrutzki">M. Makrutzki</name>
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<name sortKey="Robson, S" sort="Robson, S" uniqKey="Robson S" first="S" last="Robson">S. Robson</name>
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<name sortKey="Gonzalez, R" sort="Gonzalez, R" uniqKey="Gonzalez R" first="R" last="Gonzalez">R. Gonzalez</name>
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<name sortKey="Margolin, K" sort="Margolin, K" uniqKey="Margolin K" first="K" last="Margolin">K. Margolin</name>
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<div type="abstract" xml:lang="en">Vemurafenib has shown activity in patients with BRAFV600 mutated melanoma with brain metastases (BM). This phase 2 study evaluated vemurafenib in patients with/without prior treatment for BM.</div>
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<Title>Annals of oncology : official journal of the European Society for Medical Oncology</Title>
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<Abstract>
<AbstractText Label="Background" NlmCategory="UNASSIGNED">Vemurafenib has shown activity in patients with BRAFV600 mutated melanoma with brain metastases (BM). This phase 2 study evaluated vemurafenib in patients with/without prior treatment for BM.</AbstractText>
<AbstractText Label="Methods" NlmCategory="UNASSIGNED">Patients with BRAFV600 mutated melanoma with BM were enrolled into cohort 1 (previously untreated BM) and cohort 2 (previously treated BM) and received vemurafenib (960 mg BID) until disease progression (PD) or intolerance. Primary endpoint was best overall response rate (BORR) in the brain in cohort 1 that was evaluated using modified RECIST 1.1 criteria using lesions ≥0.5 cm to assess response.</AbstractText>
<AbstractText Label="Results" NlmCategory="UNASSIGNED">146 patients were treated (cohort 1 n = 90; cohort 2 n = 56), 62% of whom were male. Median (range) time since diagnosis of BM: 1.0 (0-9) month in cohort 1 and 4.2 (1-68) months in cohort 2. Median duration of treatment was 4.1 months (range 0.3-34.5) in cohort 1 and 4.1 months (range 0.2-27.6) in cohort 2. Intracranial BORR in cohort 1 by an independent review committee (IRC) was 18% (2 CRs, 14 PRs). Extracranial BORR by IRC was 33% in cohort 1 and 23% in cohort 2. Median PFS (brain only, investigator-assessed) was 3.7 months (range 0.03-33.4; IQR 1.9-5.6) in cohort 1 and 4.0 months (range 0.3-27.4; IQR 2.2-7.4) in cohort 2. Median OS was 8.9 months (range 0.6-34.5; IQR 4.9-17.0) in cohort 1 and 9.6 months (range 0.7-34.3; IQR 4.5-18.4) in cohort 2. Adverse events (AEs) were similar in type, grade and frequency to other studies of single-agent vemurafenib. Grade 3/4 AEs occurred in 59 (66%) patients in cohort 1 and 36 (64%) in cohort 2. Overall, 84% of patients died during the study (86% in cohort 1 and 80% in cohort 2), mainly due to disease progression.</AbstractText>
<AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">The study demonstrates clinically meaningful response rates of melanoma BM to vemurafenib, which was well tolerated and without significant CNS toxicity.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>McArthur</LastName>
<ForeName>G A</ForeName>
<Initials>GA</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Oncology, Peter MacCallum Cancer Centre, East Melbourne and University of Melbourne, Parkville, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Maio</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>AOU Senese Policlinico Santa Maria Alle Scotte, Siena, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Arance</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Oncology, Hospital Clínic Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Nathan</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Mount Vernon Hospital, Centre for Cancer Treatment, Northwood, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Blank</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>The Netherlands Cancer Institute, Amsterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Avril</LastName>
<ForeName>M-F</ForeName>
<Initials>MF</Initials>
<AffiliationInfo>
<Affiliation>University Paris Descartes, Hospital Cochin, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Garbe</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
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<Affiliation>Department of Dermatology, University Hospital Tuebingen, Tuebingen.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hauschild</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
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</AffiliationInfo>
</Author>
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<LastName>Schadendorf</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
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<Affiliation>Department of Dermatology, Comprehensive Cancer Center, University Hospital Essen, Essen, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Hamid</LastName>
<ForeName>O</ForeName>
<Initials>O</Initials>
<AffiliationInfo>
<Affiliation>Angeles Clinic and Research Institute, Los Angeles, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Fluck</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
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<Affiliation>Fachklinik Hornheide, Munster, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Thebeau</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
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<Affiliation>Moffitt Cancer Center, Tampa, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Schachter</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
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</AffiliationInfo>
</Author>
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<LastName>Kefford</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
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<Affiliation>Crown Princess Cancer Centre Westmead Hospital and Department of Clinical Medicine, Macquarie University, Sydney NSW, Australia.</Affiliation>
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<LastName>Chamberlain</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
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<Affiliation>Seattle Cancer Care Alliance, Seattle, USA.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Makrutzki</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>F. Hoffmann-La Roche Ltd, Basel, Switzerland.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Robson</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
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<Affiliation>F. Hoffmann-La Roche Ltd, Basel, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gonzalez</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>University of Colorado Cancer Center, Aurora.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Margolin</LastName>
<ForeName>K</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>City of Hope, Duarte, USA.</Affiliation>
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</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
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<MedlineJournalInfo>
<Country>England</Country>
<MedlineTA>Ann Oncol</MedlineTA>
<NlmUniqueID>9007735</NlmUniqueID>
<ISSNLinking>0923-7534</ISSNLinking>
</MedlineJournalInfo>
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<Keyword MajorTopicYN="N">BRAFV600 mutated melanoma</Keyword>
<Keyword MajorTopicYN="N">brain metastases</Keyword>
<Keyword MajorTopicYN="N">phase 2 study</Keyword>
<Keyword MajorTopicYN="N">vemurafenib</Keyword>
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<Month>12</Month>
<Day>21</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<Minute>0</Minute>
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<Month>12</Month>
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<Hour>6</Hour>
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<li>Italie</li>
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<li>Hollande-Septentrionale</li>
<li>Victoria (État)</li>
<li>Île-de-France</li>
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<settlement>
<li>Amsterdam</li>
<li>Los Angeles</li>
<li>Melbourne</li>
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