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Phase II study of single-agent bosutinib, a Src/Abl tyrosine kinase inhibitor, in patients with locally advanced or metastatic breast cancer pretreated with chemotherapy

Identifieur interne : 001500 ( PascalFrancis/Corpus ); précédent : 001499; suivant : 001501

Phase II study of single-agent bosutinib, a Src/Abl tyrosine kinase inhibitor, in patients with locally advanced or metastatic breast cancer pretreated with chemotherapy

Auteurs : M. Campone ; I. Bondarenko ; S. Brincat ; Y. Hotko ; P. N. Munster ; E. Chmielowska ; P. Fumoleau ; R. Ward ; N. Bardy-Bouxin ; E. Leip ; K. Turnbul ; C. Zacharchuk ; R. J. Epstein

Source :

RBID : Pascal:12-0154866

Descripteurs français

English descriptors

Abstract

Background: This phase II study evaluated single-agent bosutinib in pretreated patients with locally advanced or metastatic breast cancer. Patients and methods: Patients received oral bosutinib 400 mg/day. The primary end point was the progression-free survival (PFS) rate at 16 weeks. Secondary end points included objective response rate, clinical benefit rate, 2-year overall survival rate, safety, and changes in levels of bone resorption/formation biomarkers. Results: Seventy-three patients were enrolled and treated. Median time from diagnosis of metastatic disease to initiation of bosutinib treatment was 24.5 months. For the intent-to-treat population, the PFS rate at 16 weeks was 39.6%. Unexpectedly, all responding patients (n = 4) were hormone receptor positive. The clinical benefit rate was 27.4%. The 2-year overall survival rate was 26.4%. The main toxic effects were diarrhea (66%), nausea (55%), and vomiting (47%). Grade 3-4 laboratory aminotransferase elevations occurred in 14 (19%) patients. Myelosuppression was minimal. No consistent changes in the levels of bone resorption/formation biomarkers were seen. Conclusions: Bosutinib showed promising efficacy in prolonging time to progression in chemotherapy-pretreated patients with locally advanced or metastatic breast cancer. Bosutinib was generally well tolerated, with a safety profile different from that of the Src/Abl tyrosine kinase inhibitor dasatinib in a similar patient population.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0923-7534
A03   1    @0 Ann. oncol.
A05       @2 23
A06       @2 3
A08 01  1  ENG  @1 Phase II study of single-agent bosutinib, a Src/Abl tyrosine kinase inhibitor, in patients with locally advanced or metastatic breast cancer pretreated with chemotherapy
A11 01  1    @1 CAMPONE (M.)
A11 02  1    @1 BONDARENKO (I.)
A11 03  1    @1 BRINCAT (S.)
A11 04  1    @1 HOTKO (Y.)
A11 05  1    @1 MUNSTER (P. N.)
A11 06  1    @1 CHMIELOWSKA (E.)
A11 07  1    @1 FUMOLEAU (P.)
A11 08  1    @1 WARD (R.)
A11 09  1    @1 BARDY-BOUXIN (N.)
A11 10  1    @1 LEIP (E.)
A11 11  1    @1 TURNBUL (K.)
A11 12  1    @1 ZACHARCHUK (C.)
A11 13  1    @1 EPSTEIN (R. J.)
A14 01      @1 Department of Medical Oncology, Centre René Gauducheau @2 Nantes Saint-Herblain @3 FRA @Z 1 aut.
A14 02      @1 UMR 892 INSERM @2 Nantes @3 FRA @Z 1 aut.
A14 03      @1 Department of Oncology and Medical Radiology, Dnepropetrovsk State Medical Academy @2 Dnepropetrovsk @3 UKR @Z 2 aut.
A14 04      @1 Radiotherapy and Oncology Department, Sir Paul Boffa Hospital @2 Floriana @3 MLT @Z 3 aut.
A14 05      @1 Transcarpathian Regional Clinical Oncology Dispensary, Uzhgorod National University @2 Uzhgorod @3 UKR @Z 4 aut.
A14 06      @1 Departments of Breast and Experimental Therapeutics, H. Lee Moffitt Cancer Center @2 Tampa @3 USA @Z 5 aut.
A14 07      @1 Multi-Med Salata i Wsp sp. Jawna @2 Lodz @3 POL @Z 6 aut.
A14 08      @1 Department of Oncology, Centre Georges-François Leclerc @2 Dijon @3 FRA @Z 7 aut.
A14 09      @1 Department of Medical Oncology, Vincent's Hospital @2 Darlinghurst @3 AUS @Z 8 aut.
A14 10      @1 Pfizer Inc @2 Paris @3 FRA @Z 9 aut.
