Serveur d'exploration sur les relations entre la France et l'Australie

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A Phase II Trial of the Multitargeted Tyrosine Kinase Inhibitor Lenvatinib (E7080) in Advanced Medullary Thyroid Cancer.

Identifieur interne : 002386 ( PubMed/Curation ); précédent : 002385; suivant : 002387

A Phase II Trial of the Multitargeted Tyrosine Kinase Inhibitor Lenvatinib (E7080) in Advanced Medullary Thyroid Cancer.

Auteurs : Martin Schlumberger [France] ; Barbara Jarzab [Pologne] ; Maria E. Cabanillas [États-Unis] ; Bruce Robinson [Australie] ; Furio Pacini [Italie] ; Douglas W. Ball [États-Unis] ; Judith Mccaffrey [États-Unis] ; Kate Newbold [Royaume-Uni] ; Roger Allison [Australie] ; Renato G. Martins [États-Unis] ; Lisa F. Licitra [Italie] ; Manisha H. Shah [États-Unis] ; Donald Bodenner [États-Unis] ; Rossella Elisei [Italie] ; Lynn Burmeister [États-Unis] ; Yasuhiro Funahashi [États-Unis] ; Min Ren [États-Unis] ; James P. O'Brien [États-Unis] ; Steven I. Sherman [États-Unis]

Source :

RBID : pubmed:26311725

Descripteurs français

English descriptors

Abstract

Positive results of phase I studies evaluating lenvatinib in solid tumors, including thyroid cancer, prompted a phase II trial in advanced medullary thyroid carcinoma (MTC).

