Efficacy of sunitinib in Turkish patients with gastrointestinal stromal tumors; retrospective multicenter experience.

作者: Ahmet Alacacioglu , Mustafa Benekli , Suleyman Buyuberber , Aydin Ciltas , Faysal Dane

DOI: 10.5754/HGE12692

关键词:

摘要: Background/aims Sunitinib is a multi-targeted thyrosine kinase receptor inhibitor used in patients with advanced gastrointestinal stromal tumours (GISTs). We evaluated the efficacy and tolerability of sunitinib therapy Turkish GISTs. Methodology Between January 2001 April 2012, 57 who had progressive disease or experienced unacceptable toxicity during imatinib treatment from multiple centers were investigated retrospectively. Results Thirty-three male 24 female. The median age was 55 years (range; 16-84 years). Thirty-eight received for longer than 12 months, 13 6-12 6 less six months. clinical benefit 73.7%. Treatment-related adverse events reported 78% patients. Adverse generally mild to moderate intensity. progression free survival (PFS) overall (OS) that 10.8 months 23.9 respectively. time usage response independent prognostic factors PFS OS. Also, tumor size an factor PFS. Conclusions effective GISTs, 73.7% shows acceptable tolerability.

参考文章(32)
Zhi-Yong Wu, Hui Cao, Zhi-Yong Sheng, Yan-Yan Song, Yun Zhang, Qiang Liu, Dan-Ping Shen, Xing-Zhi Ni, Ming Wang, Yan-Ying Shen, Prognostic analysis of patients with gastrointestinal stromal tumors: a single unit experience with surgical treatment of primary disease. Chinese Medical Journal. ,vol. 123, pp. 131- 136 ,(2010)
Markku Miettinen, Jerzy Lasota, Gastrointestinal Stromal Tumors: Review on Morphology, Molecular Pathology, Prognosis, and Differential Diagnosis Archives of Pathology & Laboratory Medicine. ,vol. 130, pp. 1466- 1478 ,(2006) , 10.1043/1543-2165(2006)130[1466:GSTROM]2.0.CO;2
Lesley J. Murray, Tinya J. Abrams, Kelly R. Long, Theresa J. Ngai, Lisa M. Olson, Weiru Hong, Paul K. Keast, Jacqueline A. Brassard, Anne Marie O'Farrell, Julie M. Cherrington, Nancy K. Pryer, SU11248 inhibits tumor growth and CSF-1R-dependent osteolysis in an experimental breast cancer bone metastasis model. Clinical & Experimental Metastasis. ,vol. 20, pp. 757- 766 ,(2003) , 10.1023/B:CLIN.0000006873.65590.68
Bengt Nilsson, Per Bümming, Jeanne M. Meis-Kindblom, Anders Odén, Aydin Dortok, Bengt Gustavsson, Katarzyna Sablinska, Lars-Gunnar Kindblom, Gastrointestinal stromal tumors: the incidence, prevalence, clinical course, and prognostication in the preimatinib mesylate era--a population-based study in western Sweden. Cancer. ,vol. 103, pp. 821- 829 ,(2005) , 10.1002/CNCR.20862
Christopher D.M. Fletcher, Jules J. Berman, Christopher Corless, Fred Gorstein, Jerzy Lasota, B.Jack Longley, Markku Miettinen, Timothy J. O'Leary, Helen Remotti, Brian P. Rubin, Barry Shmookler, Leslie H. Sobin, Sharon W. Weiss, Diagnosis of gastrointestinal stromal tumors: A consensus approach Human Pathology. ,vol. 33, pp. 459- 465 ,(2002) , 10.1053/HUPA.2002.123545
Thomas Tran, Jessica A. Davila, Hashem B. El-Serag, The epidemiology of malignant gastrointestinal stromal tumors: an analysis of 1,458 cases from 1992 to 2000. The American Journal of Gastroenterology. ,vol. 100, pp. 162- 168 ,(2005) , 10.1111/J.1572-0241.2005.40709.X
Christopher D.M. Fletcher, Heikki Joensuu, George D. Demetri, Margaret von Mehren, Charles D. Blanke, Annick D. Van den Abbeele, Burton Eisenberg, Peter J. Roberts, Michael C. Heinrich, David A. Tuveson, Samuel Singer, Milos Janicek, Jonathan A. Fletcher, Stuart G. Silverman, Sandra L. Silberman, Renaud Capdeville, Beate Kiese, Bin Peng, Sasa Dimitrijevic, Brian J. Druker, Christopher Corless, Efficacy and safety of imatinib mesylate in advanced gastrointestinal stromal tumors. The New England Journal of Medicine. ,vol. 347, pp. 472- 480 ,(2002) , 10.1056/NEJMOA020461
Brian J. Druker, Shu Tamura, Elisabeth Buchdunger, Sayuri Ohno, Gerald M. Segal, Shane Fanning, Jürg Zimmermann, Nicholas B. Lydon, Effects of a selective inhibitor of the Abl tyrosine kinase on the growth of Bcr-Abl positive cells. Nature Medicine. ,vol. 2, pp. 561- 566 ,(1996) , 10.1038/NM0596-561
E.A. Eisenhauer, P. Therasse, J. Bogaerts, L.H. Schwartz, D. Sargent, R. Ford, J. Dancey, S. Arbuck, S. Gwyther, M. Mooney, L. Rubinstein, L. Shankar, L. Dodd, R. Kaplan, D. Lacombe, J. Verweij, New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1) European Journal of Cancer. ,vol. 45, pp. 228- 247 ,(2009) , 10.1016/J.EJCA.2008.10.026
ENG-HEN NG, RAPHAEL E. POLLOCK, MARK F. MUNSELL, EDWARD N. ATKINSON, MARVIN M. ROMSDAHL, Prognostic factors influencing survival in gastrointestinal leiomyosarcomas. Implications for surgical management and staging. Annals of Surgery. ,vol. 215, pp. 68- 77 ,(1992) , 10.1097/00000658-199201000-00010