A14 11      @1 Pfizer Inc @2 Cambridge @3 USA @Z 10 aut. @Z 11 aut. @Z 12 aut.
A14 12      @1 Department of Medicine, The University of Hong Kong, Queen Mary Hospital @3 HKG @Z 13 aut.
A20       @1 610-617
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 22429 @5 354000509725210110
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 24 ref.
A47 01  1    @0 12-0154866
A60       @1 P
A61       @0 A
A64 01  1    @0 Annals of oncology
A66 01      @0 GBR
C01 01    ENG  @0 Background: This phase II study evaluated single-agent bosutinib in pretreated patients with locally advanced or metastatic breast cancer. Patients and methods: Patients received oral bosutinib 400 mg/day. The primary end point was the progression-free survival (PFS) rate at 16 weeks. Secondary end points included objective response rate, clinical benefit rate, 2-year overall survival rate, safety, and changes in levels of bone resorption/formation biomarkers. Results: Seventy-three patients were enrolled and treated. Median time from diagnosis of metastatic disease to initiation of bosutinib treatment was 24.5 months. For the intent-to-treat population, the PFS rate at 16 weeks was 39.6%. Unexpectedly, all responding patients (n = 4) were hormone receptor positive. The clinical benefit rate was 27.4%. The 2-year overall survival rate was 26.4%. The main toxic effects were diarrhea (66%), nausea (55%), and vomiting (47%). Grade 3-4 laboratory aminotransferase elevations occurred in 14 (19%) patients. Myelosuppression was minimal. No consistent changes in the levels of bone resorption/formation biomarkers were seen. Conclusions: Bosutinib showed promising efficacy in prolonging time to progression in chemotherapy-pretreated patients with locally advanced or metastatic breast cancer. Bosutinib was generally well tolerated, with a safety profile different from that of the Src/Abl tyrosine kinase inhibitor dasatinib in a similar patient population.
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C03 01  X  ENG  @0 Human @5 01
C03 01  X  SPA  @0 Hombre @5 01
C03 02  X  FRE  @0 Essai clinique phase II @5 02
C03 02  X  ENG  @0 Phase II trial @5 02
C03 02  X  SPA  @0 Ensayo clínico fase II @5 02
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C03 03  X  ENG  @0 Treatment @5 03
C03 03  X  SPA  @0 Tratamiento @5 03
C03 04  X  FRE  @0 Bosutinib @2 FR @5 04
C03 04  X  ENG  @0 Bosutinib @2 FR @5 04
C03 04  X  SPA  @0 Bosutinib @2 FR @5 04
C03 05  X  FRE  @0 Gène onc cellulaire @5 05
C03 05  X  ENG  @0 C-Onc gene @5 05
C03 05  X  SPA  @0 Gen onc celular @5 05
C03 06  X  FRE  @0 Protooncogène @5 06
C03 06  X  ENG  @0 Protooncogene @5 06
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C03 07  X  FRE  @0 Inhibiteur enzyme @5 07
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C03 11  X  ENG  @0 Advanced stage @5 11
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C03 12  X  SPA  @0 Metástasis @5 12
C03 13  X  FRE  @0 Cancer du sein @2 NM @5 13
C03 13  X  ENG  @0 Breast cancer @2 NM @5 13
C03 13  X  SPA  @0 Cáncer del pecho @2 NM @5 13
C03 14  X  FRE  @0 Chimiothérapie @5 14
C03 14  X  ENG  @0 Chemotherapy @5 14
C03 14  X  SPA  @0 Quimioterapia @5 14
C03 15  X  FRE  @0 Src protein kinase @4 INC @5 86
C03 16  X  FRE  @0 Gène abl @4 INC @5 87
C03 17  X  FRE  @0 Gène src @4 INC @5 88
C03 18  X  FRE  @0 Stade localement avancé @4 CD @5 96
C03 18  X  ENG  @0 Locally advanced stage @4 CD @5 96
C03 18  X  SPA  @0 Estadio localmente avanzado @4 CD @5 96
C03 19  X  FRE  @0 Tumeur sein @4 CD @5 97
C03 19  X  ENG  @0 Breast tumor @4 CD @5 97
C03 19  X  SPA  @0 Tumor pecho @4 CD @5 97
C07 01  X  FRE  @0 Transferases @2 FE
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C07 06  X  SPA  @0 Seno patología @2 NM @5 39
N21       @1 114
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 12-0154866 INIST
ET : Phase II study of single-agent bosutinib, a Src/Abl tyrosine kinase inhibitor, in patients with locally advanced or metastatic breast cancer pretreated with chemotherapy