DOI: 10.1158/1078-0432.CCR-15-1127
PubMed: 26311725

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pubmed:26311725

Le document en format XML

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<name sortKey="Sherman, Steven I" sort="Sherman, Steven I" uniqKey="Sherman S" first="Steven I" last="Sherman">Steven I. Sherman</name>
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<title level="j">Clinical cancer research : an official journal of the American Association for Cancer Research</title>
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<term>Thyroid Neoplasms (drug therapy)</term>
<term>Thyroid Neoplasms (pathology)</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Antinéoplasiques (pharmacologie)</term>
<term>Antinéoplasiques (usage thérapeutique)</term>
<term>Carcinome neuroendocrine (anatomopathologie)</term>
<term>Carcinome neuroendocrine (sang)</term>
<term>Carcinome neuroendocrine (traitement médicamenteux)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Inhibiteurs de protéines kinases (pharmacologie)</term>
<term>Inhibiteurs de protéines kinases (usage thérapeutique)</term>
<term>Jeune adulte</term>
<term>Marqueurs biologiques</term>
<term>Mâle</term>
<term>Métastase tumorale</term>
<term>Phénylurées (pharmacologie)</term>
<term>Phénylurées (usage thérapeutique)</term>
<term>Quinoléines (pharmacologie)</term>
<term>Quinoléines (usage thérapeutique)</term>
<term>Reprise du traitement</term>
<term>Résultat thérapeutique</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Thérapie moléculaire ciblée</term>
<term>Tumeurs de la thyroïde (anatomopathologie)</term>
<term>Tumeurs de la thyroïde (sang)</term>
<term>Tumeurs de la thyroïde (traitement médicamenteux)</term>
<term>Évolution de la maladie</term>
</keywords>
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<term>Antineoplastic Agents</term>
<term>Phenylurea Compounds</term>
<term>Protein Kinase Inhibitors</term>
<term>Quinolines</term>
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<term>Antineoplastic Agents</term>
<term>Phenylurea Compounds</term>
<term>Protein Kinase Inhibitors</term>
<term>Quinolines</term>
</keywords>
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<term>Carcinome neuroendocrine</term>
<term>Tumeurs de la thyroïde</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Carcinoma, Neuroendocrine</term>
<term>Thyroid Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Carcinoma, Neuroendocrine</term>
<term>Thyroid Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Carcinoma, Neuroendocrine</term>
<term>Thyroid Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="pharmacologie" xml:lang="fr">
<term>Antinéoplasiques</term>
<term>Inhibiteurs de protéines kinases</term>
<term>Phénylurées</term>
<term>Quinoléines</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Carcinome neuroendocrine</term>
<term>Tumeurs de la thyroïde</term>
</keywords>
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<term>Carcinome neuroendocrine</term>
<term>Tumeurs de la thyroïde</term>
</keywords>
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<term>Antinéoplasiques</term>
<term>Inhibiteurs de protéines kinases</term>
<term>Phénylurées</term>
<term>Quinoléines</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Biomarkers</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Molecular Targeted Therapy</term>
<term>Neoplasm Metastasis</term>
<term>Neoplasm Staging</term>
<term>Retreatment</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Marqueurs biologiques</term>
<term>Mâle</term>
<term>Métastase tumorale</term>
<term>Reprise du traitement</term>
<term>Résultat thérapeutique</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Thérapie moléculaire ciblée</term>
<term>Évolution de la maladie</term>
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<front>
<div type="abstract" xml:lang="en">Positive results of phase I studies evaluating lenvatinib in solid tumors, including thyroid cancer, prompted a phase II trial in advanced medullary thyroid carcinoma (MTC).</div>
</front>
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<Year>2016</Year>
<Month>01</Month>
<Day>05</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>10</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Print">1078-0432</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>22</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2016</Year>
<Month>Jan</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>Clinical cancer research : an official journal of the American Association for Cancer Research</Title>
<ISOAbbreviation>Clin. Cancer Res.</ISOAbbreviation>
</Journal>
<ArticleTitle>A Phase II Trial of the Multitargeted Tyrosine Kinase Inhibitor Lenvatinib (E7080) in Advanced Medullary Thyroid Cancer.</ArticleTitle>
<Pagination>
<MedlinePgn>44-53</MedlinePgn>
</Pagination>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Positive results of phase I studies evaluating lenvatinib in solid tumors, including thyroid cancer, prompted a phase II trial in advanced medullary thyroid carcinoma (MTC).</AbstractText>
<AbstractText Label="EXPERIMENTAL DESIGN" NlmCategory="METHODS">Fifty-nine patients with unresectable progressive MTC per Response Evaluation Criteria In Solid Tumors (RECIST) v1.0 within the prior 12 months received lenvatinib (24-mg daily, 28-day cycles) until disease progression, unmanageable toxicity, withdrawal, or death. Prior anti-VEGFR therapy was permitted. The primary endpoint was objective response rate (ORR) by RECIST v1.0 and independent imaging review.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Lenvatinib ORR was 36% [95% confidence interval (CI), 24%-49%]; all partial responses. ORR was comparable between patients with (35%) or without (36%) prior anti-VEGFR therapy. Disease control rate (DCR) was 80% (95% CI, 67%-89%); 44% had stable disease. Among responders, median time to response (TTR) was 3.5 months (95% CI, 1.9-3.7). Median progression-free survival (PFS) was 9.0 months (95% CI, 7.0-not evaluable). Common toxicity criteria grade 3/4 treatment-emergent adverse events included diarrhea (14%), hypertension (7%), decreased appetite (7%), fatigue, dysphagia, and increased alanine aminotransferase levels (5% each). Ret proto-oncogene status did not correlate with outcomes. Low baseline levels of angiopoietin-2, hepatocyte growth factor, and IL8 were associated with tumor reduction and prolonged PFS. High baseline levels of VEGF, soluble VEGFR3, and platelet-derived growth factor BB, and low baseline levels of soluble Tie-2, were associated with tumor reduction.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Lenvatinib had a high ORR, high DCR, and a short TTR in patients with documented progressive MTC. Toxicities were managed with dose modifications and medications.</AbstractText>
<CopyrightInformation>©2015 American Association for Cancer Research.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Schlumberger</LastName>
<ForeName>Martin</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Nuclear Medicine and Endocrine Oncology, Institut Gustave-Roussy and University Paris-Sud, Villejuif, France. martin.schlumberger@gustaveroussy.fr.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Jarzab</LastName>
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<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Department of Nuclear Medicine and Endocrine Oncology, Centrum Onkologii Instytut im. M. Sklodowskiei-Curie, Gliwice, Poland.</Affiliation>
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<LastName>Cabanillas</LastName>
<ForeName>Maria E</ForeName>
<Initials>ME</Initials>
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<Affiliation>Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas MD Anderson Cancer Center, Houston, Texas.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Robinson</LastName>
<ForeName>Bruce</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Department of Endocrinology, Royal North Shore Hospital, Sydney, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Pacini</LastName>
<ForeName>Furio</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical, Surgical and Neurological Sciences, Azienda Ospedaliera Universitaria Senese, Siena, Italy.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Ball</LastName>
<ForeName>Douglas W</ForeName>
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<Affiliation>Division of Endocrinology and Metabolism, Johns Hopkins Medical Institute, Baltimore, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>McCaffrey</LastName>
<ForeName>Judith</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Interdisciplinary Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Newbold</LastName>
<ForeName>Kate</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>NIHR Royal Marsden Hospital and Institute of Cancer Research BRC, London, UK.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
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<LastName>Martins</LastName>
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<Affiliation>Division of Clinical Research, Seattle Cancer Care Alliance, Seattle, Washington.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Licitra</LastName>
<ForeName>Lisa F</ForeName>
<Initials>LF</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Shah</LastName>
<ForeName>Manisha H</ForeName>
<Initials>MH</Initials>
<AffiliationInfo>
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</AffiliationInfo>
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<ForeName>Donald</ForeName>
<Initials>D</Initials>
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</AffiliationInfo>
</Author>
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<ForeName>Rossella</ForeName>
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</AffiliationInfo>
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<ForeName>Yasuhiro</ForeName>
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</AffiliationInfo>
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<ForeName>Min</ForeName>
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<Affiliation>Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas MD Anderson Cancer Center, Houston, Texas.</Affiliation>
</AffiliationInfo>
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