Cicero Giuseppe, De Luca Rossella, Dieli Francesco
Department of Surgical, Oncological and Oral Sciences, Section of Medical Oncology, University of Palermo, Palermo, Italy.
Oncology. 2017;93(6):354-358. doi: 10.1159/000479112. Epub 2017 Sep 6.
BACKGROUND/AIM: A clinical trial demonstrated that treatment with oral multikinase regorafenib improved overall survival (OS), progression-free survival (PFS), and disease control [García-Alfonso et al.: J Clin Transl Oncol 2016;18:1072-1081; Bertocchi et al.: J Chemother 2017;29:102-105]. In this study, we aimed to evaluate its effectiveness in Italian patients with hormone-refractory metastatic castration-resistant prostate cancer (mCRPC) progressing after chemotherapy with docetaxel plus prednisone.
60 patients were enrolled. OS has been assessed as the primary endpoint while PFS, quality of life, safety, and response rate represented secondary endpoints.
A modest tolerability was observed in our group showing a manageable toxicity profile and a modest objective response rate. It was associated with stable disease. A significant correlation between quality of life and OS was also noticed.
Regorafenib has been proven to be an effective and well-tolerated therapeutic option in patients with mCRPC progressing after docetaxel plus prednisone treatment.
背景/目的:一项临床试验表明,口服多激酶抑制剂瑞戈非尼治疗可改善总生存期(OS)、无进展生存期(PFS)和疾病控制情况[加西亚 - 阿方索等人:《临床转化肿瘤学》2016年;18:1072 - 1081;贝尔托基等人:《化疗》2017年;29:102 - 105]。在本研究中,我们旨在评估其对意大利激素难治性转移性去势抵抗性前列腺癌(mCRPC)患者的疗效,这些患者在多西他赛加泼尼松化疗后病情进展。
纳入60例患者。将总生存期评估为主要终点,而无进展生存期、生活质量、安全性和缓解率为次要终点。
在我们的研究组中观察到适度的耐受性,显示出可管理的毒性特征和适度的客观缓解率。它与疾病稳定相关。还注意到生活质量与总生存期之间存在显著相关性。
瑞戈非尼已被证明是多西他赛加泼尼松治疗后病情进展的mCRPC患者的一种有效且耐受性良好的治疗选择。