AU : CAMPONE (M.); BONDARENKO (I.); BRINCAT (S.); HOTKO (Y.); MUNSTER (P. N.); CHMIELOWSKA (E.); FUMOLEAU (P.); WARD (R.); BARDY-BOUXIN (N.); LEIP (E.); TURNBUL (K.); ZACHARCHUK (C.); EPSTEIN (R. J.)
AF : Department of Medical Oncology, Centre René Gauducheau/Nantes Saint-Herblain/France (1 aut.); UMR 892 INSERM/Nantes/France (1 aut.); Department of Oncology and Medical Radiology, Dnepropetrovsk State Medical Academy/Dnepropetrovsk/Ukraine (2 aut.); Radiotherapy and Oncology Department, Sir Paul Boffa Hospital/Floriana/Malte (3 aut.); Transcarpathian Regional Clinical Oncology Dispensary, Uzhgorod National University/Uzhgorod/Ukraine (4 aut.); Departments of Breast and Experimental Therapeutics, H. Lee Moffitt Cancer Center/Tampa/Etats-Unis (5 aut.); Multi-Med Salata i Wsp sp. Jawna/Lodz/Pologne (6 aut.); Department of Oncology, Centre Georges-François Leclerc/Dijon/France (7 aut.); Department of Medical Oncology, Vincent's Hospital/Darlinghurst/Australie (8 aut.); Pfizer Inc/Paris/France (9 aut.); Pfizer Inc/Cambridge/Etats-Unis (10 aut., 11 aut., 12 aut.); Department of Medicine, The University of Hong Kong, Queen Mary Hospital/Hong-Kong (13 aut.)
DT : Publication en série; Niveau analytique
SO : Annals of oncology; ISSN 0923-7534; Royaume-Uni; Da. 2012; Vol. 23; No. 3; Pp. 610-617; Bibl. 24 ref.
LA : Anglais
EA : Background: This phase II study evaluated single-agent bosutinib in pretreated patients with locally advanced or metastatic breast cancer. Patients and methods: Patients received oral bosutinib 400 mg/day. The primary end point was the progression-free survival (PFS) rate at 16 weeks. Secondary end points included objective response rate, clinical benefit rate, 2-year overall survival rate, safety, and changes in levels of bone resorption/formation biomarkers. Results: Seventy-three patients were enrolled and treated. Median time from diagnosis of metastatic disease to initiation of bosutinib treatment was 24.5 months. For the intent-to-treat population, the PFS rate at 16 weeks was 39.6%. Unexpectedly, all responding patients (n = 4) were hormone receptor positive. The clinical benefit rate was 27.4%. The 2-year overall survival rate was 26.4%. The main toxic effects were diarrhea (66%), nausea (55%), and vomiting (47%). Grade 3-4 laboratory aminotransferase elevations occurred in 14 (19%) patients. Myelosuppression was minimal. No consistent changes in the levels of bone resorption/formation biomarkers were seen. Conclusions: Bosutinib showed promising efficacy in prolonging time to progression in chemotherapy-pretreated patients with locally advanced or metastatic breast cancer. Bosutinib was generally well tolerated, with a safety profile different from that of the Src/Abl tyrosine kinase inhibitor dasatinib in a similar patient population.
CC : 002B02R; 002B20E02
FD : Homme; Essai clinique phase II; Traitement; Bosutinib; Gène onc cellulaire; Protooncogène; Inhibiteur enzyme; Protein-tyrosine kinase; Inhibiteur de la tyrosine kinase; Malade; Stade avancé; Métastase; Cancer du sein; Chimiothérapie; Src protein kinase; Gène abl; Gène src; Stade localement avancé; Tumeur sein
FG : Transferases; Enzyme; Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein
ED : Human; Phase II trial; Treatment; Bosutinib; C-Onc gene; Protooncogene; Enzyme inhibitor; Protein-tyrosine kinase; Tyrosine kinase inhibitor; Patient; Advanced stage; Metastasis; Breast cancer; Chemotherapy; Locally advanced stage; Breast tumor
EG : Transferases; Enzyme; Malignant tumor; Cancer; Mammary gland diseases; Breast disease
SD : Hombre; Ensayo clínico fase II; Tratamiento; Bosutinib; Gen onc celular; Protooncogen; Inhibidor enzima; Protein-tyrosine kinase; Inhibidor tyrosine kinase; Enfermo; Estadio avanzado; Metástasis; Cáncer del pecho; Quimioterapia; Estadio localmente avanzado; Tumor pecho
LO : INIST-22429.354000509725210110
ID : 12-0154866

