Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2010-2-19
pubmed:abstractText
PURPOSE Pazopanib is an oral angiogenesis inhibitor targeting vascular endothelial growth factor receptor, platelet-derived growth factor receptor, and c-Kit. This randomized, double-blind, placebo-controlled phase III study evaluated efficacy and safety of pazopanib monotherapy in treatment-naive and cytokine-pretreated patients with advanced renal cell carcinoma (RCC). PATIENTS AND METHODS Adult patients with measurable, locally advanced, and/or metastatic RCC were randomly assigned 2:1 to receive oral pazopanib or placebo. The primary end point was progression-free survival (PFS). Secondary end points included overall survival, tumor response rate (Response Evaluation Criteria in Solid Tumors), and safety. Radiographic assessments of tumors were independently reviewed. Results Of 435 patients enrolled, 233 were treatment naive (54%) and 202 were cytokine pretreated (46%). PFS was significantly prolonged with pazopanib compared with placebo in the overall study population (median, PFS 9.2 v 4.2 months; hazard ratio [HR], 0.46; 95% CI, 0.34 to 0.62; P < .0001), the treatment-naive subpopulation (median PFS 11.1 v 2.8 months; HR, 0.40; 95% CI, 0.27 to 0.60; P < .0001), and the cytokine-pretreated subpopulation (median PFS, 7.4 v 4.2 months; HR, 0.54; 95% CI, 0.35 to 0.84; P < .001). The objective response rate was 30% with pazopanib compared with 3% with placebo (P < .001). The median duration of response was longer than 1 year. The most common adverse events were diarrhea, hypertension, hair color changes, nausea, anorexia, and vomiting. There was no evidence of clinically important differences in quality of life for pazopanib versus placebo. CONCLUSION Pazopanib demonstrated significant improvement in PFS and tumor response compared with placebo in treatment-naive and cytokine-pretreated patients with advanced and/or metastatic RCC.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1527-7755
pubmed:author
pubmed:issnType
Electronic
pubmed:day
20
pubmed:volume
28
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1061-8
pubmed:dateRevised
2010-10-5
pubmed:meshHeading
pubmed-meshheading:20100962-Adult, pubmed-meshheading:20100962-Aged, pubmed-meshheading:20100962-Aged, 80 and over, pubmed-meshheading:20100962-Bone Neoplasms, pubmed-meshheading:20100962-Carcinoma, Renal Cell, pubmed-meshheading:20100962-Double-Blind Method, pubmed-meshheading:20100962-Female, pubmed-meshheading:20100962-Humans, pubmed-meshheading:20100962-International Agencies, pubmed-meshheading:20100962-Kidney Neoplasms, pubmed-meshheading:20100962-Liver Neoplasms, pubmed-meshheading:20100962-Lung Neoplasms, pubmed-meshheading:20100962-Male, pubmed-meshheading:20100962-Middle Aged, pubmed-meshheading:20100962-Neoplasm Staging, pubmed-meshheading:20100962-Placebos, pubmed-meshheading:20100962-Prognosis, pubmed-meshheading:20100962-Pyrimidines, pubmed-meshheading:20100962-Sulfonamides, pubmed-meshheading:20100962-Survival Rate, pubmed-meshheading:20100962-Treatment Outcome, pubmed-meshheading:20100962-Young Adult
pubmed:year
2010
pubmed:articleTitle
Pazopanib in locally advanced or metastatic renal cell carcinoma: results of a randomized phase III trial.
pubmed:affiliation
FACP, Department of Medical Oncology, San Camillo Forlanini Hospital, Circonvallazione Gianicolense 87, Rome, Italy 00152. cstern@mclink.it
pubmed:publicationType
Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Multicenter Study, Clinical Trial, Phase III