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Pascal:12-0154866

Le document en format XML

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<title xml:lang="en" level="a">Phase II study of single-agent bosutinib, a Src/Abl tyrosine kinase inhibitor, in patients with locally advanced or metastatic breast cancer pretreated with chemotherapy</title>
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<title level="j" type="main">Annals of oncology</title>
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<term>Advanced stage</term>
<term>Bosutinib</term>
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<term>Breast tumor</term>
<term>C-Onc gene</term>
<term>Chemotherapy</term>
<term>Enzyme inhibitor</term>
<term>Human</term>
<term>Locally advanced stage</term>
<term>Metastasis</term>
<term>Patient</term>
<term>Phase II trial</term>
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<div type="abstract" xml:lang="en">Background: This phase II study evaluated single-agent bosutinib in pretreated patients with locally advanced or metastatic breast cancer. Patients and methods: Patients received oral bosutinib 400 mg/day. The primary end point was the progression-free survival (PFS) rate at 16 weeks. Secondary end points included objective response rate, clinical benefit rate, 2-year overall survival rate, safety, and changes in levels of bone resorption/formation biomarkers. Results: Seventy-three patients were enrolled and treated. Median time from diagnosis of metastatic disease to initiation of bosutinib treatment was 24.5 months. For the intent-to-treat population, the PFS rate at 16 weeks was 39.6%. Unexpectedly, all responding patients (n = 4) were hormone receptor positive. The clinical benefit rate was 27.4%. The 2-year overall survival rate was 26.4%. The main toxic effects were diarrhea (66%), nausea (55%), and vomiting (47%). Grade 3-4 laboratory aminotransferase elevations occurred in 14 (19%) patients. Myelosuppression was minimal. No consistent changes in the levels of bone resorption/formation biomarkers were seen. Conclusions: Bosutinib showed promising efficacy in prolonging time to progression in chemotherapy-pretreated patients with locally advanced or metastatic breast cancer. Bosutinib was generally well tolerated, with a safety profile different from that of the Src/Abl tyrosine kinase inhibitor dasatinib in a similar patient population.</div>
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<s2>NM</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Pathologie de la glande mammaire</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Mammary gland diseases</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Glándula mamaria patología</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Pathologie du sein</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Breast disease</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Seno patología</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fN21>
<s1>114</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
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<NO>PASCAL 12-0154866 INIST</NO>
<ET>Phase II study of single-agent bosutinib, a Src/Abl tyrosine kinase inhibitor, in patients with locally advanced or metastatic breast cancer pretreated with chemotherapy</ET>
<AU>CAMPONE (M.); BONDARENKO (I.); BRINCAT (S.); HOTKO (Y.); MUNSTER (P. N.); CHMIELOWSKA (E.); FUMOLEAU (P.); WARD (R.); BARDY-BOUXIN (N.); LEIP (E.); TURNBUL (K.); ZACHARCHUK (C.); EPSTEIN (R. J.)</AU>
<AF>Department of Medical Oncology, Centre René Gauducheau/Nantes Saint-Herblain/France (1 aut.); UMR 892 INSERM/Nantes/France (1 aut.); Department of Oncology and Medical Radiology, Dnepropetrovsk State Medical Academy/Dnepropetrovsk/Ukraine (2 aut.); Radiotherapy and Oncology Department, Sir Paul Boffa Hospital/Floriana/Malte (3 aut.); Transcarpathian Regional Clinical Oncology Dispensary, Uzhgorod National University/Uzhgorod/Ukraine (4 aut.); Departments of Breast and Experimental Therapeutics, H. Lee Moffitt Cancer Center/Tampa/Etats-Unis (5 aut.); Multi-Med Salata i Wsp sp. Jawna/Lodz/Pologne (6 aut.); Department of Oncology, Centre Georges-François Leclerc/Dijon/France (7 aut.); Department of Medical Oncology, Vincent's Hospital/Darlinghurst/Australie (8 aut.); Pfizer Inc/Paris/France (9 aut.); Pfizer Inc/Cambridge/Etats-Unis (10 aut., 11 aut., 12 aut.); Department of Medicine, The University of Hong Kong, Queen Mary Hospital/Hong-Kong (13 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Annals of oncology; ISSN 0923-7534; Royaume-Uni; Da. 2012; Vol. 23; No. 3; Pp. 610-617; Bibl. 24 ref.</SO>
<LA>Anglais</LA>
<EA>Background: This phase II study evaluated single-agent bosutinib in pretreated patients with locally advanced or metastatic breast cancer. Patients and methods: Patients received oral bosutinib 400 mg/day. The primary end point was the progression-free survival (PFS) rate at 16 weeks. Secondary end points included objective response rate, clinical benefit rate, 2-year overall survival rate, safety, and changes in levels of bone resorption/formation biomarkers. Results: Seventy-three patients were enrolled and treated. Median time from diagnosis of metastatic disease to initiation of bosutinib treatment was 24.5 months. For the intent-to-treat population, the PFS rate at 16 weeks was 39.6%. Unexpectedly, all responding patients (n = 4) were hormone receptor positive. The clinical benefit rate was 27.4%. The 2-year overall survival rate was 26.4%. The main toxic effects were diarrhea (66%), nausea (55%), and vomiting (47%). Grade 3-4 laboratory aminotransferase elevations occurred in 14 (19%) patients. Myelosuppression was minimal. No consistent changes in the levels of bone resorption/formation biomarkers were seen. Conclusions: Bosutinib showed promising efficacy in prolonging time to progression in chemotherapy-pretreated patients with locally advanced or metastatic breast cancer. Bosutinib was generally well tolerated, with a safety profile different from that of the Src/Abl tyrosine kinase inhibitor dasatinib in a similar patient population.</EA>
<CC>002B02R; 002B20E02</CC>
<FD>Homme; Essai clinique phase II; Traitement; Bosutinib; Gène onc cellulaire; Protooncogène; Inhibiteur enzyme; Protein-tyrosine kinase; Inhibiteur de la tyrosine kinase; Malade; Stade avancé; Métastase; Cancer du sein; Chimiothérapie; Src protein kinase; Gène abl; Gène src; Stade localement avancé; Tumeur sein</FD>
<FG>Transferases; Enzyme; Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein</FG>
<ED>Human; Phase II trial; Treatment; Bosutinib; C-Onc gene; Protooncogene; Enzyme inhibitor; Protein-tyrosine kinase; Tyrosine kinase inhibitor; Patient; Advanced stage; Metastasis; Breast cancer; Chemotherapy; Locally advanced stage; Breast tumor</ED>
<EG>Transferases; Enzyme; Malignant tumor; Cancer; Mammary gland diseases; Breast disease</EG>
<SD>Hombre; Ensayo clínico fase II; Tratamiento; Bosutinib; Gen onc celular; Protooncogen; Inhibidor enzima; Protein-tyrosine kinase; Inhibidor tyrosine kinase; Enfermo; Estadio avanzado; Metástasis; Cáncer del pecho; Quimioterapia; Estadio localmente avanzado; Tumor pecho</SD>
<LO>INIST-22429.354000509725210110</LO>
<ID>12-0154866</ID>
</server>
</inist>
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